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B族链球菌临床分离株中的抗生素耐药性和青霉素耐受性

Antibiotic resistance and penicillin tolerance in clinical isolates of group B streptococci.

作者信息

Betriu C, Gomez M, Sanchez A, Cruceyra A, Romero J, Picazo J J

机构信息

Servicio de Microbiología Clínica, Hospital Universitario San Carlos, Madrid, Spain.

出版信息

Antimicrob Agents Chemother. 1994 Sep;38(9):2183-6. doi: 10.1128/AAC.38.9.2183.

DOI:10.1128/AAC.38.9.2183
PMID:7811042
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC284707/
Abstract

The aim of this study was to determine the susceptibility patterns of 100 group B streptococcal strains isolated in our hospital and to ascertain tolerance to penicillin by determining quantitative killing curves. We found two strains with intermediate susceptibility to penicillin and eight strains to ampicillin. Seventeen isolates were tolerant to penicillin, with bacterial counts decreasing 2 to 3 log during the first 8 h but still above 10(2) CFU/ml after 24 h. The kinetic study shows that penicillin tolerance is not rare among group B streptococci isolated in our hospital.

摘要

本研究的目的是确定我院分离出的100株B族链球菌菌株的药敏模式,并通过测定定量杀菌曲线来确定对青霉素的耐受性。我们发现有两株对青霉素中度敏感,八株对氨苄西林中度敏感。17株分离菌对青霉素耐受,在前8小时细菌数量减少2至3个对数,但24小时后仍高于10²CFU/ml。动力学研究表明,在我院分离出的B族链球菌中,青霉素耐受性并不罕见。

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本文引用的文献

1
Method of reliable determination of minimal lethal antibiotic concentrations.可靠测定最低致死抗生素浓度的方法。
Antimicrob Agents Chemother. 1980 Nov;18(5):699-708. doi: 10.1128/AAC.18.5.699.
2
Recurrent infection associated with penicillin-tolerant group B streptococci: a report of two cases.与耐青霉素B族链球菌相关的复发性感染:两例报告
J Pediatr. 1981 Dec;99(6):920-4. doi: 10.1016/s0022-3476(81)80022-4.
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Penicillin tolerance in group B streptococci isolated from infected neonates.从感染新生儿中分离出的B族链球菌的青霉素耐受性
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Serious infection in an adult due to penicillin-tolerant group B streptococcus.成人因耐青霉素B族链球菌引起的严重感染。
Arch Intern Med. 1981 Nov;141(12):1714-5.
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Synergism, killing kinetics, and antimicrobial susceptibility of group A and B streptococci.A组和B组链球菌的协同作用、杀菌动力学及抗菌药敏性
Antimicrob Agents Chemother. 1981 May;19(5):716-25. doi: 10.1128/AAC.19.5.716.
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Effect of storage and changes in bacterial growth phase and antibiotic concentrations on antimicrobial tolerance in Staphylococcus aureus.储存、细菌生长阶段变化及抗生素浓度对金黄色葡萄球菌抗菌耐受性的影响
Antimicrob Agents Chemother. 1980 Nov;18(5):784-8. doi: 10.1128/AAC.18.5.784.
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Variables in demonstrating methicillin tolerance in Staphylococcus aureus strains.金黄色葡萄球菌菌株中显示耐甲氧西林特性的变量。
Antimicrob Agents Chemother. 1982 Apr;21(4):688-90. doi: 10.1128/AAC.21.4.688.
8
Determination of minimum bactericidal concentrations of oxacillin for Staphylococcus aureus: influence and significance of technical factors.金黄色葡萄球菌对苯唑西林最低杀菌浓度的测定:技术因素的影响及意义
Antimicrob Agents Chemother. 1983 Jan;23(1):142-50. doi: 10.1128/AAC.23.1.142.
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Susceptibility of group B streptococci to 16 beta-lactam antibiotics, including new penicillin and cephalosporin derivatives.B族链球菌对16种β-内酰胺类抗生素的敏感性,包括新型青霉素和头孢菌素衍生物。
Antimicrob Agents Chemother. 1982 Nov;22(5):897-900. doi: 10.1128/AAC.22.5.897.
10
Comparative activity of mezlocillin, penicillin, ampicillin, carbenicillin, and ticarcillin against gram-positive bacteria and Haemophilus influenzae.美洛西林、青霉素、氨苄西林、羧苄西林和替卡西林对革兰氏阳性菌和流感嗜血杆菌的比较活性。
Antimicrob Agents Chemother. 1981 Dec;20(6):843-6. doi: 10.1128/AAC.20.6.843.