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β-溶血性链球菌对抗生素及替代药物的敏感性

[Susceptibility of beta-hemolytic streptococci to antibiotics and alternative drugs].

作者信息

Kondrakova O A, Eshchina A S, Dmitrieva N F, Briko N I, Babin V N

机构信息

I.M. Sechenov Moscow Medical Academy, NIF Ultrasan, Moscow.

出版信息

Antibiot Khimioter. 1998;43(7):26-30.

PMID:9727164
Abstract

Antibiotic susceptibility of the circulating beta-hemolytic streptococci of serogroups A, B, C and G isolated from healthy and sick children and adults within 1987-1996 (more than 900 cultures) was studied. It was shown that the MICs of betalactam antibiotics did not change (within the susceptibility levels) with respect to the serogroup A, C and G streptococci. The number of the strains resistant to erythromycin and lincomycin increased the same as the frequency of the strains simultaneously resistant to chloramphenicol, tetracycline and gentamicin. Tomicid and solkarmon, drugs alternative to antibiotics, were found to be active against the above streptococci groups and efficient in the treatment and prophylaxis of streptococcoses. A suggestion that betalactams are not safe in the treatment of the toxic shock syndrome due to the group A streptococci is discussed.

摘要

对1987年至1996年间从健康及患病儿童和成人中分离出的A、B、C和G血清群循环β溶血性链球菌(超过900份培养物)的抗生素敏感性进行了研究。结果表明,β内酰胺类抗生素对A、C和G血清群链球菌的最低抑菌浓度(在敏感水平范围内)没有变化。对红霉素和林可霉素耐药的菌株数量增加,同时对氯霉素、四环素和庆大霉素耐药的菌株频率也增加。发现抗生素替代药物托米西德和索卡蒙对上述链球菌群有活性,并且在治疗和预防链球菌感染方面有效。文中讨论了关于β内酰胺类药物在治疗A群链球菌引起的中毒性休克综合征时不安全的观点。

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