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[1982年和1983年在皮提耶尔-萨尔佩特里埃医院分离出的细菌对磷霉素的敏感性]

[Sensitivity to fosfomycin of bacteria isolated at the Pitié-Salpétrière Hospital in 1982 and 1983].

作者信息

Bismuth R, Jarlier V, Nicolas M H, Nguyen J, Truffot C

出版信息

Pathol Biol (Paris). 1984 Jun;32(5 Pt 2):520-4.

PMID:6431379
Abstract

Susceptibility of 16 056 strains isolated in 1982 and 1983 to fosfomycin (FOS) was tested with Mueller-Hinton medium and discs 50 micrograms FOS + 25 micrograms glucose-6-phosphate (G6P) (cutoff diameter 14 mm). For 3 411 strains, inhibition zone diameters were recorded. Almost all E. coli, Citrobacter, Salmonella and S. aureus were susceptible to FOS as well as 70% of Serratia, E. cloacae, P. mirabilis and 50% of Klebsiella and Enterobacter sp. Only 27% of P. aeruginosa, 20% of indole positive Proteus and 8% of Acinetobacter were sensitive to FOS. E. coli, Citrobacter and S. aureus seem to exhibit the highest susceptibilities to FOS. Sensitivity rates of E. cloacae, Serratia, P. aeruginosa, and especially Klebsiella seemed slightly underestimated by the disk diffusion method, but differentiation between susceptible and resistant strains was facilitated by rating as susceptible those strains with inhibition zone diameters between 12 and 14 mm. This method also seemed to underrate the sensitivity of susceptible Enterobacteriaceae, probably because of inadequate G6P concentrations at this point of the disk.

摘要

采用穆勒-欣顿培养基和含50微克磷霉素(FOS)+25微克葡萄糖-6-磷酸(G6P)的纸片(临界直径14毫米),对1982年和1983年分离出的16056株菌株进行了磷霉素敏感性测试。对3411株菌株记录了抑菌圈直径。几乎所有的大肠杆菌、柠檬酸杆菌、沙门氏菌和金黄色葡萄球菌对磷霉素敏感,70%的沙雷氏菌、阴沟肠杆菌、奇异变形杆菌以及50%的克雷伯菌属和肠杆菌属也敏感。只有27%的铜绿假单胞菌、20%的吲哚阳性变形杆菌和8%的不动杆菌对磷霉素敏感。大肠杆菌、柠檬酸杆菌和金黄色葡萄球菌似乎对磷霉素敏感性最高。纸片扩散法似乎略微低估了阴沟肠杆菌、沙雷氏菌、铜绿假单胞菌,尤其是克雷伯菌属的敏感率,但通过将抑菌圈直径在12至14毫米之间的菌株评定为敏感,便于区分敏感菌株和耐药菌株。这种方法似乎也低估了敏感肠杆菌科细菌的敏感性,可能是因为纸片上这个位置的G6P浓度不足。

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