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医院分离的斯氏普罗威登斯菌中的抗生素耐药性

Antibiotic resistance in Providencia stuartii isolated in hospitals.

作者信息

McHale P J, Keane C T, Dougan G

出版信息

J Clin Microbiol. 1981 Jun;13(6):1099-104. doi: 10.1128/jcm.13.6.1099-1104.1981.

DOI:10.1128/jcm.13.6.1099-1104.1981
PMID:7251830
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC273957/
Abstract

A total of 238 isolates of Providencia stuartii obtained from infected patients in six Dublin hospitals were grouped by using serological and bacteriocin typing methods and tested for sensitivity to a number of antimicrobial agents. Most isolates were resistant to several of these agents. Resistance to tetracycline, resistance to penicillin, resistance to polymyxin, and probably resistance to nitrofurantoin was intrinsic. Plasmid screening coupled with resistance transfer studies showed that both chromosome-encoded and plasmid-coded resistance mechanisms were clinically important. Ampicillin resistance was both chromosomally and plasmid encoded, whereas resistance to kanamycin and resistance to carbenicillin were exclusively plasmid encoded. Gentamicin resistance was more common than kanamycin resistance, and although gentamicin-resistant strains contained aminoglycoside acetyltransferase activity, no association could be demonstrated with plasmid deoxyribonucleic acid in the strains tested. Unlike minimal inhibitory concentrations for kanamycin, minimal inhibitory concentrations for gentamicin varied over a wide range. P. stuartii isolated obtained from several different countries were tested for comparison. As a group, these strains were less resistant, but they did exhibit similar resistance properties.

摘要

从都柏林六家医院的感染患者中分离出238株斯氏普罗威登斯菌,采用血清学和细菌素分型方法进行分组,并检测其对多种抗菌药物的敏感性。大多数分离株对其中几种药物耐药。对四环素、青霉素、多粘菌素的耐药性以及可能对呋喃妥因的耐药性是固有耐药。质粒筛选与耐药性转移研究表明,染色体编码和质粒编码的耐药机制在临床上都很重要。氨苄西林耐药性既有染色体编码也有质粒编码,而对卡那霉素和羧苄西林的耐药性仅由质粒编码。庆大霉素耐药性比卡那霉素耐药性更常见,尽管耐庆大霉素菌株含有氨基糖苷乙酰转移酶活性,但在所测试的菌株中未发现与质粒脱氧核糖核酸有关联。与卡那霉素的最低抑菌浓度不同,庆大霉素的最低抑菌浓度变化范围很广。对从几个不同国家分离得到的斯氏普罗威登斯菌进行了测试以作比较。作为一个群体,这些菌株耐药性较低,但它们确实表现出相似的耐药特性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/940d/273957/c4ad104eabfe/jcm00167-0116-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/940d/273957/d9e27341ef5c/jcm00167-0115-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/940d/273957/c4ad104eabfe/jcm00167-0116-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/940d/273957/d9e27341ef5c/jcm00167-0115-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/940d/273957/c4ad104eabfe/jcm00167-0116-a.jpg

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J Clin Microbiol. 1980 Feb;11(2):167-9. doi: 10.1128/jcm.11.2.167-169.1980.
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Characteristics of gentamicin resistance in nosocomial infections.医院感染中庆大霉素耐药的特征
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Properties of an R factor from Pseudomonas aeruginosa.铜绿假单胞菌R因子的特性
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Antimicrobial Resistance Gene Prevalence in a Population of Patients with Advanced Dementia Is Related to Specific Pathobionts.晚期痴呆患者群体中抗菌药物耐药基因的流行情况与特定致病共生菌有关。
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Initial investigations of C4a-(hydro)peroxyflavin intermediate formation by dibenzothiophene monooxygenase.二苯并噻吩单加氧酶催化生成C4a-(氢)过氧化黄素中间体的初步研究。
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Characterization of gentamicin 2'-N-acetyltransferase from Providencia stuartii: its use of peptidoglycan metabolites for acetylation of both aminoglycosides and peptidoglycan.斯氏普罗威登斯菌庆大霉素2'-N-乙酰基转移酶的特性:其利用肽聚糖代谢产物对氨基糖苷类和肽聚糖进行乙酰化作用。
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Antimicrob Agents Chemother. 1974 Feb;5(2):143-52. doi: 10.1128/AAC.5.2.143.
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Kanamycin resistance in Providencia stuartii.斯氏普罗威登斯菌中的卡那霉素抗性
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J Clin Microbiol. 1979 Jan;9(1):11-4. doi: 10.1128/jcm.9.1.11-14.1979.