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犬脓皮病中间葡萄球菌临床分离株对抗菌化合物耐药性的流行病学监测。

Epidemiosurveillance of antimicrobial compound resistance of Staphylococcus intermedium clinical isolates from canine pyodermas.

作者信息

Pellerin J L, Bourdeau P, Sebbag H, Person J M

机构信息

Unité de Microbiologie-Immunologie, Ecole Nationale Vétérinaire de Nantes, E.N.V.N.-D.P.G.I.P., France.

出版信息

Comp Immunol Microbiol Infect Dis. 1998 Apr;21(2):115-33. doi: 10.1016/s0147-9571(97)00026-x.

Abstract

In a retrospective study, 131 Staphylococcus intermedius strains isolated from apparently healthy dogs, and 187 Staphylococcus intermedius strains isolated from dog pyodermas in the clinical microbiology laboratory at the National Veterinary School in Nantes, during three successive periods: 1986-87, 1992-93 and 1995-96, were investigated and compared for their antimicrobial susceptibility. Results indicated that 60% to 65% of the strains were susceptible to Chloramphenicol and Doxycyclin, 65% to 80% of the strains were susceptible to macrolides (Erythromycin, Lincomycin and Clindamycin) and to Trimethoprim/Sulfonamide association. More than 95% of the strains were susceptible to three betalactamins tested: Oxacillin, Amoxycillin/Clavulanic acid, Cephalexin, to Gentamicin, to Fucidic Acid and to two quinolones: Enrofloxacin and Marbofloxacin. This last group is made up of choice antibacterials for the treatment of dog pyoderma. Many different resistance patterns were observed in each period with no really predominant profile, because of low plasmidic vs chromosomal balance of the genetic basis of antibacterial resistance in Staphylococcus intermedius. However, the proportion of multiresistant (> or = 3 drugs) strains increased from 10.8% in the first period, to 28% in the third period. This increased frequency of resistance suggests strongly that, as in Staphylococcus aureus human infections, the prescription of antibiotic compounds increases the prevalence of resistant strains.

摘要

在一项回顾性研究中,对从表面健康的犬只分离出的131株中间葡萄球菌菌株,以及在南特国立兽医学院临床微生物实验室,于1986 - 1987年、1992 - 1993年和1995 - 1996年这三个连续时期,从犬脓皮病中分离出的187株中间葡萄球菌菌株,进行了抗菌药敏性调查和比较。结果表明,60%至65%的菌株对氯霉素和强力霉素敏感,65%至80%的菌株对大环内酯类(红霉素、林可霉素和克林霉素)以及甲氧苄啶/磺胺联合制剂敏感。超过95%的菌株对所测试的三种β-内酰胺类药物:苯唑西林、阿莫西林/克拉维酸、头孢氨苄,对庆大霉素、对梭链孢酸以及对两种喹诺酮类药物:恩诺沙星和马波沙星敏感。最后一组是治疗犬脓皮病的首选抗菌药物。由于中间葡萄球菌抗菌耐药性的遗传基础中质粒与染色体的平衡较低,在每个时期都观察到了许多不同的耐药模式,没有真正占主导的特征。然而,多重耐药(≥3种药物)菌株的比例从第一个时期的10.8%增加到了第三个时期的28%。这种耐药频率的增加强烈表明,与人类金黄色葡萄球菌感染情况一样,抗生素化合物的处方增加了耐药菌株的流行率。

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