Microbiological indications for the treatment of Staphylococcus aureus infections.

A Fabbri, A Tacchella, M L Belli, G Losurdo
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Abstract

The Authors report microbiological data on the inhibitory activity of cephalothin, cefamandole, FCE 22101, gentamicin, netilmicin, amikacin, rifampicin, clindamycin, josamycin, ofloxacin, ciprofloxacin, vancomycin and teicoplanin against 165 clinically isolated Staphylococcus aureus strains. 34 of the study strains, i.e. 20.6%, were methicillin- and oxacillin-resistant. The activity of the tested drugs was good; the presence of nosocomial strains resistant to rifampicin (12.13%), clindamycin (13.94%), josamycin (18.2%), ofloxacin (4.85%), ciprofloxacin (12.7%), gentamicin (27.3%), amikacin (9.7%), netilmicin (7.9%) was noted. The Authors emphasize the good inhibitory activity of tested beta-lactam drugs against methicillin-sensitive Staphylococci, but also the limits of these drugs against methicillin-resistant strains. The activity of vancomycin and teicoplanin on all study strains was very good.

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金黄色葡萄球菌感染治疗的微生物指征。
作者报告了头孢菌素、头孢曼多、fce22101、庆大霉素、奈替米星、阿米卡星、利福平、克林霉素、乔沙霉素、氧氟沙星、环丙沙星、万古霉素和替柯planin对165株临床分离金黄色葡萄球菌的抑制活性的微生物学数据。34株(20.6%)对甲氧西林和恶西林耐药。被试药物活性良好;院内存在对利福平(12.13%)、克林霉素(13.94%)、乔沙霉素(18.2%)、氧氟沙星(4.85%)、环丙沙星(12.7%)、庆大霉素(27.3%)、阿米卡星(9.7%)、那替米星(7.9%)耐药的菌株。作者强调了测试的β -内酰胺类药物对甲氧西林敏感葡萄球菌的良好抑制活性,但也强调了这些药物对甲氧西林耐药菌株的局限性。万古霉素和替可普宁对所有研究菌株的活性都很好。
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