Gladin D P, Kozlova N S, Zaitseva T K, Zveriakina N N, Khval' S A
St. Petersburg Medical Academy, Centre of Sanitary and Epidemiologic Inspection.
Antibiot Khimioter. 1997;42(12):16-8.
Susceptibility of 150 Corynebacterium isolates (91 strains of C.pseudodiphtheriticum and 59 strains of the ANF group corynebacteria) to 21 antibacterial drugs was determined by the method of serial dilutions in a solid medium. It was shown that the MIC of the drugs for the diphtheroids was within the ranges of < 0.015 to > 32.0 micrograms/ml. 66 per cent of the Corynebacterium strains circulating in St. Petersburg was resistant at least to 1 antibacterial drug. The Corynebacterium isolates with moderate resistance to erythromycin and lincomycin (57.3 per cent) and resistant to trimethoprime (16.7 per cent) were the most frequent. 8.0 per cent of the diphtheroids was resistant at least to 4 antibacterial drugs. No significant difference in the susceptibility of the ANF group corynebacteria and C.pseudodiphtheriticum to the drugs was observed. Gentamicin, rifampicin, tetracycline and doxycycline showed high activity against the corynebacteria at present circulating in St. Petersburg. When antibacterial therapy of the infection due to corynebacteria fails it is necessary to estimate antibioticograms of Corynebacterium pure cultures.
采用固体培养基连续稀释法测定了150株棒状杆菌(91株假白喉棒状杆菌和59株ANF组棒状杆菌)对21种抗菌药物的敏感性。结果表明,这些药物对类白喉杆菌的最低抑菌浓度(MIC)范围在<0.015至>32.0微克/毫升之间。在圣彼得堡流行的棒状杆菌菌株中,66%至少对1种抗菌药物耐药。对红霉素和林可霉素中度耐药(57.3%)以及对甲氧苄啶耐药(16.7%)的棒状杆菌分离株最为常见。8.0%的类白喉杆菌至少对4种抗菌药物耐药。未观察到ANF组棒状杆菌和假白喉棒状杆菌对这些药物的敏感性有显著差异。庆大霉素、利福平、四环素和强力霉素对目前在圣彼得堡流行的棒状杆菌显示出高活性。当棒状杆菌引起的感染抗菌治疗失败时,有必要评估棒状杆菌纯培养物的抗生素敏感性图谱。