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氨基糖苷类药物与新型β-内酰胺类药物对多重耐药铜绿假单胞菌的体外协同活性

In vitro synergistic activities of aminoglycosides and new beta-lactams against multiresistant Pseudomonas aeruginosa.

作者信息

Giamarellou H, Zissis N P, Tagari G, Bouzos J

出版信息

Antimicrob Agents Chemother. 1984 Apr;25(4):534-6. doi: 10.1128/AAC.25.4.534.

Abstract

The in vitro interactions between amikacin, netilmicin, tobramycin, gentamicin, and various antipseudomonal beta-lactams were studied by the agar dilution checkerboard technique against 30 Pseudomonas aeruginosa strains resistant to all tested antibiotics. Amikacin produced more frequent synergy both at the total and clinically applicable level. Among the beta-lactams, clinically relevant synergistic interactions were obtained in the following order: ceftazidime and ceftriaxone greater than moxalactam greater than aztreonam greater than cefotaxime greater than azlocillin greater than cefoperazone greater than cefsulodin greater than carbenicillin.

摘要

采用琼脂稀释棋盘法,针对30株对所有受试抗生素均耐药的铜绿假单胞菌菌株,研究了阿米卡星、奈替米星、妥布霉素、庆大霉素与各种抗假单胞菌β-内酰胺类药物之间的体外相互作用。在总量及临床适用水平上,阿米卡星产生协同作用的频率更高。在β-内酰胺类药物中,临床相关的协同相互作用按以下顺序排列:头孢他啶和头孢曲松大于拉氧头孢大于氨曲南大于头孢噻肟大于阿洛西林大于头孢哌酮大于磺苄西林大于羧苄西林。

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本文引用的文献

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Antibiotics of choice in suspected serious sepsis.疑似严重脓毒症时的首选抗生素。
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Mechanisms of resistance to aminoglycosides.对氨基糖苷类抗生素的耐药机制。
Am J Med. 1977 Jun;62(6):868-72. doi: 10.1016/0002-9343(77)90654-4.
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