Sundaram S, Murthy K V
J Hyg (Lond). 1984 Feb;92(1):59-65. doi: 10.1017/s0022172400064032.
A total of 289 non-O1 Vibrio cholerae (NVC) strains and 20 rough V. cholerae (RVC) strains isolated in an endemic area were tested for antibiotic resistance and for transferable R-plasmids. Twenty three per cent of NVC and 40% of the RVC isolates were found to be resistant to one or more drugs. Eight NVC and four RVC strains possessed multiple drug resistance, varying from four to eight drugs. The common spectrum found in NVC isolates were chloramphenicol and streptomycin (CS) or chloramphenicol, streptomycin, tetracycline and ampicillin (CSTA). Resistance to sulphamethoxazole (Su) and to trimethoprim (Tm) was encountered infrequently. In RVC isolates in addition CSTASuTm determinants, resistance markers to aminoglycosides kanamycin, gentamicin and neomycin were also found. Eighteen of the 27 V. cholerae strains with two or more resistance determinants transferred them en bloc to Escherichia coli K12. The level of resistance in the recipient strain was equal to or greater than that of the donor vibrio strains. Most of the strains possessing solitary resistance markers were unable to transfer them. beta-lactamase production could be demonstrated in 92.8% of the ampicillin resistant strains. None of the strains was resistant to nalidixic acid or furazolidone. The results emphasize the importance of antimicrobic susceptibility determination of V. cholerae isolates, regardless of the serotypes, before commencing chemotherapy.
对在一个霍乱流行地区分离出的289株非O1群霍乱弧菌(NVC)菌株和20株粗糙型霍乱弧菌(RVC)菌株进行了抗生素耐药性和可转移R质粒检测。发现23%的NVC菌株和40%的RVC菌株对一种或多种药物耐药。8株NVC菌株和4株RVC菌株具有多重耐药性,耐药药物种类从4种到8种不等。NVC菌株中常见的耐药谱为氯霉素和链霉素(CS)或氯霉素、链霉素、四环素和氨苄西林(CSTA)。对磺胺甲恶唑(Su)和甲氧苄啶(Tm)的耐药情况很少见。在RVC菌株中,除了CSTASuTm决定簇外,还发现了对氨基糖苷类卡那霉素、庆大霉素和新霉素的耐药标记。27株具有两种或更多耐药决定簇的霍乱弧菌菌株中有18株将这些决定簇整体转移至大肠杆菌K12。受体菌株的耐药水平等于或高于供体霍乱弧菌菌株。大多数具有单一耐药标记的菌株无法转移这些标记。在92.8%的氨苄西林耐药菌株中可检测到β-内酰胺酶的产生。所有菌株对萘啶酸或呋喃唑酮均不耐药。结果强调在开始化疗前,无论霍乱弧菌菌株的血清型如何,对其进行药敏试验的重要性。