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W pracy dokonano analizy lekooporności szczepów Escherichia coli i Klebsiella pneumoniae izolowanych od pacjentów. Wykonano testy określające zdolność bakterii do produkcji ß-laktamaz o rozszerzonym spektrum substratowym (ESBL).
The studies aimed at analysing the resistance to some ß-lactam antibiotics among E. coli and K. pneumoniae clinical isolates and at evaluating. The extended spectrum of ß-lactamases (ESBL) production in the isolates. The analysis included 137 E. coli strains and 52 K. pneumoniae strains, isolated from hospitalized patients and out-patients treated in the first trimester of 1998. The strains were identified using the ATB computer system. Antibiotic sensitivity of the isolates was determined by disc-diffusion tests. ESBL production capacity of E. coli and K. pneumoniae strains was estimated by double-disc and ATB BLSA tests. Most of the analysed E. coli strains were found to exhibit significant sensitivity to compound penicillin preparations containing ß-lactarn inhibitor (Augmentin, Tazocin) and to the third generation cefalosporins, in contrast, K. pneumoniae strains much more frequently were resistant to the drugs. Among the obtained isolates, 3 (2,2%) E. coli strains and 21 (40,4%) K. pneumoniae strains produced ESBL but all the isolates proved sensitive to imipenem. In evaluation of ESBL production-detecting tests, the double-disc test was found to be more reliable than ATB BLSA test.
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Czasopismo
Rocznik
Tom
Numer
Strony
197-205
Opis fizyczny
s.197-205,fot.,tab.,bibliogr.
Twórcy
autor
- Akademia Medyczna, 61-712 Poznan, ul.Wieniawskiego 3
autor
autor
Bibliografia
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- 3. Brandford PA, Urban C, Mariano N i inni. Imipenem - resistance in Klebsiella pneumoniae is associated with the combination of ACT-1, a plasmid-mediated AMPc β-lactamase and the foss of an outer membrane protein. Antimicrob Agents Chemother 1997; 41: 563-69.
- 4. Bush K. It is important to identify extended - spectrum β-lactamase - producing isolates? Eur J Clin Microbiol Infect Dis 1996; 15: 361-64.
- 5. French GL, Shannon KP, Simon N. Hospital outbreak of K. pneumoniae resistant to broad-spectrum cephalosporins and p-lactamase inhibitor combinations by hyperproduction at SHV-5 β-lactamase. J Clin Microb 1996; 34: 358-63.
- 6. Gniadkowski M, Trzciński K, Pałucka A, Hryniewicz W. Wykrywanie β-laktamaz o rozszerzonym zakresie działania (ESBL) w izolatach klinicznych K pneumoniae: test dwóch krążków i test ATB BLSE. Diagn Lab 1996; 32: 697-709.
- 7. Gniadkowski M. β-laktamazy u pałeczek G-ujemnych. Mikrobiologia Medycyna 1997; 21: 11-26.
- 8. Jarlier V, Nicolas M, Fournier G, Philippon A. Extended broad-spectrum β-lactamases conferring transferable resistance to newer β-lactamases agents in Enterobacteriaceae: ho¬spital prevalance and susceptibility patterns. Rev Infect Dis 1998; 10: 867-78.
- 9. Jastalska D, Łupicki W, Pajchel G i inni. Wrażliwość wybranych szczepów E. coli, S. aureus i P. aeruginosa na antybiotyki β-laktamowe i aminoglikozydowe. Pol Tyg Lek 1991; 11-13; 212-15.
- 10. Knothe A, Shah P, Kremery V i inni. Transferable-resistance to cefotaxime, cefotoxin, cefamandole and cefuroxime in clinical isolates of K. pneumoniae and S. marcescens. Infection, 1983; 11: 315-17.
- 11. Livermore DM. β-lactamases in laboratory and clinical resistance. Clinical Microb Rev 1995; 8: 557-84.
- 12. Performance Standards for Antimicrobial Disic Susceptibility Test - Sixth Edition. Approved Standard NCCLS Document M2-A6, January 1997.
- 13. Primarakis EE, Miriagon V, Tzelepi E i inni. Emergence of an inhibitor-resistance β-lactamase (SHV-10) derived from an SHV-5 variant. Antimicrob Agents Chemother 1997; 41: 883-90.
- 14. Rokosz A, Sawicka-Grzelak A. Wrażliwość klinicznych szczepów pałeczek Gram-ujemnych na wybrane antybiotyki β-laktamowe. Med Dośw Mikrobiol 1997; 49: 191-97.
- 15. Ruczkowska J, Dolna I. Wrażliwość wieloopornych szczepów bakteryjnych na imipenem (Tienam). Przegląd Lekarski 1992; 49: 151-53.
- 16. Sirot D, Sirot J, Labia R i inni. Transferable to third-generation cephalosporins in clinical isolates of K. pneumoniae identification of CTX-1, a novel β-lactamase. Antimicrob Agents Chemother 1987; 20: 323-33.
- 17. Sirot D, Recule C, Chaibi FB i inni. A complex mutant of TEM-1 β-lactamase with mutations encountered in both extended - spectrum RT-4 and TEM-15 produced by an E. coli clinical isolates. Antimicrob Agents Chemother 1997; 41: 1322-26.
- 18. Trzciński K, Tyski S, Zaręba T, Hryniewicz W. Oporność na chemioterapeutyki ważnych klinicznie bakterii izolowanych w Polsce w latach 1994-1995. Mikrobiologia Medycyna 1996; 4: 64-71.
- 19. Vedel G, Belaaouaj A, Gilly I i inni. Clinical isolates of E. coli producing TRI β-lactamases novel TEM-enzymes conferring resistance to β-lactamase inhibitors. J Antimicrob Chemother 1992; 30: 449-62.
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Bibliografia
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