[圣彼得堡和莫斯科医院分离的凝固酶阴性葡萄球菌的抗生素耐药性]。

Q4 Medicine
Antibiotiki i Khimioterapiya Pub Date : 2015-01-01
V V Gostev, O S Kalinogorskaya, A N Kruglov, S V Sidorenko
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引用次数: 0

摘要

对圣彼得堡和莫斯科医院分离的119株凝固酶阴性葡萄球菌的抗生素敏感性进行了调查,并在当地实验室估计为耐氧西林。鉴定出表皮葡萄球菌、溶血葡萄球菌、人型葡萄球菌、头型葡萄球菌、拟南葡萄球菌、佩滕科菲葡萄球菌、香叶葡萄球菌、肉诺葡萄球菌和沃纳葡萄球菌。79.8%的分离菌被证实耐氧西林。与oxacillin敏感菌株相比,oxacillin耐药菌株对非β -内酰胺类药物的相关耐药频率要高得多。当使用CLSI和EUCAST敏感性标准时,记录了1-3%的抗性水平差异。耐氧西林菌株对庆大霉素、环丙沙星、红霉素、莫西沙星、四环素和克林霉素的耐药率分别为90%、88%、88%、63%、43%和26%。分离到2株耐利奈唑胺的表皮葡萄球菌,对利奈唑胺敏感性较低。8株表皮葡萄球菌对莫匹罗星表现出较低的耐药性。头孢他林对耐氧苄西林凝固酶阴性葡萄球菌的MIC为0.5 ~ 2.0 mcg/ml,对耐氧苄西林凝固酶阴性葡萄球菌的MIC低于0.25 mcg/ml。对替加环素和万古霉素均无耐药。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Antibiotic Resistance of Coagulase-Negative Staphylococci Isolated at Hospitals of St. Petersburg and Moscow].

Antibiotic susceptibility of 119 coagulase-negative staphylococci isolated at hospitals of St. Petersburg and Moscow was investigated and estimated at the local laboratories as oxacillin resistant. The following species were identified: Staphylococcus epidermidis, S. haemolyticus, S. hominis, S.capitis, S. simulans, S. pettenkoferi, S. lentus, S. carnosus and S. warneri. The oxacillin resistance was confirmed in 79.8% of the isolates. The frequency of the associated resistance to non-beta-lactams was much higher in the oxacillin resistant isolates vs. the oxacillin susceptible ones. When the CLSI and EUCAST susceptibility criteria were used, 1-3% difference in the resistance levels was recorded. Among the oxacillin resistant isolates the frequency of resistance to gentamicin, ciprofloxacin, erythromycin, moxifloxacin, tetracycline and clindamycin equaled 90, 88, 88, 63, 43 and 26% respectively. Two linezolid resistant isolates of S. epidermidis with lower susceptibility to tedizolid were isolated. Eight isolates of S. epidermidis showed lower resistance to mupirocin. The MIC of ceftarolin for oxacillin resistant coagulase-negative staphylococci varied from 0.5 to 2.0 mcg/ml, while for the oxacillin susceptible ones it was lower than 0.25 mcg/ml. No resistance to tigecyclin and vancomycin was observed.

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来源期刊
Antibiotiki i Khimioterapiya
Antibiotiki i Khimioterapiya Medicine-Infectious Diseases
CiteScore
0.80
自引率
0.00%
发文量
46
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