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[莫斯科和圣彼得堡葡萄球菌对抗生素敏感性的多中心研究]

[Multicenter study of Staphylococcus susceptibility to antibiotics in Moscow and St. Petersburg].

作者信息

Sidorenko S V, Rezvan S P, Grudinina S A, Krotova L A, Sterkhova G V

机构信息

National Research Centre of Antibiotics, Moscow.

出版信息

Antibiot Khimioter. 1998;43(7):15-25.

PMID:9727163
Abstract

Antibiotic susceptibility of 898 Staphylococcus strains isolated in 9 medical centres of Moscow and St. Petersburg was tested. The frequency of methicillin resistant staphylococci (MRS) ranged from 0 to 40 per cent for Staphylococcus aureus and from 0 to 65.9 per cent for coagulase negative staphylococci (CNS). The highest frequencies of MRS were in hematologic, oncologic and traumatologic units as well as in intensive care units for newborns. The frequencies of MRS in St. Petersburg were much lower than those in Moscow. Among the methicillin susceptible staphylococci the frequency of the isolates that produced beta-lactamases amounted to 81 per cent for S. aureus and to 60 per cent for CNS. Practically 100 per cent of the isolates was susceptible to ampicillin/sulbactam and cephalosporins of the 1st, 2nd and 3rd generations. 86-99 per cent of the isolates was susceptible to erythromycin, clindamycin, tetracycline, gentamicin and trimethoprim/sulfamethoxasole. All the MRS isolates were susceptible to vancomycin. 95, 84 and 70 per cent of the S.aureus strains were susceptible to fusidin, rifampicin and ciprofloxacin, respectively. The susceptibility of the CNS isolates was somewhat lower.

摘要

对从莫斯科和圣彼得堡9个医疗中心分离出的898株葡萄球菌进行了抗生素敏感性测试。耐甲氧西林葡萄球菌(MRS)的发生率在金黄色葡萄球菌中为0%至40%,在凝固酶阴性葡萄球菌(CNS)中为0%至65.9%。MRS发生率最高的是血液科、肿瘤科和创伤科以及新生儿重症监护病房。圣彼得堡的MRS发生率远低于莫斯科。在甲氧西林敏感葡萄球菌中,产生β-内酰胺酶的分离株发生率在金黄色葡萄球菌中为81%,在CNS中为60%。几乎100%的分离株对氨苄西林/舒巴坦以及第一代、第二代和第三代头孢菌素敏感。86%至99%的分离株对红霉素、克林霉素、四环素、庆大霉素和甲氧苄啶/磺胺甲恶唑敏感。所有MRS分离株对万古霉素敏感。95%、84%和70%的金黄色葡萄球菌菌株分别对夫西地酸、利福平和环丙沙星敏感。CNS分离株的敏感性略低。

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