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金黄色葡萄球菌临床分离株的耐药性及噬菌体分型

[Drug resistance and phage typing of clinical isolates of Staphylococcus aureus].

作者信息

Okubo T, Okamoto R, Iyobe S, Takahashi A, Yomoda S, Inoue M

机构信息

Laboratory of Drug Resistance in Bacteria, Gunma University School of Medicine.

出版信息

Jpn J Antibiot. 1994 Apr;47(4):357-64.

PMID:8201766
Abstract

Activities of antimicrobial agents were examined against Staphylococcus aureus strains isolated in 1990. Strains resistant to benzylpenicillin were isolated at the highest frequency (93.6%), and followed by those resistant to kanamycin (51.5%), erythromycin (49.0%), gentamicin (45.1%), fluoroquinolone (33.4%) and minocycline (12.3%). Most of these drug resistant strains of S. aureus were also resistant to methicillin. It should be noted that the MRSA strains were also resistant to other multiple drugs. Annual changes of MRSA in clinical isolates have been increasing since 1981. The isolation frequencies of MRSA strains were 18.9%, 44.8% in 1981 and 1990, respectively. Among methicillin susceptible S. aureus (MSSA), however, drug resistance to other antibiotics have been decreasing year by year. Many strains among both MRSA (73%) and MSSA (86%) were sensitive to typing phages of 100 x RTD. 76% of the MRSA strains were phage typed into groups III or mixed, and 60% of the MSSA strains were typed into these two groups, also.

摘要

检测了抗菌剂对1990年分离出的金黄色葡萄球菌菌株的活性。对苄青霉素耐药的菌株分离频率最高(93.6%),其次是对卡那霉素耐药的菌株(51.5%)、红霉素(49.0%)、庆大霉素(45.1%)、氟喹诺酮(33.4%)和米诺环素(12.3%)。这些耐药的金黄色葡萄球菌菌株大多也对甲氧西林耐药。应当注意的是,耐甲氧西林金黄色葡萄球菌(MRSA)菌株也对其他多种药物耐药。自1981年以来,临床分离株中MRSA的年度变化一直在增加。1981年和1990年MRSA菌株的分离频率分别为18.9%、44.8%。然而,在甲氧西林敏感金黄色葡萄球菌(MSSA)中,对其他抗生素的耐药性逐年下降。MRSA(73%)和MSSA(86%)中的许多菌株对100倍常规试验稀释度(RTD)的分型噬菌体敏感。76%的MRSA菌株被噬菌体分型为III组或混合组,60%的MSSA菌株也被分型为这两组。

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