临床来源芽孢杆菌多种耐药现状

Amna Mahmood
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引用次数: 0

摘要

芽孢杆菌在环境中随处可见。由于不必要地使用抗生素,许多细菌对抗生素产生耐药性。许多菌株由于不必要地使用抗生素而产生耐药性。当细菌产生耐药性时,抗生素就失去了从感染者体内清除细菌的能力。从拉合尔不同医院收集了110份临床样本。这些样品被纯化。纯化后,采用差示培养基MSA分离得到20株芽孢杆菌。显微镜下观察结构,发现枯草芽孢杆菌、地衣芽孢杆菌和蜡样芽孢杆菌3种。为了进一步确认,进行了生化试验。最后进行药敏试验,检查细菌对抗生素的敏感性。采用圆盘扩散法对10种不同的抗生素进行检测。抗生素为链霉素、克林霉素、庆大霉素、氨苄西林、四环素、阿奇霉素、万古霉素、氯霉素、恶西林、阿莫西林。95%的耐药对象是奥西林,95%是氨苄西林。链霉素的敏感性为95%。四环素和庆大霉素的敏感性为90%。链霉素、四环素和庆大霉素对地衣双胞杆菌均有100%的敏感性,氨苄西林、阿莫西林、恶西林和克林霉素对地衣双胞杆菌均无敏感性。氧苄西林对地衣芽孢杆菌100%耐药。链霉素、四环素和庆大霉素均未见耐药。链霉素、四环素和庆大霉素对枯草芽孢杆菌的敏感性最高。克林霉素的敏感性最低。奥西林100%耐药,阿莫西林89%耐药。蜡样芽孢杆菌对10种不同药物的耐药和敏感性百分比不同。对链霉素、四环素和庆大霉素的敏感性最大,而对氨苄西林和奥西林的耐药性最大。
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Current Status of Multi Drug Resistance of Bacillus Species from Clinical Sources
Bacillus species are found anywhere in environment. Due to unnecessary use of antibiotics many bacteria are becoming resistant to antibiotics. Many bacterial strains become resistant due to the unnecessary use of antibiotics. When bacteria become resistant the antibiotic loses their ability for the elimination of bacteria from the body of infected person. 110 clinical samples were collected from different hospitals of Lahore. These samples were purified. After purification 20 Bacillus bacteria were isolated by using differential media MSA. Structures were examined under microscope after examination three bacillus species (B. subtillis, B. licheniformis and B. cereus) were found. For further confirmation biochemical tests were performed. Antimicrobial susceptibility test was performed at the end to check the bacterial susceptibility against antibiotics. Ten different antibiotics were used by disc diffusion method. Antibiotics were streptomycin, clindamycin, gentamicin, ampicillin, tetracycline, azithromycin, vancomycin, chloramphenicol, oxacillin and amoxicillin. 95% of the resistance was shown against oxacillin and 95% against ampicillin. 95% sensitivity was shown by streptomycin. 90% sensitivity was shown by tetracycline and gentamicin. 100% sensitivity was shown by three antibiotics against B. licheniformis which were streptomycin, tetracycline and gentamicin while no sensitivity was given by ampicillin, amoxicillin, oxacillin and clindamycin. 100% resistance was shown by oxacillin against B. licheniformis. No resistance was seen in the case of streptomycin, tetracycline and gentamicin. Maximum sensitivity was shown by streptomycin, tetracycline and gentamicin against B. subtilis. Minimum sensitivity was given by clindamycin. 100% resistance was shown by oxacillin and 89% resistance was given by amoxicillin. B. cereus is shown different percentages of resistance and sensitivity against ten different drugs. Maximum sensitivity was shown for streptomycin, tetracycline and gentamicin while maximum resistance was shown against ampicillin and oxacillin.
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