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[临床来源的非发酵革兰氏阴性菌对抗菌制剂的敏感性]

[Sensitivity of nonfermenting gram-negative bacteria of clinical origin to antibacterial preparations].

作者信息

Shchenderov B A, Serkova G P, Tiurin M V

出版信息

Antibiotiki. 1984 Mar;29(3):191-5.

PMID:6732205
Abstract

Sensitivity of 371 clinical strains of gram-negative bacteria not fermenting glucose. was studied with respect to 11 antibacterial drugs with the use of indicator discs. The strains were isolated from patients with purulent inflammatory diseases in 1980-1981. Gentamicin proved to be the most active in vitro against the majority of isolates. Among Pseudomonas 56 per cent of P. maltophilia strains were resistant to this antibiotic. More than 80 per cent of the strains belonging to Acinetobacter and Moroxella were sensitive to nitrofurantoin and nalidixic acid. Analogous sensitivity of these bacteria was observed with respect to streptomycin and kanamycin. About a half of the not fermenting bacteria were sensitive to chloramphenicol, rifampicin and tetracycline. The majority of the bacteria were resistant to one or more of the chemotherapeutic drugs. Strains with multiple resistance to at least 6 drugs predominated among. P. aeruginosa, P. maltophilia and P. cepacia. Such polyresistant strains were mainly isolated from the urine, from wound and ear discharge.

摘要

利用药敏纸片对371株不发酵葡萄糖的革兰阴性菌临床菌株进行了11种抗菌药物的敏感性研究。这些菌株于1980 - 1981年从患有化脓性炎症疾病的患者中分离得到。庆大霉素在体外对大多数分离菌株显示出最强活性。在假单胞菌中,56%的嗜麦芽窄食单胞菌菌株对该抗生素耐药。超过80%的不动杆菌属和莫拉菌属菌株对呋喃妥因和萘啶酸敏感。观察到这些细菌对链霉素和卡那霉素也有类似的敏感性。约一半的不发酵菌对氯霉素、利福平和四环素敏感。大多数细菌对一种或多种化疗药物耐药。对至少6种药物多重耐药的菌株在铜绿假单胞菌、嗜麦芽窄食单胞菌和洋葱伯克霍尔德菌中占主导。此类多重耐药菌株主要从尿液、伤口及耳部分泌物中分离得到。

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