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奎奴普丁/达福普汀及新型喹诺酮类药物与庆大霉素联合应用对粪肠球菌和屎肠球菌耐药菌株的体外活性

In vitro activity of quinupristin/dalfopristin and newer quinolones combined with gentamicin against resistant isolates of Enterococcus faecalis and Enterococcus faecium.

作者信息

Giamarellos-Bourboulis E J, Sambatakou H, Grecka P, Giamarellou H

机构信息

1st Department of Propaedeutic Medicine, Athens Medical School, Laiko General Hospital, Greece.

出版信息

Eur J Clin Microbiol Infect Dis. 1998 Sep;17(9):657-61. doi: 10.1007/BF01708351.

DOI:10.1007/BF01708351
PMID:9832270
Abstract

In a study designed to obtain data on compounds active against enterococci, the minimum inhibitory concentrations (MICs) of quinupristin/dalfopristin (RP 59500) and the novel quinolones DU-6859a, trovafloxacin, levofloxacin, and sparfloxacin were determined for 122 Enterococcus faecalis and seven Enterococcus faecium isolates. In addition, 15 Enterococcus faecalis isolates resistant to gentamicin, DU-6859a, and trovafloxacin were exposed over time to combinations of DU-6859a plus gentamicin and trovafloxacin plus gentamicin. DU-6859a and trovafloxacin were found to be the most active compounds against Enterococcus faecalis and DU-6859a and RP 59500 against Enterococcus faecium. Synergy between either DU-6859a or trovafloxacin and gentamicin was observed with 27 to 35% of the isolates. It is concluded that DU-6859a and trovafloxacin are very potent against enterococci, especially when combined with gentamicin.

摘要

在一项旨在获取抗肠球菌活性化合物数据的研究中,测定了122株粪肠球菌和7株屎肠球菌分离株对奎奴普丁/达福普汀(RP 59500)以及新型喹诺酮类药物DU - 6859a、曲伐沙星、左氧氟沙星和司帕沙星的最低抑菌浓度(MIC)。此外,使15株对庆大霉素、DU - 6859a和曲伐沙星耐药的粪肠球菌分离株长时间暴露于DU - 6859a加庆大霉素以及曲伐沙星加庆大霉素的联合用药中。发现DU - 6859a和曲伐沙星是对粪肠球菌活性最强的化合物,而DU - 6859a和RP 59500是对屎肠球菌活性最强的化合物。观察到27%至35%的分离株中DU - 6859a或曲伐沙星与庆大霉素之间存在协同作用。得出的结论是,DU - 6859a和曲伐沙星对肠球菌非常有效,尤其是与庆大霉素联合使用时。

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本文引用的文献

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J Antimicrob Chemother. 1997 Mar;39(3):405-9. doi: 10.1093/jac/39.3.405.
2
Bactericidal activity of the fluoroquinolone DU-6859a alone and in combination with other antimicrobial agents against multiresistant enterococci.氟喹诺酮类药物DU-6859a单独及与其他抗菌药物联合应用对多重耐药肠球菌的杀菌活性。
Diagn Microbiol Infect Dis. 1996 Oct;26(2):79-85. doi: 10.1016/s0732-8893(96)00197-6.
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Quinupristin-dalfopristin.
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Drugs. 1996 Sep;52(3):406-15. doi: 10.2165/00003495-199652030-00006.
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Activity of two novel fluoroquinolones (DU-6859a and DV-7751a) tested against glycopeptide-resistant enterococcal isolates.两种新型氟喹诺酮类药物(DU-6859a和DV-7751a)对耐糖肽肠球菌分离株的活性测试。
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5
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Antimicrob Agents Chemother. 1996 Jan;40(1):47-9. doi: 10.1128/AAC.40.1.47.
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