[考虑新命名法的不动杆菌种类的流行病学和耐药模式]。

Immunitat und Infektion Pub Date : 1994-08-01
A Postulka
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引用次数: 0

摘要

根据基因种(新分类)、分离相对频次、临床标本分布及耐药模式对临床分离的230株不动杆菌进行鉴定。a.b ummannii的发现频率最高(42%),其次是A.lwoffii(28%),尽管前者的“A.lwoffi”只有60%对应于新的A.lwoffii。另外的40%,即原a.w offi,由朱尼拟杆菌和溶血拟杆菌共有。在生境和抗性格局方面,不同新生物型间存在显著差异。鲍曼不动杆菌和艾氏不动杆菌主要从拭子中分离得到。钙溶假单胞菌最常从上呼吸道样本中培养,最好从血液培养中分离出鲍曼假单胞菌,较罕见的是分离出艾氏假单胞菌和溶血假单胞菌。鲍曼不动杆菌对β -内酰胺类抗生素、大多数测试的青霉素类和头孢菌素类抗生素显示多重耐药。在我们的研究中,最敏感的两种是刺桐和刺叶刺桐。所有菌株对亚胺培南、氨基糖苷类药物和喹诺酮类药物耐药罕见。
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[Epidemiology and resistance pattern of Acinetobacter species considering the new nomenclature].

230 clinical isolates of Acinetobacter species were characterized according to genospecies (new taxonomy), relative frequency of isolation, distribution in clinical samples and resistance pattern. A.baumannii was more frequently found than any other species (42%), followed by A.lwoffii (28%), although only 60% of the former "A.lwoffi" corresponds to the new A.lwoffii. The other 40%, formerly A.lwoffi, were shared by A.junii and A.haemolyticus. Concerning habitat and resistance pattern, remarkable differences between the new biotypes were found. A.baumannii and A.lwoffii were isolated mainly from swabs. A.calcoaceticus was most frequently cultivated from samples of the upper respiratory tract, and from blood cultures preferably A.baumannii and, more rarely, A.lwoffii and A.haemolyticus were isolated. A.baumannii showed multidrug resistance against beta-lactam antibiotics, most of the tested penicillins and cephalosporins. The two most susceptible species in our study were A.junii and A.lwoffii. Resistance to imipenem, aminoglycosides and quinolones was rare with all strains.

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