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Inhibition of Intracellular Survival of Multi Drug Resistant Clinical Isolates of Mycobacterium tuberculosis in Macrophages by Curcumin 姜黄素对多药耐药结核分枝杆菌临床分离株巨噬细胞内存活的抑制作用
Pub Date : 2013-11-15 DOI: 10.2174/1876518101304010001
Pramod K. Gupta, S. Kulkarni, Ramakrishna Rajan
Curcuma longa commonly known as turmeric has been used in Indian Ayurvedic medicine as a constituent to treat various disorders. It is by now clear that principal curcuminoid of turmeric; curcumin, a yellow pigment, is responsi- ble for these beneficiary activities. The aim of the present study was to evaluate anti-mycobacterial effect of curcumin (CMN) on intracellular growth of MDR clinical isolates of Mycobacterium tuberculosis (MTB). Curcumin was evaluated for its efficacy to inhibit the intracellular growth of MTB H37Rv and two MDR clinical isolates in Raw 264.7 cell line us- ing CFU assay. Resazurin microtiter plate assay (REMA) was used to evaluate its direct anti-mycobacterial activity. Curcumin, though did not show direct anti-mycobacterial activity against three MTB strains, exhibited dose dependent in- hibition of intracellular growth for MTB H37Rv as well as two MDR clinical isolates. These results suggest that CMN could be a potential candidate for future, novel adjunctive anti-TB therapy.
姜黄,俗称姜黄,在印度阿育吠陀医学中被用作治疗各种疾病的成分。现在很清楚,姜黄的主要类姜黄素;姜黄素,一种黄色色素,负责这些有益的活动。本研究的目的是评价姜黄素(CMN)对耐多药结核分枝杆菌(MTB)临床分离株细胞内生长的抗分枝杆菌作用。采用CFU法评价姜黄素对MTB H37Rv和两株MDR临床分离株在Raw 264.7细胞株细胞内生长的抑制作用。采用瑞唑脲微滴板法(REMA)评价其直接抗分枝杆菌活性。姜黄素虽然对三种MTB菌株没有直接的抗分枝杆菌活性,但对MTB H37Rv和两种MDR临床分离株的细胞内生长表现出剂量依赖性抑制。这些结果表明CMN可能是未来新型抗结核辅助治疗的潜在候选者。
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引用次数: 13
Antibiotic Treatment of Respiratory Tract Infections in Ambulatory Care in Belgium 比利时门诊呼吸道感染的抗生素治疗
Pub Date : 2011-12-29 DOI: 10.2174/1876518101103010053
S. Simoens, J. Verhaegen, P. V. Bleyenbergh, W. Peetermans, M. Decramer
This study aims to analyse antibiotic treatment of respiratory tract infections in ambulatory care in Belgium by: a) mapping antibiotic consumption over time and breaking down antibiotic consumption by infection type; b) discussing antibiotic treatment as recommended by Belgian guidelines; and c) reviewing the current evidence on the cost- effectiveness of antibiotic treatment. IMS Health data showed that the total volume of antibiotic consumption in ambulatory care in Belgium has increased over the years. Antibiotic consumption mainly originated from the use of broad-spectrum penicillins. The volume of fluoroquinolone use remains well controlled. Policy makers need to target the main drivers of inappropriate antibiotic consumption rather than a specific class of antibiotics when they aim to promote better use of antibiotics in ambulatory care. A s-lactam-based therapy for CAP is recommended as first choice in Belgian guidelines and moxifloxacin is advocated for CAP outpatients with comorbid conditions or outpatients in whom infection with atypical pathogens needs to be considered. Because of its high eradicating power against the target organisms and because H. influenzae is the main pathogen to be covered, amoxicillin-clavulanic acid may be a first choice to treat COPD exacerbations, although this choice is subject to debate. Moxifloxacin is recommended in case of IgE-mediated s-lactam allergy or severe intolerance to s-lactam antibiotics for the treatment of COPD exacerbations or for the treatment of upper respiratory tract infections on the rare occasion that antibiotic treatment is warranted. One study supported the cost- effectiveness of first-line treatment of CAP with moxifloxacin in Belgium.
本研究旨在分析比利时门诊护理中呼吸道感染的抗生素治疗:a)绘制抗生素消费量随时间变化的地图,并按感染类型分解抗生素消费量;b)讨论比利时指南推荐的抗生素治疗;c)回顾目前关于抗生素治疗成本效益的证据。IMS Health的数据显示,多年来比利时门诊护理的抗生素消费总量有所增加。抗生素消费主要来源于广谱青霉素的使用。氟喹诺酮类药物的使用量仍然得到很好的控制。政策制定者在促进在门诊护理中更好地使用抗生素时,需要针对不适当抗生素消费的主要驱动因素,而不是针对特定类别的抗生素。比利时指南推荐以s-内酰胺为基础的CAP治疗作为首选,并主张莫西沙星用于有合并症的CAP门诊患者或需要考虑感染非典型病原体的门诊患者。由于阿莫西林-克拉维酸对目标生物具有很强的根除能力,并且由于流感嗜血杆菌是要覆盖的主要病原体,因此阿莫西林-克拉维酸可能是治疗慢性阻塞性肺病加重的首选,尽管这种选择存在争议。在ige介导的s-内酰胺过敏或对s-内酰胺类抗生素严重不耐受的情况下,建议使用莫西沙星治疗慢性阻塞性肺病加重或在需要抗生素治疗的罕见情况下治疗上呼吸道感染。比利时的一项研究支持莫西沙星一线治疗CAP的成本效益。
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引用次数: 1
Antibiotic Resistance Prevalence and Pattern in Environmental Bacterial Isolates 环境细菌分离株的抗生素耐药性流行及模式
Pub Date : 2011-12-29 DOI: 10.2174/1876518101103010045
Manisha Debmandal, S. Mandal, N. Pal
The present study investigates the prevalence of antibiotic resistance among bacterial isolates from different environmental samples and determines their resistance patterns. Bacteria were isolated from the Ganges water, the intestine of Labeo rohita, soil samples from agricultural land, and clinical samples of urine, pus, and throat swab. The bacterial isolates were identified on the basis of standard cultural, morphological and biochemical characteristics. Antibiotic susceptibility of the isolates was tested by disc diffusion and agar dilution method. A total of 87 bacteria belonging to 13 different genera were isolated. The percentages of resistance detected were, Ax: amoxycillin (82.75%), Te: tetracycline (49.42%), Tr: trimethoprim (41.37%), Ch: chloramphenicol (39.08%), Nx: nalidixic acid (22.98%), Ci: ciprofloxacin (24.13%), S: streptomycin (9.19%), G: gentamycin (4.59%) and Ak: amikacin (4.59%). A majority of 57 (65.51%) strains were multi-resistant; 77 (88.5%) were resistant to at least one drug. Determination of resistance pattern revealed that 3 water isolates and 1 clinical isolate belonging to Pseudomonas aeruginosa (n=3) and Proteus vulgaris (n=1) were resistant to all the 9 antibiotics tested; a Proteus mirabilis strain was resistant to all the drugs except G. In the seven-drug-resistant group, Klebsiella aerogenes showed AxChTeNxTSCi-resistance and P. mirabilis strain exhibited AxChTeNxTrGCi resistance pattern. The high prevalence of antibiotic-resistant bacteria harboring diverse resistance traits could represent a potential health risk. The study of antibiotic resistance helps predict future emergence and guide the development of strategies to counteract this resistance. Therefore periodic and comprehensive survey of antibiotic resistance in the environmental bacteria is required.
本研究调查了从不同环境样本中分离的细菌对抗生素的耐药性,并确定了它们的耐药模式。从恒河水、罗希塔拉贝的肠道、农田土壤样本和临床尿液、脓液和咽拭子样本中分离出细菌。根据标准培养、形态和生化特征对分离的细菌进行鉴定。采用圆盘扩散法和琼脂稀释法检测菌株的药敏。共分离到13属87株细菌。耐药检出率依次为:Ax:阿莫西林(82.75%)、Te:四环素(49.42%)、Tr:甲氧苄啶(41.37%)、Ch:氯霉素(39.08%)、Nx:萘啶酸(22.98%)、Ci:环丙沙星(24.13%)、S:链霉素(9.19%)、G:庆大霉素(4.59%)、Ak:阿米卡星(4.59%)。57株(65.51%)多耐药;77例(88.5%)对至少一种药物耐药。耐药模式测定结果显示,铜绿假单胞菌(n=3)和普通变形杆菌(n=1)的3株水分离株和1株临床分离株对9种抗生素均耐药;1株奇异变形杆菌对除g外的所有药物均耐药。7种耐药组产气克雷伯菌对axchtenxtci呈耐药模式,奇异变形杆菌对AxChTeNxTrGCi呈耐药模式。具有多种耐药特征的抗生素耐药细菌的高流行率可能代表潜在的健康风险。对抗生素耐药性的研究有助于预测未来的出现并指导制定对抗这种耐药性的策略。因此,需要对环境细菌的抗生素耐药性进行定期和全面的调查。
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引用次数: 35
Pathogenicity for Mice of a Recombinant of Vaccinia Virus and Protection Against Infection with a Lethal Virus 重组痘苗病毒的小鼠致病性及对致死性病毒感染的保护作用
Pub Date : 2011-11-29 DOI: 10.2174/1876518101103010037
I. Gurt, E. Katz
The population of the stock of the Lister strain of vaccinia virus, applied in Israel for immunization against smallpox, was found to be heterogeneous. A middle-size plaque (MP) virus was found to be the most attenuated for mice, out of the three variants which we characterized. Previously we found that C-terminal truncation of the A33R viral envelope protein of vaccinia virus leads to an enhanced release of free virus from the infected cells and to attenuation of the virus for mice. A recombinant of the MP variant with such truncation, was now constructed and found to release more progeny virus from the infected cells and slightly more attenuated for mice than its parent virus. This new recombinant of vaccinia virus may be useful when vaccination against smallpox would be required again, in the future.
在以色列用于天花免疫的李斯特牛痘病毒株的种群被发现是异质的。在我们描述的三种变体中,发现一种中等大小的斑块(MP)病毒对小鼠的毒性最弱。先前我们发现,牛痘病毒A33R病毒包膜蛋白的c端截断导致游离病毒从感染细胞中释放增强,并导致小鼠病毒的衰减。现在构建了具有这种截断的MP变体的重组,并发现从感染细胞中释放出更多的子代病毒,并且对小鼠的毒性略弱于其亲本病毒。这种新的重组痘苗病毒可能在将来需要再次接种天花疫苗时有用。
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引用次数: 0
Amphotericin B: A New Look at Cellular Binding 两性霉素B:细胞结合的新视角
Pub Date : 2011-11-02 DOI: 10.2174/1876518101103010030
J. Cleary, K. Wasan
Objective: The binding characteristics of the polyene antifungal amphotericin B (AmB) are still arguably unclear 50 years after the first human treatment. Our purpose was to investigate the dynamic of polyene cell associated binding using an AmB directed antibody. Methods: Ex vivo murine model and in vitro mammalian cells studies were utilized to assess the binding characteristics of AmB at human therapeutic concentrations. Balb/c mice administered a single dose of an AmB formulation were assessed using immunohistochemistry. Human mononuculear cells isolated after phlebotomy were assessed using transmission electron micrography. Results & Conclusions: Ex vivo studies demonstrated diffuse binding of AmB formulations, however, the sensitivity of the technique would not allow delineation of the antifungals' cellular binding. However, transmission electron micrography of in vitro cell cultures allowed apparent discrimination of cell associated binding and suggestions of intracellular trafficking within 2 hours of polyene exposure. One could hypothesize the observed characteristics and previously published literature are suggestive of binding to clathrin type receptors with internalization and processing by endosomes. Further work will be required to substantiate this hypothesis.
目的:多烯抗真菌两性霉素B (AmB)的结合特性在首次人类治疗50年后仍不清楚。我们的目的是利用AmB定向抗体研究多烯细胞相关结合的动力学。方法:利用离体小鼠模型和体外哺乳动物细胞研究来评估人体治疗浓度下AmB的结合特性。使用免疫组织化学方法对给予单剂量AmB制剂的Balb/c小鼠进行评估。采用透射电子显微摄影技术对采血后分离的人单核细胞进行评估。结果与结论:体外研究表明AmB制剂具有弥漫性结合,然而,该技术的敏感性不允许描述抗真菌药物的细胞结合。然而,体外细胞培养物的透射电子显微镜可以明显区分细胞相关结合,并提示在多烯暴露2小时内细胞内运输。人们可以假设观察到的特征和先前发表的文献提示通过内体内化和加工与网格蛋白型受体结合。需要进一步的工作来证实这一假设。
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引用次数: 5
Conjugated Eicosapentaenoic Acid (cEPA) Inhibits L. donovani TopoisomeraseI and has an Antiproliferative Activity Against L. donovani Promastigotes 共轭二十碳五烯酸(cEPA)抑制L. donovani拓扑异构酶i并对L. donovani Promastigotes具有抗增殖活性
Pub Date : 2011-09-28 DOI: 10.2174/1876518101103010023
O. Vassallo, S. Castelli, A. Biswas, S. Sengupta, P. Das, I. d’Annessa, F. Oteri, A. Leoni, P. Tagliatesta, H. Majumder, A. Desideri
Conjugated eicosapentaenoic acid inhibits the relaxation activity of purified L. donovani topoisomerase I, with an efficiency higher than that displayed by the corresponding human enzyme. Docking of the acid compound over the 3D structure of the enzyme shows that the complex is stabilized by a large network of interaction between the compound and many residues located in proximity of the active site, including the catalytic tyrosine 222, providing an explanation for its efficient inhibitory effect. The acid has also a strong antiprotozoal activity against L. donovani promastigotes ( EC50= 75 � M) whilst it has no effect against murine macrophages (IC50 � 2 mM). Taken together the results indicate that L. donovani topoisomerase I can be considered an interesting molecular target and that conjugated eicosapentaenoic acid can be taken in consideration as a possible lead compound against leishmaniasis.
共轭二十碳五烯酸抑制纯化的L. donovani拓扑异构酶I的松弛活性,其效率高于相应的人酶。酸性化合物在酶的三维结构上的对接表明,该配合物通过化合物与位于活性位点附近的许多残基(包括催化酪氨酸222)之间的大相互作用网络来稳定,这为其有效的抑制作用提供了解释。该酸对L. donovani promastigotes (EC50= 75 μ M)也有很强的抗原虫活性,而对小鼠巨噬细胞(IC50 = 2 μ M)没有作用。综上所示,多诺瓦氏乳酸菌拓扑异构酶I可以被认为是一个有趣的分子靶点,共轭二十碳五烯酸可以被考虑作为抗利什曼病的可能的先导化合物。
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引用次数: 7
Development of New Vaccine-New Method to Prepare Artificial Membrane Vaccine using Inter-Membrane Protein Transfer 新疫苗的研制——膜间蛋白转移制备人工膜疫苗的新方法
Pub Date : 2011-09-08 DOI: 10.2174/1876518101103010017
M. Ueno, K. Hayashi
Influenza is one of the common infectious diseases caused by influenza virus. Vaccines are the most effective means to fight infectious diseases. While these vaccines are quite effective in young adults, however, they are less for the above high risk group. A currently used influenza vaccine contains aluminum hydroxide as an adjuvant, which sometimes induces the production of IgE antibodies causing an allergic reaction. In order to overcome the drawbacks, artificial membrane vaccines or liposome vaccines have been developed. Liposomes are known to be effective immunoadjuvants. On the other hand, various membrane proteins, including matrix membrane proteins, have been reported to be spontaneously transferrable from living cell membranes to artificial membranes (liposomes). In this article, we introduced a new method to prepare the artificial membrane vaccine, "influenza virosomes", using inter-membrane protein transfer, and discussed the immunreactivity of the virosomes. We concluded that the application of inter-membrane protein transfer technique is a useful method for the preparation of the artificial membrane vaccine, virosomes. The virosomes showed high immunoreactivity especially with MDP (muramyldipeptide) derivatives as an adjuvant or booster treatment.
流感是由流感病毒引起的常见传染病之一。疫苗是对抗传染病最有效的手段。虽然这些疫苗对年轻人非常有效,但对上述高危人群的效果较差。目前使用的流感疫苗含有氢氧化铝作为佐剂,有时会诱导IgE抗体的产生,引起过敏反应。为了克服这些缺点,人们开发了人工膜疫苗或脂质体疫苗。脂质体是一种有效的免疫佐剂。另一方面,各种膜蛋白,包括基质膜蛋白,已经被报道可以从活细胞膜自发转移到人造膜(脂质体)上。本文介绍了一种利用膜间蛋白转移制备人工膜疫苗“流感病毒体”的新方法,并讨论了病毒体的免疫反应性。因此,应用膜间蛋白转移技术制备人工膜疫苗病毒体是一种有效的方法。病毒体表现出较高的免疫反应性,特别是对MDP (muramyldipeptide)衍生物作为辅助或加强治疗。
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引用次数: 1
In Vitro Antimicrobial and Antibiofilm Activity of DispersinB ® -Triclosan Wound Gel against Chronic Wound-associated Bacteria 分散b®-三氯生伤口凝胶对慢性伤口相关细菌的体外抗菌和抗菌膜活性研究
Pub Date : 2011-08-25 DOI: 10.2174/1876518101103010012
P. V. Gawande, N. Yakandawala, K. LoVetri, Srinivasa Madhyastha
Since the traditional methods of treatment have proven ineffective against chronic wounds involving biofilms, the present study evaluates the in vitro efficacy of a novel wound gel comprising an antibiofilm DispersinB ® enzyme and a broad-spectrum antimicrobial triclosan against chronic wound-associated bacteria. The antimicrobial and antibiofilm activity of DispersinB ® -triclosan wound gel was tested against chronic wound-associated bacteria such as Staphylococcus aureus, methicillin-resistant S. aureus (MRSA), Staphylococcus epidermidis, coagulase-negative Staphylococci, Acinetobacter baumannii and Klebsiella pneumoniae using a quantitative culture method and a biofilm assay. The DispersinB ® -triclosan wound gel showed more enduring antimicrobial activity against the test organisms compared to commercial wound gels Silver-Sept™ and IODOSORB. When DispersinB ® -triclosan wound gel was tested against preformed biofilm, it showed 2-4 log10 reduction in the biofilm embedded bacterial cells. Furthermore, DispersinB ® - triclosan wound gel compared to IODOSORB was significantly more effective in inhibiting biofilm in MRSA and A. baumannii (P < 0.05). This study indicates the potential application of a broad-spectrum DispersinB ® -triclosan wound gel
由于传统的治疗方法已被证明对涉及生物膜的慢性伤口无效,本研究评估了一种新型伤口凝胶的体外疗效,该凝胶含有抗生物膜分散酶b®和广谱抗菌三氯生,可对抗慢性伤口相关细菌。采用定量培养法和生物膜法检测了分散b®-三氯生伤口凝胶对慢性伤口相关细菌(如金黄色葡萄球菌、耐甲氧西林金黄色葡萄球菌(MRSA)、表皮葡萄球菌、凝固酶阴性葡萄球菌、鲍曼不动杆菌和肺炎克雷伯菌)的抗菌和抗生物膜活性。与商业伤口凝胶Silver-Sept™和IODOSORB相比,disperinb®-三氯生伤口凝胶对试验生物表现出更持久的抗菌活性。当对预成型生物膜进行分散b®-三氯生伤口凝胶测试时,其在生物膜包埋的细菌细胞中显示减少2-4 log10。此外,与IODOSORB相比,分散b®-三氯生伤口凝胶对MRSA和鲍曼不动杆菌生物膜的抑制效果显著(P < 0.05)。本研究表明广谱分散b -三氯生伤口凝胶具有潜在的应用前景
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引用次数: 6
Lysostaphin Reduces the Production of Inflammatory Cytokines in Staphylococcus aureus Challenged Mice, and Prevents Systemic Shock 溶葡萄球菌蛋白减少金黄色葡萄球菌感染小鼠炎症细胞因子的产生,并预防全身休克
Pub Date : 2011-08-15 DOI: 10.2174/1876518101103010006
Clara J. Sei, T. Chanturiya, J. Mond, J. Kokai-Kun
Lysostaphin is being developed as a treatment for serious staphylococcal infections. Mice challenged with S. aureus produce inflammatory cytokines including, TNF-� and IL-6, and over-production of these cytokines can lead to shock and contribute to the lethality of staphylococcal infections. Two major components of the staphylococcal cell wall, peptidoglycan and lipoteichoic acid, are known to synergize to induce shock and organ failure in animal models, and we wished to determine whether the rapid lysostaphin-mediated degradation of peptidoglycan during treatment of systemic S. aureus infection could affect shock-associated parameters. We found that lysostaphin treatment of S. aureus-infected mice, which reduces bacteremia and organ infection, also reduced the serum levels of inflammatory cytokines and reversed the symptoms of S. aureus-induced shock. We compared the cytokine response of mice challenged with S. aureus to that of mice challenged with S. aureus and then treated with lysostaphin or nafcillin. Lysostaphin-treated mice, as compared with untreated mice or nafcillin-treated mice, had a blunted cytokine responses to S. aureus challenge. Core body temperature was used as a real time indicator for systemic shock in mice. Mice infected with S. aureus demonstrated a rapid drop in core body temperature, which was reversed by lysostaphin treatment. These studies demonstrated that lysostaphin treatment did not contribute to the induction of shock by rapidly releasing staphylococcal cell wall components, but rather it blunted the inflammatory cytokine response and ameliorated shock related symptoms. Keyword: S. aureus, lysostaphin, shock, cytokine release.
溶葡萄球菌素是一种治疗严重葡萄球菌感染的药物。感染金黄色葡萄球菌的小鼠产生炎性细胞因子,包括TNF-和IL-6,这些细胞因子的过量产生可导致休克,并有助于葡萄球菌感染的致命性。已知葡萄球菌细胞壁的两种主要成分肽聚糖和脂磷壁酸在动物模型中协同诱导休克和器官衰竭,我们希望确定在治疗系统性金黄色葡萄球菌感染过程中溶葡萄球菌介导的肽聚糖的快速降解是否会影响休克相关参数。我们发现,溶葡萄球菌素治疗金黄色葡萄球菌感染小鼠,可以减少菌血症和器官感染,也可以降低血清炎症细胞因子水平,逆转金黄色葡萄球菌引起的休克症状。我们比较了金黄色葡萄球菌感染小鼠的细胞因子反应与金黄色葡萄球菌感染后再用溶葡萄球菌素或萘西林治疗的小鼠的细胞因子反应。溶葡萄球菌治疗的小鼠,与未治疗的小鼠或萘西林治疗的小鼠相比,对金黄色葡萄球菌的攻击有钝化的细胞因子反应。采用核心体温作为小鼠全身性休克的实时指标。感染金黄色葡萄球菌的小鼠表现出核心体温迅速下降,溶葡萄球菌蛋白治疗可逆转这一现象。这些研究表明溶葡萄球菌素治疗并不是通过快速释放葡萄球菌细胞壁成分来诱导休克,而是钝化炎症细胞因子反应,改善休克相关症状。关键词:金黄色葡萄球菌;溶葡萄球菌;休克;
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引用次数: 1
Trends in Macrolide Resistance for Streptococcus pyogenes, Streptococcus agalactiae and Streptococcus pneumoniae and its Association with Social Clustering in Argentina 阿根廷化脓性链球菌、无乳链球菌和肺炎链球菌大环内酯类耐药趋势及其与社会聚集性的关系
Pub Date : 2011-03-30 DOI: 10.2174/1876518101103010001
G. Rubinstein, B. Bavdaz, S. Bunder, N. Blázquez
The aim of this work was to study and compare macrolide resistance patterns among Streptococcus pneumoniae, Streptococcus agalactiae and Streptococcus pyogenes, to describe the phenotypes of macrolide-lincosamide resistance and to further investigate associations between macrolide resistance and social clustering. Susceptibility data were obtained from 4 clinical microbiology laboratories in Bariloche, Argentina for the period 2002- 2008. Patients were differentiated in two population clusters according to the institution they attended (public or private). A total of 4310 strains were studied: 2615 S. pyogenes, 995 S. agalactiae and 700 isolates of S.pneumoniae. Erythromycin resistance rates over the study period were 1.5% for S. pyogenes, 7.8% for S. agalactiae and 11.3% for S. pneumoniae. For the complete study group, these values differed significantly among species (contingency table  2 = 164.52, p<0.0001). Resistance in S.pyogenes and S. pneumoniae showed irregular trends whilst S. agalactiae showed an increasing tendency during the whole period appearing to be a better indicator of the trends in macrolide resistance. A dual character MLSB phenotype of both inducible and constitutive resistance was observed in S. agalactiae only. Resistance in isolates from the population attending private institutions was significantly higher than those attending the public hospital (S. pyogenes, (1.9 vs. 0.6,  2 = 5.851, p<0.025); S. pneumoniae, 19.1 vs. 7.0 ( 2 = 21.98, p<0.001), and. S. agalactiae, 12.4 vs. 3.8 ( 2 = 24.5, p<0.001)). In conclusion, macrolides resistance rates during 2002-2008 were significantly different for S. pyogenes, S. agalactiae and S.pneumoniae. We also found significant variations in macrolide resistance levels in different population groups.
本研究的目的是研究和比较肺炎链球菌、无乳链球菌和化脓链球菌对大环内酯类药物的耐药模式,描述大环内酯类药物耐药的表型,并进一步探讨大环内酯类药物耐药与社会聚类之间的关系。2002- 2008年期间,从阿根廷巴里洛切的4个临床微生物实验室获得了药敏数据。根据患者就读的机构(公立或私立)将患者分为两类人群。共检出4310株,其中化脓性链球菌2615株,无乳链球菌995株,肺炎链球菌700株。研究期间,化脓性链球菌、无乳链球菌和肺炎链球菌的红霉素耐药率分别为1.5%、7.8%和11.3%。对于整个研究组,这些值在物种之间差异显著(列联表2 = 164.52,p<0.0001)。化脓性链球菌和肺炎链球菌的耐药呈不规则趋势,而无乳链球菌在整个时期呈上升趋势,这是大环内酯类耐药趋势的较好指标。仅在无乳葡萄球菌中观察到诱导型和构成型双性状MLSB表型。私立机构人群中分离株的耐药性显著高于公立医院人群(化脓性链球菌,(1.9 vs. 0.6,2 = 5.851,p<0.025);肺炎链球菌,19.1 vs. 7.0(2 = 21.98,p<0.001);无乳链球菌,12.4比3.8(2 = 24.5,p<0.001)。结论:2002-2008年,化脓性链球菌、无乳链球菌和肺炎链球菌的大环内酯类药物耐药率存在显著差异。我们还发现大环内酯类药物耐药水平在不同人群中存在显著差异。
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引用次数: 1
期刊
The Open Antimicrobial Agents Journal
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