Wewalka G, Rotter M, Fischer A
Wien Klin Wochenschr. 1976 May 28;88(11):355-60.
In agar diffusion tests 2603 bacterial strains of species known to cause urinary tract infections were tested routinely in regard to their sensitivity towards Terizidon, a derivative of cycloserine. In order to relate the results which were obtained in terms of the diameter of the inhibiton zone, to the minimal inhibitory concentrations (MIC), 304 of these strains were tested additionally in agar dilution tests. The MICs of the other strains were estimated from the results of these tests. Since it is known that after the oral administration of 500 mg Terizidon the urine contains, on average, more than 128 mug/ml Terizidon for 12 hours and longer, it may be concluded from the results of this investigation that 75% of the strains of E. coli and Citrobacter, 45% of enterobacter, 40% of Proteus mirabilis and enterococci, 35% of the indole-positive Proteus strains and 30% of Pseudomonas aeruginosa would have been successfully attacked by Terizidon in the case or urinary tract infections. By contrast, Klebsiella must be reagarded as being completely resistant to this antibiotic. It follows that the administration of Terizidon is mainly indicated in the treatment of acute urinary tract infections with E. coli as the predominant causative agent.
在琼脂扩散试验中,对2603株已知可引起尿路感染的细菌菌株进行了常规测试,以检测它们对环丝氨酸衍生物特立齐东(Terizidon)的敏感性。为了将通过抑菌圈直径获得的结果与最低抑菌浓度(MIC)相关联,另外对其中304株菌株进行了琼脂稀释试验。其他菌株的MIC则根据这些试验的结果进行估算。由于已知口服500毫克特立齐东后,尿液中平均12小时及更长时间内含有超过128微克/毫升的特立齐东,因此从本次研究结果可以得出结论,在尿路感染的情况下,75%的大肠杆菌和柠檬酸杆菌菌株、45%的肠杆菌、40%的奇异变形杆菌和肠球菌、35%的吲哚阳性变形杆菌菌株以及30%的铜绿假单胞菌会被特立齐东成功杀灭。相比之下,克雷伯菌必须被视为对这种抗生素完全耐药。由此可见,特立齐东主要适用于以大肠杆菌为主要病原体的急性尿路感染的治疗。