Tenney J H, Maack R W, Chippendale G R
Antimicrob Agents Chemother. 1983 Jan;23(1):188-9. doi: 10.1128/AAC.23.1.188.
Serial passage of Pseudomonas aeruginosa ATCC 27853 or Escherichia coli ATCC 25922 on agar with subinhibitory concentrations of norfloxacin rapidly produced isolates with minimal inhibitory concentrations (MICs) of norfloxacin up to 512-fold higher than that for the original strain. Although MICs of seven unrelated antibiotics were unchanged, increasing MICs occurred in parallel with norfloxacin, cinoxacin, and nalidixic acid regardless of which of these three organic acids was used to select for increased resistance. P. aeruginosa with a norfloxacin MIC of greater than 256 micrograms/ml could be selected; however, E. coli with MICs greater than the clinically achievable level of 16 micrograms/ml could not be produced.
在含有亚抑菌浓度诺氟沙星的琼脂上对铜绿假单胞菌ATCC 27853或大肠埃希菌ATCC 25922进行连续传代,很快就产生了对诺氟沙星的最低抑菌浓度(MIC)比原始菌株高512倍的分离株。尽管七种不相关抗生素的MIC没有变化,但无论使用这三种有机酸中的哪一种来选择增加耐药性,对诺氟沙星、西诺沙星和萘啶酸的MIC增加都是并行发生的。可以选择诺氟沙星MIC大于256微克/毫升的铜绿假单胞菌;然而,无法产生MIC大于临床可达到水平16微克/毫升的大肠埃希菌。