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[铜绿假单胞菌的耐药性与质粒分析]

[Drug resistance and plasmid analysis in Pseudomonas aeruginosa].

作者信息

Chang L L, Sun H H, Chang C Y, Chang J C, Kuo C S, Lo W J, Wang H L, Chang S F

机构信息

Department of Microbiology, Kaohsiung Medical College, Taiwan, Republic of China.

出版信息

Gaoxiong Yi Xue Ke Xue Za Zhi. 1994 Sep;10(9):508-17.

PMID:7983695
Abstract

One hundred and ninety seven strains of Pseudomonas aeruginosa were isolated from urine (59 strains), wound pus (60 strains), sputum (30 strains), stool (30 strains) and eye discharge (18 strains) at Kaohsiung medical College Hospital. These strains were serotyped with antisera against O antigens and tested with twelve different antimicrobial agents. The results showed that the most frequently isolated strains were serotype E (41.1%), followed by serotype B (20.3%), serotype F (10.7%) and serotype L (9.1%). In in vitro susceptibility testing, all isolated strains were resistant to chloramphenicol and tetracycline. Otherwise, these isolates were highly susceptible to ceftazidime (95.4%), enoxacin (89.3%) and piperacillin (87.8%). The isolates from urine exhibited more multiple drug resistance patterns than those of other specimens. When plasmid content was analysed from pseudomonas aeruginosa, only 15.2% (30/197) of isolates carried plasmids. By conjugation, transformation and mobilization experiments, it was shown that 13.3% (4/30) of plasmid carrying strains contained R plasmids.

摘要

从高雄医学院附属医院的尿液(59株)、伤口脓液(60株)、痰液(30株)、粪便(30株)和眼部分泌物(18株)中分离出197株铜绿假单胞菌。用抗O抗原的抗血清对这些菌株进行血清分型,并用12种不同的抗菌剂进行检测。结果显示,最常分离出的菌株是血清型E(41.1%),其次是血清型B(20.3%)、血清型F(10.7%)和血清型L(9.1%)。在体外药敏试验中,所有分离菌株对氯霉素和四环素耐药。此外,这些分离株对头孢他啶(95.4%)、依诺沙星(89.3%)和哌拉西林(87.8%)高度敏感。尿液分离株比其他标本的分离株表现出更多的多重耐药模式。对铜绿假单胞菌进行质粒含量分析时,只有15.2%(30/197)的分离株携带质粒。通过接合、转化和转移实验表明,携带质粒的菌株中有13.3%(4/30)含有R质粒。

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