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急性输卵管炎女性淋病奈瑟菌的菌型及抗生素敏感性。与引起女性单纯性生殖道感染的淋球菌的比较。

Auxotypes and antibiotic susceptibilities of Neisseria gonorrhoeae from women with acute salpingitis. Comparison with gonococci causing uncomplicated genital tract infections in women.

作者信息

Draper D L, James J F, Hadley W K, Sweet R L

出版信息

Sex Transm Dis. 1981 Apr-Jun;8(2):43-50. doi: 10.1097/00007435-198104000-00001.

DOI:10.1097/00007435-198104000-00001
PMID:6789466
Abstract

An investigation of the MICs of various antibiotics and the nutritional requirements (auxotypes) of Neisseria gonorrhoeae recovered from the cervix, fallopian tubes, and peritoneal cavity of women with acute salpingitis was done. These MICs and auxotypes were compared to those of gonococci isolated from the cervix of women with uncomplicated or asymptomatic genital tract gonorrhea. The MICs of minocycline, penicillin G, ampicillin, cefoxitin, and cefaclor for gonococci isolated from women with acute salpingitis were significantly higher. Significant differences in auxotype patterns were identified between isolates from salpingitis cases and uncomplicated cases. The prototrophic form was the most common (75%) among salpingitis strains. No strains requiring arginine, hypoxanthine, and uracil were identified among the salpingitis isolates. In contrast, strains that required these nutrients were the most frequent auxotype among isolated from women with uncomplicated genital tract gonorrhea. Discriminant analysis revealed that the MIC of minocycline and the auxotype were the most powerful discriminators between groups of patients with different manifestations of gonorrhea.

摘要

对从患有急性输卵管炎的女性的子宫颈、输卵管和腹腔中分离出的淋病奈瑟菌的各种抗生素的最低抑菌浓度(MIC)及其营养需求(营养缺陷型)进行了调查。将这些MIC和营养缺陷型与从不复杂或无症状生殖道淋病的女性子宫颈中分离出的淋球菌的MIC和营养缺陷型进行了比较。从患有急性输卵管炎的女性中分离出的淋球菌对米诺环素、青霉素G、氨苄西林、头孢西丁和头孢克洛的MIC显著更高。在输卵管炎病例和不复杂病例的分离株之间发现了营养缺陷型模式的显著差异。原养型在输卵管炎菌株中最为常见(75%)。在输卵管炎分离株中未发现需要精氨酸、次黄嘌呤和尿嘧啶的菌株。相比之下,需要这些营养物质的菌株是从不复杂生殖道淋病女性中分离出的最常见的营养缺陷型。判别分析显示,米诺环素的MIC和营养缺陷型是不同表现形式淋病患者组之间最有力的判别因素。

相似文献

1
Auxotypes and antibiotic susceptibilities of Neisseria gonorrhoeae from women with acute salpingitis. Comparison with gonococci causing uncomplicated genital tract infections in women.急性输卵管炎女性淋病奈瑟菌的菌型及抗生素敏感性。与引起女性单纯性生殖道感染的淋球菌的比较。
Sex Transm Dis. 1981 Apr-Jun;8(2):43-50. doi: 10.1097/00007435-198104000-00001.
2
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Antibiotic susceptibilities and auxotypes of Neisseria gonorrhoeae strains from women with pelvic inflammatory disease or uncomplicated infections.来自患有盆腔炎或单纯性感染女性的淋病奈瑟菌菌株的抗生素敏感性和营养缺陷型
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Relation between nutritional requirements and susceptibilities to antibiotics of strains of Neisseria gonorrhoeae from pharyngeal and anogenital sites.来自咽部和肛门生殖器部位的淋病奈瑟菌菌株的营养需求与抗生素敏感性之间的关系。
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Gonococci causing disseminated gonococcal infection are resistant to the bactericidal action of normal human sera.引起播散性淋球菌感染的淋球菌对正常人血清的杀菌作用具有抗性。
J Clin Invest. 1976 Nov;58(5):1163-73. doi: 10.1172/JCI108569.
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Distribution of auxotypes and correlation to antibiotic susceptibility of 169 recent clinical Neisseria gonorrhoeae isolates from Munich.来自慕尼黑的169株近期临床淋病奈瑟菌分离株的营养缺陷型分布及其与抗生素敏感性的相关性
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引用本文的文献

1
Pathogenesis of pelvic inflammatory disease.盆腔炎的发病机制。
Genitourin Med. 1993 Feb;69(1):9-17. doi: 10.1136/sti.69.1.9.
2
Gonococci with mutations to low-level penicillin resistance exhibit increased sensitivity to the oxygen-independent bactericidal activity of human polymorphonuclear leukocyte granule extracts.对青霉素产生低水平耐药性突变的淋球菌,对人多形核白细胞颗粒提取物的非氧依赖性杀菌活性表现出更高的敏感性。
Infect Immun. 1982 Mar;35(3):826-33. doi: 10.1128/iai.35.3.826-833.1982.
3
Antibiotic susceptibilities and auxotypes of Neisseria gonorrhoeae strains from women with pelvic inflammatory disease or uncomplicated infections.
来自患有盆腔炎或单纯性感染女性的淋病奈瑟菌菌株的抗生素敏感性和营养缺陷型
Antimicrob Agents Chemother. 1983 Dec;24(6):952-4. doi: 10.1128/AAC.24.6.952.
4
Ability of Neisseria gonorrhoeae, Neisseria meningitidis, and commensal Neisseria species to obtain iron from lactoferrin.淋病奈瑟菌、脑膜炎奈瑟菌及共生奈瑟菌属从乳铁蛋白获取铁的能力。
Infect Immun. 1982 Mar;35(3):915-20. doi: 10.1128/iai.35.3.915-920.1982.
5
Characterisation by plasmid profiles, serogroups, and auxotypes of Neisseria gonorrhoeae from Harare, Zimbabwe.对来自津巴布韦哈拉雷的淋病奈瑟菌进行质粒图谱、血清群和辅助型特征分析。
Genitourin Med. 1988 Oct;64(5):303-7. doi: 10.1136/sti.64.5.303.