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杰氏棒状杆菌临床分离株的抗生素敏感性试验(琼脂纸片扩散法和琼脂稀释法)

Antibiotic susceptibility testing (agar disk diffusion and agar dilution) of clinical isolates of Corynebacterium jeikeium.

作者信息

Traub W H, Geipel U, Leonhard B, Bauer D

机构信息

Institut für Medizinische Mikrobiologie und Hygiene, Universität des Saarlandes, Homburg/Saar, Deutschland.

出版信息

Chemotherapy. 1998 Jul-Aug;44(4):230-7. doi: 10.1159/000007119.

Abstract

Thirty-three clinical isolates of Corynebacterium jeikeium were examined for susceptibility to 27 antimicrobial drugs with the agar dilution test. Sheep-blood-supplemented Mueller-Hinton agar performed better than Wilkins-Chalgren agar. Disk susceptibility (Bauer-Kirby) tests were carried out in parallel with 24 of the chemotherapeutic agents. All isolates were susceptible to teicoplanin and vancomycin. All isolates resisted fosfomycin, mupirocin, and trimethoprim-sulfamethoxazole. The isolates varied in susceptibility to ciprofloxacin, doxycycline, fusidic acid, ofloxacin, and tetracycline; most were susceptible to rifampin. Surprisingly few discrepancies between agar dilution and disk diffusion tests were encountered when utilizing NCCLS interpretive criteria currently valid for enterococcal isolates.

摘要

采用琼脂稀释法检测了33株杰氏棒状杆菌临床分离株对27种抗菌药物的敏感性。添加羊血的穆勒-欣顿琼脂比威尔金斯-查尔格伦琼脂表现更好。同时用24种化疗药物进行了纸片药敏(鲍尔-柯比)试验。所有分离株对替考拉宁和万古霉素敏感。所有分离株对磷霉素、莫匹罗星和甲氧苄啶-磺胺甲恶唑耐药。这些分离株对环丙沙星、多西环素、夫西地酸、氧氟沙星和四环素的敏感性各不相同;大多数对利福平敏感。在使用目前对肠球菌分离株有效的NCCLS解释标准时,琼脂稀释法和纸片扩散法试验之间的差异出人意料地少。

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