首页|比阿培南联合头孢他啶对泛耐药鲍曼不动杆菌的抗菌活性分析

比阿培南联合头孢他啶对泛耐药鲍曼不动杆菌的抗菌活性分析

扫码查看
目的 分析比阿培南联合头孢他啶对泛耐药鲍曼不动杆菌(PDRAB)的抗菌活性。方法 76 株PDRAB,采用琼脂稀释法测定比阿培南和头孢他啶对其最低抑菌浓度(MIC),并采用棋盘法进行联合药敏实验,通过计算部分抑菌浓度指数(FICI)判断比阿培南和头孢他啶抗PDRAB的联合效应。比较比阿培南和头孢他啶对 76 株PDRAB的敏感率及MIC,分析比阿培南联合头孢他啶对 76 株PDRAB的体外协同抗菌活性。结果 比阿培南与头孢他啶对 76 株PDRAB的敏感率分别为 48。68%(37/76)、34。21%(26/76),两者对PDRAB的敏感性相似(P>0。05)。比阿培南联用和头孢他啶联用对 76 株PDRAB的MIC低于单用比阿培南、头孢他啶。比阿培南联合头孢他啶对 76 株PDRAB的体外协同抗菌活性以部分协同作用(52。63%)为主,协同作用(42。11%)次之,相加作用(2。63%)、无相关作用(2。63%)较少,没有拮抗作用。结论 比阿培南联合头孢他啶对PDRAB多表现出协同或部分协同作用,具有明显的体外协同抗菌活性。
Analysis of antibacterial activity of biapenem combined with ceftazidime against pandrug-resistant Acinetobacter baumannii
Objective To analyze the antibacterial activity of biapenem combined with ceftazidime against pandrug-resistant Acinetobacter baumannii(PDRAB).Methods 76 strains of PDRAB were collected.The minimum inhibitory concentration(MIC)of biapenem and ceftazidime against 76 strains of PDRAB were determined by agar dilution method.The combined drug sensitivity test were determined by chessboard method,and the combined effect of biapenem and ceftazidime against PDRAB was determined by calculating the fractional inhibitory concentration index(FICI).The sensitivity and MIC of biapenem and ceftazidime against 76 strains of PDRAB were compared,and the in vitro synergic antibacterial activity of biapenem combined with ceftazidime against 76 strains of PDRAB was analyzed.Results The drug sensitivity rates of biapenem and ceftazidime against 76 strains of 76 PDRAB were 48.68%(37/76)and 34.21%(26/76),both had similar susceptibility to PDRAB(P>0.05).The MIC of biapenem combined with ceftazidime against 76 strains of PDRAB was lower than that of biapenem and ceftazidime alone.The synergistic antibacterial activity of biapenem combined with ceftazidime on 76 strains of PDRAB in vitro was mainly partial synergistic effect(52.63%),followed by synergistic effect(42.11%),additive effect(2.63%),no correlation effect(2.63%),and no antagonistic effect.Conclusion Biapenem combined with ceftazidime against PDRAB showed a synergistic effect or partial synergistic effect,has significant in vitro synergistic antibacterial activity.

Pandrug-resistant Acinetobacter baumanniiBiapenemCeftazidimeCombination therapyAntibacterial activity

倪俊杰、张妮、张烨

展开 >

215600 苏州市张家港市第五人民医院

泛耐药鲍曼不动杆菌 比阿培南 头孢他啶 联合治疗 抗菌活性

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(8)
  • 22