首页|罗红霉素和阿奇霉素对金黄色葡萄球菌的防耐药突变浓度的研究

罗红霉素和阿奇霉素对金黄色葡萄球菌的防耐药突变浓度的研究

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目的:测定罗红霉素和阿奇霉素对金黄色葡萄球菌的防耐药突变浓度(MPC),扩增突变选择窗内筛选的耐药突变体的耐药基因.以了解金黄色葡萄球菌对大环内酯类药物耐药的发生机制.方法:肉汤法富集1013CFU/L ATCC29213,采用平板二倍稀释法测定罗红霉素和阿奇霉素对ATCC29213的MIC,MIC99、初测MPC(Provisional MPC,MPCpr)以及MPC.PCR法扩增不同药物筛选出的耐药突变株的耐药基因ermA,ermB和ermC并测序.结果:罗红霉素和阿奇霉素对ATCC29213的MPC分别是0.24 mg/L和0.18 mg/L,细菌耐药选择指数(MPC/MIC99)是106和114.不同药物筛选出的耐药突变株中扩增出ermA和ermC基因.结论:单独使用罗红霉素和阿奇霉素,金黄色葡萄球菌易产生耐药突变株,应与其他抗菌药物联合.
Study on mutant prevention concentrations of roxithromycin and azithromycin for Staphylococcus aureus
AIM: To determine the mutant prevention concentrations (MPC) of roxithromycin and azithromycin for Staphylococcus aureus to amplify the resistance gene of Staphylococcus aureus mutants selected in the mutant selection window (MSW) so as to understand the mechanism of Staphylococcus aureus resistance to macrolides. METHODS: The Staphylococcus aureus strain LATCC29213 was enriched in broth and the bacterial concentrations were adjusted to 1010 colony forming tmits per milliliter.The minimal inhibitory concentration (MIC), MIC for 99% of input cells ( MIC99), provisional MPC (MPCpr) and MPC of roxithromycin and azithromycin for Staphylococcus aureus were determined by agar plates dilution method. The ermA, ermB and ermC of Staphylococcus aureus mutants selected in the MSW were obtained by PCR method and sequencing. RESULTS: The MPC of roxithromycin and azithromycin for ATCC29213 was 0. 24μg/mL and 0. 18 μg/mL and the MPC/MIC_(99) was 106 and 114. The ermA and ermC gone were detected in Staphylococcus aureus mutants selected in the MSW. CONCLUSION: Owing to the tendeney of resistant mutant selection, roxithromycin and azithromycin should be administered in combination with other antibiotic agents.

mutant prevention concentratianroxithromycinazithromycinStaphylococcus aureus

邢茂、刘同华、王琴

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第三军医大学新桥医院药剂科,重庆,400037

重庆市中医研究院,重庆,400013

防耐药变异浓度 罗红霉素 阿奇霉素 金黄色葡萄球菌

重庆市自然科学基金

CSTC 2006BB5069

2009

第四军医大学学报
第四军医大学

第四军医大学学报

CSTPCDCSCD北大核心
影响因子:0.599
ISSN:1000-2790
年,卷(期):2009.30(8)
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