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大肠弯曲菌β-内酰胺酶阳性和阴性菌株对β-内酰胺类药物的敏感性。

Susceptibilities of beta-lactamase-positive and -negative strains of Campylobacter coli to beta-lactam agents.

作者信息

Lachance N, Gaudreau C, Lamothe F, Turgeon F

机构信息

Service de Microbiologie Médicale et Maladies Infectieuses, Hôpital Saint-Luc, Montreal, Quebec, Canada.

出版信息

Antimicrob Agents Chemother. 1993 May;37(5):1174-6. doi: 10.1128/AAC.37.5.1174.

Abstract

The percentages of susceptibility of 28 strains of Campylobacter coli to beta-lactam agents were 96% for amoxicillin and ampicillin, 57% for ticarcillin, 4% for cefoxitin and cefuroxime, 61% for cefotaxime, and 11% for ceftazidime. None of the strains were susceptible to penicillin G, piperacillin, cefazolin, cephalothin, cefamandole, and cefoperazone. All strains were susceptible to imipenem and ciprofloxacin, and 21% were susceptible to erythromycin. A beta-lactamase was detected in 68% of the strains by cefinase disks and by the nitrocefin method. The beta-lactamase-positive strains were significantly less susceptible to amoxicillin, ampicillin, and ticarcillin than the beta-lactamase-negative strains (P < or = 0.003). Clavulanic acid (0.25 microgram/ml) but not sulbactam and tazobactam (2 micrograms/ml) lowered to susceptible levels the amoxicillin and ampicillin MICs of the only strain of C. coli resistant to amoxicillin, ampicillin, and ticarcillin.

摘要

28株大肠弯曲菌对β-内酰胺类药物的敏感率分别为:阿莫西林和氨苄西林96%,替卡西林57%,头孢西丁和头孢呋辛4%,头孢噻肟61%,头孢他啶11%。所有菌株对青霉素G、哌拉西林、头孢唑林、头孢噻吩、头孢孟多和头孢哌酮均不敏感。所有菌株对亚胺培南和环丙沙星敏感,21%对红霉素敏感。通过头孢菌素酶纸片法和硝基头孢菌素法检测发现,68%的菌株产β-内酰胺酶。产β-内酰胺酶的菌株对阿莫西林、氨苄西林和替卡西林的敏感性明显低于不产β-内酰胺酶的菌株(P≤0.003)。克拉维酸(0.25微克/毫升)可使唯一一株对阿莫西林、氨苄西林和替卡西林耐药的大肠弯曲菌的阿莫西林和氨苄西林最低抑菌浓度降至敏感水平,而舒巴坦和他唑巴坦(2微克/毫升)则无此作用。

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