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[从人类分离出的霍乱弧菌O1的抗生素敏感性]

[Antibiotic sensitivity of Vibrio cholerae 01 isolated from humans].

作者信息

Khaĭtovich A B

机构信息

Crimean Plague Station, Simferopol, Ukraine.

出版信息

Antibiot Khimioter. 1998;43(3):14-8.

PMID:9606491
Abstract

Antibiotic susceptibility of 1479 Vibrio cholerae 01 strains isolated from humans between 1991 and 1995 was studied. The antibiotics used belonged to different chemical groups. The assay method was that of serial dilutions in solid media. The isolates showed high susceptibility to tetracyclines, gentamicin, erythromycin, rifampicin, ampicillin, carbenicillin and cefazolin. The susceptibility to kanamycin and monomycin was moderate and that to chloramphenicol, streptomycin and polymixin B was low. The time and area peculiarities of the circulating cultures were observed. The susceptibility of the isolates was either changing or unchanging. The constant susceptibility levels were detected with respect to gentamicin, erythromycin, monomycin, kanamycin, streptomycin and polymyxin B. The susceptibility changing in time was shown with respect to tetracyclines, rifampicin and chloramphenicol. A gradual increase in the resistance to betalactams with greater numbers of the plasmid resistance pattern strains was recorded. Regular surveillance of the changes in the V.cholerae 01 antibiotic susceptibility is needed to timely correct the treatment and prophylaxis regimens.

摘要

对1991年至1995年间从人类分离出的1479株霍乱弧菌O1菌株的抗生素敏感性进行了研究。所使用的抗生素属于不同的化学类别。检测方法是在固体培养基中进行连续稀释。分离株对四环素、庆大霉素、红霉素、利福平、氨苄青霉素、羧苄青霉素和头孢唑啉表现出高敏感性。对卡那霉素和新霉素的敏感性中等,对氯霉素、链霉素和多粘菌素B的敏感性较低。观察了流行菌株的时间和地区特点。分离株的敏感性要么在变化,要么不变。检测到对庆大霉素、红霉素、新霉素、卡那霉素、链霉素和多粘菌素B的敏感性水平恒定。四环素、利福平和氯霉素的敏感性随时间变化。随着携带质粒耐药模式菌株数量的增加,对β-内酰胺类抗生素的耐药性逐渐上升。需要定期监测霍乱弧菌O1抗生素敏感性的变化,以便及时调整治疗和预防方案。

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