Wiśniewska K, Galiński J, Piechowicz L
Katedra i Zakład Mikrobiologii Lekarskiej Akademii Medycznej w Gdańsku.
Med Dosw Mikrobiol. 1997;49(3-4):145-51.
The aim of the study was to find out whether methicillin-resistant S. aureus strains (MRSA) are tolerant in a higher degree to disinfectants, and whether a correlation exists between lower sensitivity to these agents and resistance to gentamicin. The study was carried out on 30 strains of MRSA and 20 of MSSA isolated from various clinical materials in various regions of the country. Among the studied MRSA 24 strains were resistant and 6 were sensitive to gentamicin, and in MSSA 3 strains were resistant and 17 sensitive to this antibiotic. The sensitivity to four disinfectants: Manusan, Sterinol, Septyl R and Lysoformin Spezial was determined by measurement of MIC (minimal inhibitory concentration) in agar medium. Most MRSA in Poland showed decreased sensitivity to these disinfectants. Among gentamicin-sensitive and resistant MRSA strains the proportions of strains with higher tolerance of three disinfectants (Manusan, Sterinol and Lysoformin Spezial) were very similar. Reduced sensitivity to disinfectants was found in all gentamicin-resistant MSSA. These data indicate that S. aureus strains possess various mechanisms of tolerance of disinfectants. Nearly half the studied strains (46%) had decreased sensitivity to all three preparations (Manusan, Sterinol and Lysoformin Spezial) belonging to various chemical groups this seems to indicate that increased tolerance to these disinfectants is a non-specific feature of S. aureus strains.
该研究的目的是查明耐甲氧西林金黄色葡萄球菌菌株(MRSA)是否对消毒剂具有更高程度的耐受性,以及对这些药剂的较低敏感性与对庆大霉素的耐药性之间是否存在相关性。该研究对从该国不同地区的各种临床材料中分离出的30株MRSA菌株和20株MSSA菌株进行。在所研究的MRSA中,24株对庆大霉素耐药,6株敏感;在MSSA中,3株对该抗生素耐药,17株敏感。通过在琼脂培养基中测量MIC(最低抑菌浓度)来确定对四种消毒剂(Manusan、Sterinol、Septyl R和Lysoformin Spezial)的敏感性。波兰的大多数MRSA对这些消毒剂的敏感性降低。在对庆大霉素敏感和耐药的MRSA菌株中,对三种消毒剂(Manusan、Sterinol和Lysoformin Spezial)耐受性较高的菌株比例非常相似。在所有对庆大霉素耐药的MSSA中均发现对消毒剂的敏感性降低。这些数据表明金黄色葡萄球菌菌株具有多种耐受消毒剂的机制。近一半的研究菌株(46%)对属于不同化学组的所有三种制剂(Manusan、Sterinol和Lysoformin Spezial)的敏感性降低,这似乎表明对这些消毒剂耐受性的增加是金黄色葡萄球菌菌株的一个非特异性特征。