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[上呼吸道感染患者中肺炎链球菌、流感嗜血杆菌、卡他莫拉菌和金黄色葡萄球菌对青霉素的敏感性]

[The penicillin susceptibility of Streptococcus pneumoniae, Haemophilus influenzae, Moraxella catarrhalis and Staphylococcus aureus in persons suffering from upper respiratory tract infections].

作者信息

Hareńska K, Janicka G, Wojciechowska D

机构信息

Zakład Diagnostyki Mikrobiologicznej, Samodzielnego Publicznego Zespołu Opieki Zdrowotnej w Zninie.

出版信息

Przegl Epidemiol. 1998;52(1-2):199-203.

PMID:9738431
Abstract

The susceptibility to penicillin was tested in 293 strains of S. aureus, 162 strains of H. influenzae, 60 strains of M. catarrhalis and 77 strains of S. pneumoniae, isolated from persons suffering from upper respiratory tract infections. Penicillin susceptibility testing has been performed by the disc diffusion technique. Beta-lactamase production in the penicillin-resistant strains of H. influenzae, M. catarrhalis and S. aureus was detected with nitrocefin impregnated disc. In beta-lactamase positive strains, the susceptibility to amoxacillin/clavulanic acid (AMC) was determined. Nearly half (46.3%) of H. influenzae strains was resistan to ampicillin. In the remaining bacteria, the percentage of resistance was 2.6% for S. pneumoniae, 82.4% for M. catarrhalis and 88.1% for S. aureus strains. All strains resistant to penicillin (ampicillin) produced beta-lactamase and were AMC sensitive.

摘要

从患有上呼吸道感染的患者中分离出293株金黄色葡萄球菌、162株流感嗜血杆菌、60株卡他莫拉菌和77株肺炎链球菌,并对其进行了青霉素敏感性测试。采用纸片扩散法进行青霉素敏感性试验。用头孢硝噻吩浸渍纸片检测流感嗜血杆菌、卡他莫拉菌和金黄色葡萄球菌耐青霉素菌株中的β-内酰胺酶产生情况。在β-内酰胺酶阳性菌株中,测定了对阿莫西林/克拉维酸(AMC)的敏感性。近一半(46.3%)的流感嗜血杆菌菌株对氨苄西林耐药。在其余细菌中,肺炎链球菌的耐药率为2.6%,卡他莫拉菌为82.4%,金黄色葡萄球菌菌株为88.1%。所有对青霉素(氨苄西林)耐药的菌株均产生β-内酰胺酶且对AMC敏感。

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