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[1993年抗微生物药物对尿路感染分离出的病原体的活性比较研究。III. 敏感性的长期变化]

[Comparative studies on activities of antimicrobial agents against causative organisms isolated from urinary tract infections (1993). III. Secular changes in susceptibility].

作者信息

Kumamoto Y, Hirose T, Tanaka N, Hikichi Y, Shigeta S, Shiraiwa Y, Kameoka H, Yoshida H, Tazaki H, Iri H

机构信息

Department of Urology, Sapporo Medical University, School of Medicine.

出版信息

Jpn J Antibiot. 1995 Dec;48(12):1803-90.

PMID:8587162
Abstract

Susceptibilities of Enterococcus faecalis, Staphylococcus aureus, Citrobacter spp., Enterobacter spp., Escherichia coli, Klebsiella spp., Proteus mirabilis, Pseudomonas aeruginosa and Serratia spp. isolated from patients with urinary tract infections (UTIs) in 10 hospitals during June 1993 to May 1994 to various antimicrobial agents were compared with those in the same period of previous years according to a classification, uncomplicated UTIs, complicated UTIs without indwelling catheter, and complicated UTIs with indwelling catheter. The susceptibilities of E. faecalis to chloramphenicol decreased. As for S. aureus, susceptible strains to minocycline (MINO) decreased in complicated UTIs. As for Citrobacter spp., and Enterobacter spp., their susceptibilities were not observed an obvious change. Against E. coli, the activities of cefotiam decreased in complicated UTIs, and aminoglycosides decreased. As for Klebsiella spp., susceptible strains to aminoglycosides decreased. The susceptibilities of P. mirabilis to all drugs except aminoglycosides and MINO were good. The susceptibilities of P. aeruginosa to quinolones isolated from complicated UTIs with indwelling catheter increased, but susceptible strains to aminoglycosides decreased. The susceptibilities of Serratia spp. to MINO has decreased. These data should be considered in clinical treatment of various urinary tract infections.

摘要

对1993年6月至1994年5月期间从10家医院的尿路感染(UTI)患者中分离出的粪肠球菌、金黄色葡萄球菌、柠檬酸杆菌属、肠杆菌属、大肠杆菌、克雷伯菌属、奇异变形杆菌、铜绿假单胞菌和沙雷菌属,根据单纯性UTI、无留置导管的复杂性UTI和有留置导管的复杂性UTI分类,比较了它们对各种抗菌药物的敏感性与前几年同期的情况。粪肠球菌对氯霉素的敏感性降低。对于金黄色葡萄球菌,在复杂性UTI中对米诺环素(MINO)敏感的菌株减少。对于柠檬酸杆菌属和肠杆菌属,未观察到其敏感性有明显变化。针对大肠杆菌,在复杂性UTI中头孢替安的活性降低,氨基糖苷类的活性也降低。对于克雷伯菌属,对氨基糖苷类敏感的菌株减少。奇异变形杆菌对除氨基糖苷类和MINO以外的所有药物敏感性良好。从有留置导管的复杂性UTI中分离出的铜绿假单胞菌对喹诺酮类的敏感性增加,但对氨基糖苷类敏感的菌株减少。沙雷菌属对MINO的敏感性降低。在各种尿路感染的临床治疗中应考虑这些数据。

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