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泌尿系统感染患者菌群耐药性分析 被引量:5
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作者 符志刚 《白求恩军医学院学报》 2012年第1期67-68,共2页
目的探讨分析泌尿系统感染患者菌群耐药性分布及流行趋势。方法对758份泌尿系统感染患者中段尿液样本进行常规病原菌鉴定,并采用K-B法进行体外药敏试验,同时对疑为产超广谱β-内酰胺酶(ESBLs)细菌样本采用头孢复合试纸进行鉴定。统计分... 目的探讨分析泌尿系统感染患者菌群耐药性分布及流行趋势。方法对758份泌尿系统感染患者中段尿液样本进行常规病原菌鉴定,并采用K-B法进行体外药敏试验,同时对疑为产超广谱β-内酰胺酶(ESBLs)细菌样本采用头孢复合试纸进行鉴定。统计分析感染菌群耐药性及流行趋势。结果 758份中段尿液样本中革兰阴性菌感染615份(81.1%);革兰阳性菌感染143份(18.9%)。除万古霉素外,其余抗生素均存在不同程度耐药,革兰阴性菌中以氨苄西林、环丙沙星、复方新诺明耐药性突出;革兰阳性菌中以红霉素、环丙沙星、青霉素G耐药性较明显。革兰阴性菌ESBLs检测结果,年检出产ESBLs菌群率呈逐年增高趋势。结论泌尿系统感染菌群抗生素耐药性较高,临床治疗中应在病原菌鉴定以及药敏测试指导下用药。 展开更多
关键词 泌尿系统感染 菌群耐药性 ESBLS
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Accurate assessment of antibiotic susceptibility and screening resistant strains of a bacterial population by linear gradient plate 被引量:4
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作者 LIU YuQing LI JingRan +8 位作者 DU JiaFa HU Ming BAI Hua QI Jing GAO Chao WEI TianTian SU Hong JIN JianLing GAO PeiJi 《Science China(Life Sciences)》 SCIE CAS 2011年第10期953-960,共8页
The dynamics of a bacterial population exposed to the minimum inhibitory concentration (MIC) of an antibiotic is an important issue in pharmacological research. Therefore, a novel antibiotic susceptibility test is u... The dynamics of a bacterial population exposed to the minimum inhibitory concentration (MIC) of an antibiotic is an important issue in pharmacological research. Therefore, a novel antibiotic susceptibility test is urgently needed that can both precisely determine the MIC and accurately select antibiotic-resistant strains from clinical bacterial populations. For this purpose, we developed a method based on Fick's laws of diffusion using agar plates containing a linear gradient of antibiotic. The gradient plate contained two layers. The bottom layer consisted of 15 mL agar containing the appropriate concentration of enrofloxacin and allowed to harden in the form of a wedge with the plate slanted such that the entire bottom was just covered. The upper layer consisted of 15 mL plain nutrient agar added with the plate held in the horizontal position. After allowing vertical diffusion of the drug from the bottom agar layer for 12 h, the enrofloxacin concentration was diluted in proportion to the ratio of the agar layer thicknesses. The uniform linear concentration gradient was verified by measuring the enrofloxacin concentration on the agar surface. When heavy bacterial suspensions were spread on the agar surface and incubated for more than 12 h, only resistant cells were able to form colonies beyond the boundary of confluent growth of susceptible cells. In this way, the true MIC of enrofloxacin was determined. The MICs obtained using this linear gradient plate were consistent with those obtained using conventional antibiotic susceptibility tests. Discrete colonies were then spread onto a gradient plate with higher antibiotic concentrations; the boundary line increased significantly, and gene mutations conferring resistance were identified. This new method enables the rapid identification of resistant strains in the bacterial population. Use of the linear gradient plate can easily identify the precise MIC and reveal the dynamic differentiation of bacteria near the MIC. This method allows the study of genetic and physiological characteristics of individual strains, and may be useful for early warning of antibiotic resistance that may occur after use of certain antirnicrobial agents, and guide clinical treatment. 展开更多
关键词 linear gradient plate E. coli ENROFLOXACIN MIC resistant strain
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