Zembrzuska-Sadkowska E
Drug Institute, Warsaw, Poland.
Acta Pol Pharm. 1995 Mar-Apr;52(2):173-8.
Two strains-S. aureus and coagulase-negative staphylococcus, resistant to antibiotics, were isolated from previously non-opened preparations made by the hospital pharmacy and industrially produced. After application in the surgery ward, two Enterobacter agglomerans strains, resistant to antibiotics were detected in oral mixtures. The resistant bacteria, B. cereus and 4 strains of Ps. aeruginosa, were also found in the purified water. In hospital environment 9 strains of staphylococci, resistant to the tested antibiotics were found. Only one of them was S. aureus (detected on the wall), the others being coagulase-negative staphylococci. Most of them were isolated from the floor, but also from the wall, table and from the air in surgical and ophthalmological wards and in the hospital pharmacy. The most dangerous were three Gram-negative strains resistant to all tested antibiotics. They were isolated from the floor (Enterobacter cloacae), from the wall (Proteus mirabilis) and from the container with oral mixture in infant ward (Ps. malthophilia). Many strains resistant to many antibiotics were detected on the floor of surgical, nephrological and infantile wards as well as from the pharmacies: Enterobacter cloacae (7 strains), Citrobacter freundi, Ps. aeruginosa, Ps. cepacia (2 strains), Ps. maltophilia (2 strains) and Moraxella. Many resistant strains were also present on the walls (E. coli, Ps. mirabilis, Ps. cepacia, Alcaligens, Acinetobacter). The resistant strains were rarely observed on the table, medical equipment and on personnel hands. Klebsiella oxytoca and Ps. paucimobilis were found on the table, Ps. maltophilia on the dropper and on the rim of the container with oral mixture. Acinetobacter and Pseudomonas sp. were isolated from the medicine glass, Enterobacter cloacae and Pseudomonas sp. from the personnel hands in the pharmacies.
从医院药房制备且未曾开封的制剂以及工业生产的制剂中分离出了两种对抗生素耐药的菌株——金黄色葡萄球菌和凝固酶阴性葡萄球菌。在外科病房使用后,在口服混合液中检测到了两种对抗生素耐药的成团肠杆菌菌株。在纯净水中还发现了耐药菌蜡样芽孢杆菌和4株铜绿假单胞菌。在医院环境中,发现了9株对所测试抗生素耐药的葡萄球菌菌株。其中只有1株是金黄色葡萄球菌(在墙壁上检测到),其他的是凝固酶阴性葡萄球菌。它们大多从地面分离得到,但也有从墙壁、桌子以及外科和眼科病房及医院药房的空气中分离得到的。最危险的是3株对所有测试抗生素均耐药的革兰氏阴性菌株。它们分别从地面(阴沟肠杆菌)、墙壁(奇异变形杆菌)以及婴儿病房装有口服混合液的容器中(嗜麦芽窄食单胞菌)分离得到。在外科、肾病科和婴儿病房的地面以及药房中检测到了许多对多种抗生素耐药的菌株:阴沟肠杆菌(7株)、弗氏柠檬酸杆菌、铜绿假单胞菌、洋葱伯克霍尔德菌(2株)、嗜麦芽窄食单胞菌(2株)和莫拉菌属。在墙壁上也存在许多耐药菌株(大肠杆菌、奇异变形杆菌、洋葱伯克霍尔德菌、产碱杆菌、不动杆菌)。在桌子、医疗设备和人员手上很少观察到耐药菌株。在桌子上发现了产酸克雷伯菌和少动鞘氨醇单胞菌,在滴管以及装有口服混合液的容器边缘发现了嗜麦芽窄食单胞菌。从药杯中分离出了不动杆菌和假单胞菌属,从药房人员手上分离出了阴沟肠杆菌和假单胞菌属。