Please wait a minute...
浙江大学学报(医学版)  1999, Vol. 28 Issue (3): 117-119    DOI: 10.3785/j.issn.1008-9292.1999.03.007
论著     
大肠埃希氏菌和肺炎克雷伯氏菌对第三代头孢菌素的耐药情况
陈建, 余素飞
浙江医科大学基础医学院医用化学教研室
Detection of the E Coli and K Pneumoniae Strains' Resistance to the Third Generation Cephalosporins
Chen Jian, Yu Sufei
Department of Chemistry, Zhejiang Medical University
 全文: PDF(147 KB)   HTML (
摘要:

目的:检测大肠埃希氏菌和肺炎克雷伯氏菌对第三代头孢菌素的耐药性,并了解产广谱β-内酰胺酶(ESBL)的情况。方法:采用微量肉汤稀释法测定了7种β-内酰胺类抗生素对49株大肠埃希氏菌和35株肺炎克雷伯氏菌的抑菌浓度。结果:亚胺培南(IPM)有极好的抗菌效应,它对两种细菌的MIC≤4 μg/ml。大肠埃希氏菌和肺炎克雷伯氏菌对头孢哌酮的耐药率分别达到61.2%和20.0%,而对含β-内酰胺抑制剂的舒普深两者的耐药率分别为6.1%和8.6%。其他第三代头孢菌素耐药率在10%~35%。大肠埃希氏菌和肺炎克雷伯氏菌是产生超广谱ESBL的典型菌,以头孢他定作底物识别ESBL,阳性率为11.9%。结论:对第三代头孢菌素的选择要格外慎重,对产ESBL的细菌亦要引起重视。

关键词: 大肠杆菌/药物作用肺炎克雷白杆菌/药物作用头孢菌素类/药理学微生物抗药性    
Abstract:

Objective: To examine the E coli and K pnenmoniae strains' resistance to the third generation cephalosporins and to understand the production of extended-spectrum β-lactamaes. Methods: The MIC of seven antibiotics to 49 E Coli and 35 K pneumoniae were detected by MH broth dilution. Results: The MIC of IPM is as low as 4 μg/ml,with excellent antibacteria effects.The resistance percentage of CPZ to E Coli was 61.2% while that to K pneumoniae was 20%,but the resistance percentage of SPZ was lowered to 6.1% and 8.6% respectively.The other cephalosporins' resistance rate varied from 10% to 35%,the typical bacteria which produces ESBL was E Coli and the positive rate was 11.9% when ESBL was used as reactive substance to detect ESBL.Conclusion: Much attention should be paid to the choosing of the third generation cephalosporins.

Key words: Escherichia coli/drug eff    Klebsiella pneumoniae/drug eff    Cephalosporins/pharmacol    Drug resistance microbial
收稿日期: 1998-03-10 出版日期: 1999-05-25
服务  
把本文推荐给朋友
加入引用管理器
E-mail Alert
RSS
作者相关文章  
陈建
余素飞

引用本文:

陈建, 余素飞. 大肠埃希氏菌和肺炎克雷伯氏菌对第三代头孢菌素的耐药情况[J]. 浙江大学学报(医学版), 1999, 28(3): 117-119.

Chen Jian, Yu Sufei. Detection of the E Coli and K Pneumoniae Strains' Resistance to the Third Generation Cephalosporins. Journal of ZheJiang University(Medical Science), 1999, 28(3): 117-119.

链接本文:

https://www.zjujournals.com/med/CN/10.3785/j.issn.1008-9292.1999.03.007        https://www.zjujournals.com/med/CN/Y1999/V28/I3/117

[1] 孔海深,李雪芬,王菊芳,吴敏瑾,陈晓,杨青. 大肠埃希菌氨基糖苷酰基转移酶基因型研究[J]. 浙江大学学报(医学版), 2006, 35(1): 83-86.
[2] 黄建荣, 干梦九, 钱汶, 孙乃仙, 孔海深, 朱建国. 凝固酶阴性葡萄球菌医院内感染与耐药性研究[J]. 浙江大学学报(医学版), 1996, 25(3): 119-121.
[3] 马伟杭, 俞云松, 魏泽庆. 大肠埃希氏菌对环丙沙星耐药性的临床实验[J]. 浙江大学学报(医学版), 1993, 22(1): 29-30.
[4] 阮冰, 龚正, 马亦林, 杨浓花, 傅素珍. 伤寒杆菌流行菌株耐药谱及R质粒的研究[J]. 浙江大学学报(医学版), 1991, 20(4): 166-169.