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卡他布兰汉菌:抗生素敏感性与β-内酰胺酶

Branhamella catarrhalis: antibiotic sensitivities and beta-lactamases.

作者信息

Stobberingh E E, Davies B I, van Boven C P

出版信息

J Antimicrob Chemother. 1984 Jan;13(1):55-64. doi: 10.1093/jac/13.1.55.

Abstract

Twenty-eight strains of Branhamella catarrhalis, isolated from patients with acute exacerbations of chronic bronchitis, were tested both for beta-lactamase production and for sensitivity to a wide range of antimicrobial agents. A microtitre broth dilution technique was used for the latter and the MIC50, MIC90, and geometric mean MIC values were all calculated. Eleven strains were found to produce beta-lactamases. Isoelectric focusing in polyacrylamide gels showed four different band patterns, of which the most common was identical with that of the Ravasio type enzyme. Substrate profiles of the four types of branhamella beta-lactamases differed from each other although one was again similar to the Ravasio enzyme profile. Most of these beta-lactamases were readily inhibited by clavulanic acid (with I50 values of 0.01-0.08 mg/l) but were less readily inhibited by oxacillin. Attempts to isolate extrachromosomal DNA were unsuccessful. These results suggest that at least five possible different beta-lactamases can be demonstrated in Bran. catarrhalis strains, and that they are chromosomally determined.

摘要

从慢性支气管炎急性加重患者中分离出28株卡他莫拉菌,对其进行β-内酰胺酶产生情况及对多种抗菌药物敏感性的检测。后者采用微量肉汤稀释技术,并计算MIC50、MIC90及几何平均MIC值。发现11株菌可产生β-内酰胺酶。聚丙烯酰胺凝胶等电聚焦显示出四种不同的条带模式,其中最常见的与拉瓦西型酶的条带模式相同。四种卡他莫拉菌β-内酰胺酶的底物谱彼此不同,尽管其中一种再次与拉瓦西酶谱相似。这些β-内酰胺酶大多易被克拉维酸抑制(I50值为0.01 - 0.08mg/L),但较难被苯唑西林抑制。分离染色体外DNA的尝试未成功。这些结果表明,在卡他莫拉菌菌株中至少可证明有五种可能不同的β-内酰胺酶,且它们是由染色体决定的。

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