Giglio M S, Pinto M E, Córdova E, Escandar P, Waman C
Departamento de Microbiología, Universidad de Chile, Santiago.
Rev Med Chil. 1996 Jan;124(1):70-6.
The genus enterococcus has 12 species of which, E faecalis and E faecium are most important in human infections. A progressive resistance to penicillin and ampicillin has been detected in these species. The aim of this work was to identify Enterococcus species isolated in a hospital and to study their antimicrobial susceptibility. We studied 209 Enterococcus species coming from patients admitted to a public hospital. Their susceptibility to penicillin, ampicillin, imipenem, vancomycin, tetracycline, chloramphenicol, ciprofloxacin, gentamicin and streptomycin was determined with the agar dilution technique. Eighty seven percent of species were E faecalis and 7.1% were E fecium, other isolated species were E hirae, E casseliflaws, E avium, E solitarius and E faecalis variant. Thirty eight percent of these species were isolated from the urinary tract, 22% from the skin and 14% from surgical wounds. All E faecalis species were susceptible to penicillin, ampicillin, imipenem and vancomycin; 27.3% were susceptible to tetracycline, 54.7% to chloramphenicol and 80% to ciprofloxacin. Seventy three percent of E faecium species were susceptible to penicillin, 80% to ampicillin and 60% to imipenem. Sixty two percent of E faecalis and 42.4% of E faecium were resistant to streptomycin. It is concluded that the correct identification of Enterococcus species has therapeutic implications.
肠球菌属有12个种,其中粪肠球菌和屎肠球菌在人类感染中最为重要。已在这些菌种中检测到对青霉素和氨苄西林的耐药性逐渐增强。这项工作的目的是鉴定在一家医院分离出的肠球菌菌种,并研究它们的抗菌药敏性。我们研究了从一家公立医院收治的患者中分离出的209株肠球菌菌种。采用琼脂稀释技术测定了它们对青霉素、氨苄西林、亚胺培南、万古霉素、四环素、氯霉素、环丙沙星、庆大霉素和链霉素的药敏性。87%的菌种为粪肠球菌,7.1%为屎肠球菌,其他分离出的菌种有海氏肠球菌、卡氏肠球菌、鸟肠球菌、孤独肠球菌和粪肠球菌变种。这些菌种中38%从泌尿道分离得到,22%从皮肤分离得到,14%从手术伤口分离得到。所有粪肠球菌菌种对青霉素、氨苄西林、亚胺培南和万古霉素敏感;27.3%对四环素敏感,54.7%对氯霉素敏感,80%对环丙沙星敏感。73%的屎肠球菌菌种对青霉素敏感,80%对氨苄西林敏感,60%对亚胺培南敏感。62%的粪肠球菌和42.4%的屎肠球菌对链霉素耐药。结论是正确鉴定肠球菌菌种具有治疗意义。