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兽医分离的沙门氏菌中的喹诺酮耐药性。

Quinolone resistance in veterinary isolates of Salmonella.

作者信息

Griggs D J, Hall M C, Jin Y F, Piddock L J

机构信息

Department of Infection, University of Birmingham, UK.

出版信息

J Antimicrob Chemother. 1994 Jun;33(6):1173-89. doi: 10.1093/jac/33.6.1173.

Abstract

Twenty-seven nalidixic acid-resistant (MIC > or = 256 mg/L) isolates of salmonella from veterinary sources were also less susceptible to fluoroquinolones (range of MICs of ciprofloxacin, 0.12-2 mg/L). Six isolates were cross-resistant to one or more chemically unrelated antibacterial agents. The concentrations of enrofloxacin that inhibited DNA synthesis by 50% were similar to the MIC values for 23 of 27 isolates, suggesting a mutation in gyrA. Insertion of pNJR3-2 (gyrA) in nine of 20 isolates increased susceptibility to quinolones, suggesting that resistance was due to mutation in gyrA. Five of 27 isolates had reduced levels of accumulation of enrofloxacin. Two of the five also had increased susceptibility to quinolones when pNJR3-2 was introduced. None of the outer membrane protein profiles of the resistant isolates differed from those of sensitive control strains. Three of 27 isolates had differences in lipopolysaccharide profiles compared to control strains. Although the MIC of ciprofloxacin was less than the recommended UK break point concentrations for most isolates, the increasing incidence of quinolone-resistance in salmonella from veterinary sources is a matter of concern.

摘要

从兽医源分离出的27株对萘啶酸耐药(MIC≥256mg/L)的沙门氏菌对氟喹诺酮类药物的敏感性也较低(环丙沙星的MIC范围为0.12 - 2mg/L)。6株菌对一种或多种化学结构不相关的抗菌药物呈交叉耐药。抑制DNA合成50%的恩诺沙星浓度与27株菌中23株的MIC值相似,提示gyrA基因发生了突变。在20株菌中的9株中插入pNJR3 - 2(gyrA)可增加对喹诺酮类药物的敏感性,表明耐药是由于gyrA基因突变所致。27株菌中有5株恩诺沙星的蓄积水平降低。这5株中的2株在导入pNJR3 - 2后对喹诺酮类药物的敏感性也增加。耐药菌株的外膜蛋白图谱与敏感对照菌株相比均无差异。27株菌中有3株与对照菌株相比脂多糖图谱存在差异。尽管大多数菌株的环丙沙星MIC低于英国推荐的断点浓度,但兽医源沙门氏菌中喹诺酮耐药性的发生率不断增加仍是一个令人担忧的问题。

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