Val'vachev N I, Zhizhel' A O
Antibiotiki. 1980 Mar;25(3):185-8.
The dynamics of sensitivity to benzylpenicillin, streptomycin, levomycetin, tetracycline, erythromycin and monomycin of 2529 plasmopositive and 1336 plasmonegative staphylococci isolated in 1970--1977 from patients with various purulent inflammatory diseases was analyzed. The objects of the study were pus from closed foci (abscesses, phlegmons, furuncles), wound contents, sputum, urine, blood, bile and abdominal exudate. The plating was usually performed with a purpose of diagnosis within the first hours of the patient admission to the hospital or during the treatment course. The antibiotic sensitivity of the microbes was determined with the method of standard paper discs. During the period of observation it was found that the percentage of strains sensitive to benzylpenicillin was always higher in plasmonegative staphylococci (P less than 0.001). This value ranged within 30.7--45.0 per cent in plasmopositive cultures and 41.2--70.4 per cent in plasmonegative cultures. The frequency of streptomycin sensitive cultures among plasmopositive and plasmonegative staphylococci was the same, i.e. within 34.6--59.5 per cent. The specific weight of the strains sensitive to levomycetin decreased from 50.6 to 26.6 per cent in plasmopositive cultures and from 60.0 to 27.0 per cent in plasmonegative cultures. The respective figures for erythromycin were from 77.6 to 46.7 and from 68.2 to 37.6 per cent.
分析了1970年至1977年从患有各种化脓性炎症疾病的患者中分离出的2529株质粒阳性葡萄球菌和1336株质粒阴性葡萄球菌对苄青霉素、链霉素、氯霉素、四环素、红霉素和新生霉素的敏感性动态。研究对象为来自闭合病灶(脓肿、蜂窝织炎、疖)的脓液、伤口内容物、痰液、尿液、血液、胆汁和腹腔渗出液。通常在患者入院后的最初几小时内或治疗过程中进行接种培养以用于诊断。采用标准纸片法测定微生物的抗生素敏感性。在观察期间发现,质粒阴性葡萄球菌中对苄青霉素敏感的菌株百分比始终较高(P小于0.001)。该值在质粒阳性培养物中介于30.7%至45.0%之间,在质粒阴性培养物中介于41.2%至70.4%之间。质粒阳性和质粒阴性葡萄球菌中对链霉素敏感培养物的频率相同,即介于34.6%至59.5%之间。对氯霉素敏感的菌株比例在质粒阳性培养物中从50.6%降至26.6%,在质粒阴性培养物中从60.0%降至27.0%。红霉素相应的比例分别为从77.6%降至46.7%以及从68.2%降至37.6%。