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[两种抗生素敏感性测定方法的比较多中心研究。凝胶扩散法与在液体ABAC培养基中的半自动法]

[Comparative multicenter study of 2 methods of determining sensitivity to antibiotics. Gel diffusion method and semiautomatic method in fluid ABAC medium].

作者信息

Brun Y, Chanal M, Durosoir J L, Schott P, Sirot D, Saliou P, Coulet M, Thabaut A, Cluzel R, Fleurette J

出版信息

Pathol Biol (Paris). 1984 Jan;32(1):29-34.

PMID:6422428
Abstract

Susceptibility of 60 bacterial isolates to 15 antibiotics was determined by two methods in three laboratories: 48 Gram negative bacilli and 12 Staphylococci were selected because of "intermediate" susceptibility to at least one antibiotic. Results show a good correlation between the two methods: more than 90% for carbenicillin, cefazolin, cefoxitin, cefamandole, kanamycin, tobramycin, amikacin, erythromycin, pristinamycin and fusidic acid, between 80 and 90% for penicillin G, ampicillin, oxacillin, gentamicin, doxycycline, chloramphenicol, spiramycin and clindamycin, less than 80% for neomycin, tetracycline, minocycline and oleandomycin. Interpretation criteria are different in the two methods for rifampicin, colistin and cotrimoxazole. Between the three laboratories, correlation was 90,3% and 88,6% for disc diffusion method and ABAC system respectively.

摘要

在三个实验室中,采用两种方法测定了60株细菌分离株对15种抗生素的敏感性:选取48株革兰氏阴性杆菌和12株葡萄球菌,因其对至少一种抗生素呈现“中介”敏感性。结果表明两种方法之间具有良好的相关性:羧苄青霉素、头孢唑林、头孢西丁、头孢孟多、卡那霉素、妥布霉素、阿米卡星、红霉素、利奈唑胺和夫西地酸的相关性超过90%,青霉素G、氨苄西林、苯唑西林、庆大霉素、强力霉素、氯霉素、螺旋霉素和克林霉素的相关性在80%至90%之间,新霉素、四环素、米诺环素和竹桃霉素的相关性低于80%。两种方法对利福平、黏菌素和复方新诺明的解释标准不同。在三个实验室之间,纸片扩散法和ABAC系统的相关性分别为90.3%和88.6%。

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