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粘质沙雷氏菌中的β-内酰胺酶以及对青霉素和头孢菌素的耐药性

beta-Lactamases and resistance to penicillins and cephalosporins in Serratia marcescens.

作者信息

Farrar W E, O'dell N M

出版信息

J Infect Dis. 1976 Sep;134(3):245-51. doi: 10.1093/infdis/134.3.245.

Abstract

Strains of Serratia marcescens fall into one of two groups with respect to their resistance to to beta-lactum antibiotics. Most strains are highly resistant to cephalosporins but are significantly more susceptible to ampicillin and carbenicillin, whereas other strains are highly resistant to both penicillins and cephalosporins. Strains in the former category produce small amounts of an inducible cephalosporinase, which appears to be chromosomally mediated. Strains in the latter class also elaborate large amounts of a noninducible penicillinase-cephalosporinase, which is plasmidmediated. Ability to produce this type of enzyme can be transferred to Klebsiella pneumoniae or Escherichia coli and may be lost spontaneously or after exposure of S. marcescens to "curing" agents.

摘要

粘质沙雷氏菌菌株根据其对β-内酰胺类抗生素的耐药性可分为两组。大多数菌株对头孢菌素具有高度耐药性,但对氨苄青霉素和羧苄青霉素的敏感性明显更高,而其他菌株对青霉素和头孢菌素均具有高度耐药性。前一类菌株产生少量的可诱导头孢菌素酶,该酶似乎由染色体介导。后一类菌株还会产生大量的不可诱导青霉素酶-头孢菌素酶,该酶由质粒介导。产生这种类型酶的能力可以转移到肺炎克雷伯菌或大肠杆菌中,并且可能会自发丧失,或者在粘质沙雷氏菌暴露于“治愈”剂后丧失。

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