Marine algae: screening for a potent antibacterial agent

This study was done to investigate the antimicrobial potentiality of the marine algae collected from different coastal regions of Gujarat and screened for the same. Twenty-six marine algae belonging to Rhodophyceae, Chlorophyceae and Phaeophyceae were screened for their potential antibacterial activity against five clinically important bacterial strains, namely Bacillus cereus, Micrococcus flavus, Citrobacter freundii, Klebsiella pneumoniae and Pseudomonas testosterone. Acetone and methanol were used for extraction; and the extracted yield was more when the solvent used was methanol. The antibacterial activity was done by both Agar disc diffusion method and Agar ditch method. The five bacterial strains showed varied response towards marine algal extracts. The most susceptible bacteria was B. cereus followed by K. pneumoniae and C. freundii while the most resistant bacteria were M. flavus and P. testosteroni. Among the 26 algae screened, E. intestinalis was the most potent alga and thus, this alga was selected for further studies. E. intestinalis was extracted in petroleum ether, 1,4-dioxan, acetone, methanol and DMF, and their antibacterial activity was studied against the above-stated five bacterial strains using agar disc method. Maximum extractive value of E. intestinalis was in methanol (2.05%) and minimum was in acetone (0.38%). The most susceptible bacteria was K. pneumoniae and maximum antibacterial activity was shown by petroleum ether extract and minimum was shown by 1,4-dioxan extract. The most resistant bacteria were M. flavus and C. freundii. The MIC values of E. intestinalis extracts ranged from 2500-9.765 microg/0.5 ml against B. cereus and K. pneumoniae. From these results it is concluded that the acetone extract of E. intestinalis is the most potent extract and can be used as a lead molecule in drug discovery in inhibiting some of the bacterial strains. E. intestinalis can be used as a promising novel marine antimicrobial agent in the coming years.     

Antibacterial Activity of Jordanian Medicinal Plants

The antibacterial activity of ethanol extracts of 15 plant species used in the traditional medicine in Jordan and other Middle East countries were tested. Extracts of certain parts of these plants were tested in vitro against 14 pathogenic bacterial species and strains using the agar diffusion method. Results evaluated as the diameter of inhibition zone of bacterial growth showed that 25 mg/well of 12 plant extracts have antibacterial activity on one or more of the tested bacteria. Three plants exhibited broad spectrum antibacterial activity: Punica granatum L., Quercus infectoria Olive., and Rhus coriaria L. The most susceptible bacteria were Pseudomonas aeruginosa, Bacillus cereus and Streptococcus pyogenes (ATCC 12351), and the most resistant species were Escherichia coli (ATCC 25922 and clinical isolates), Klebsiella pneumoniae, Shigella dysentriae (ATCC 49345), and Yersinia enterocolitica (ATCC 9610). The minimum inhibitory concentrations (MIC) of active extracts ranged from 4-32 mg/ml while the minimum bactericidal concentrations (MBC) were exerted at higher doses 8-62 mg/ml.     

Antibacterial Activity of Rhizome of Curcuma aromatica and Partial Purification of Active Compounds

The hexane extract of Curcuma aromatica, a plant belonging to the family Zingiberaceae was tested on 10 bacterial strains (clinical isolates and standard strains). Agar diffusion method was adopted for determining the antibacterial activity of the extract. The hexane extract was found to be active against all Gram-positive strains tested, but inactive against Gram-negative strains. The minimum inhibitory concentration and minimum bactericidal concentration were determined and found to be 539 μg/ml. The phytochemical analysis of hexane extract by gas chromatography mass spectrometry revealed the presence of 13 compounds. The crude hexane extract was partially purified by thin layer chromatography. The zone showing good antibacterial activity was analysed further by gas chromatography mass spectrometry, UV/Vis spectrophotometry and Fourier transform infrared spectroscopy, which indicated the probable presence of germacrone.     

Antimicrobial activity of liposome encapsulated cyclo(L-tyrosyl-L-prolyl)

Various studies have shown the potentially beneficial biological activities of cyclic dipeptides and in particular, cyclo(L-tyrosyl-L-prolyl) (cyclo(Tyr-Pro)) has shown fair antibacterial activity in vitro. This study aimed to determine if liposome encapsulation would have any significant effects on the antibacterial activity of this compound. The thin-film hydration method with extrusion was used to produce small unilamellar vesicles containing cyclo(Tyr-Pro) that were shown to have an average encapsulation of 9.4% with a mean particle size of 160.4 nm. Minimum inhibitory concentrations tested against Staphylococcus aureus, Escherichia coli, Klebsiella pneumoniae and Bacillus subtillis were shown to be lower in liposome encapsulated cyclo(Tyr-Pro) than for the free form, while no antimicrobial activity was noted for either encapsulated nor non-encapsulated drug against the fungus Candida albicans or two methicillin-resistant strains of Staphylococcus aureus (MRSA). A positive control of liposome encapsulated amoxicillin was shown to be extremely active against both MRSA strains. The results confirm that liposome encapsulation has the potential to enhance activity as well as to overcome bacterial resistance towards current antibacterial agents.     

Survey of the sensitivities of clinical isolates to antibacterial agents (annual report)]

Research groups were formed in 21 institutions nationwide to investigate carbapenem resistance. The activities of various antibacterial agents, principally carbapenems, were tested against clinical isolates collected from these institutions. The broth microdilution method was used to determine the minimum inhibitory concentrations (MIC) of 17 antibacterial agents for 1,241 strains of 11 bacterial species isolated at all institutions between October and December 1996. The results were as follows: Carbapenems exhibited strong antibacterial activities against MSSA and Streptococcus pneumoniae and showed low activities against MRSA. Their activities against Enterococcus faecalis were comparable to that of ampicillin and piperacillin. The carbapenems showed high activities against Haemophilis influenzae, Escherichia coli, Klebsiella pneumoniae. Enterobacter cloacae. Serratia marcescens and Bacteroides fragilis group. Their activities were greater than that exhibited by other beta-lactam antibacterial agents, but some resistant strains of Serratia marcescens were detected. The antibacterial activity of carbapenems against Pseudomonas aeruginosa was comparable to that of CAZ, and there were some resistant strains.     

Molecular analytical evaluation of macrolide- and ketolide-resistant Streptococcus pneumoniae--mechanism of action of telithromycin and resistance to it

PROTEKT (Prospective Resistant Organism Tracking and Epidemiology for the Ketolide Telithromycin) is a worldwide epidemiologic survey for investigating drug susceptibility against major bacterial pathogens in respiratory tract infections, and that is also designed to identify the action mechanism of telithromycin (TEL), a ketolide antibacterial agent, on the resistant Streptococcus pneumoniae and the resistance mechanism for TEL on the TEL-resistant S. pneumoniae strain, in addition to determine macrolide/ketolide resistant S. pneumoniae activities of TEL using molecular analysis. TEL exerted the antibacterial action on the macrolide-resistant S. pneumoniae regardless maintaining the macrolide-resistant mechanism and exhibited the potent antibacterial activity against all of ermB gene-positive strains, mefA gene-positive strains and ribosome variants. This result was considered to reflect the fact that TEL did not induce resistance to ermB and had extremely low ability to select resistant strain by mutation. These actions of TEL were considered to be derived from its novel chemical structure and might be characteristics of ketolides not possessed by macrolides. In the survey of PROTEKT in 1999 to 2002, among 13,864 strains of S. pneumoniae isolated worldwide, ketolide-resistant strain (TEL MIC > or = 4 microg/ml) was observed in 10 strains (0.07%). MIC of these 10 strains was 4 or 8 microg/mL and all of these strains were ermB-positive strains. Based on this fact, potential involvement of adenine demethylase (ermB gene product) was considered in the background of development of ketolide-resistant S. pneumoniae.     

20种抗菌药物对肺炎链球菌的体外抗菌活性研究

目的：评价莫西沙星等20种常用抗菌药物对临床分离的60株肺炎链球菌的体外抗菌活性。方法：采用微量肉汤稀释法测定20种抗菌药物对肺炎链球菌的最低抑菌浓度（MIC）。结果：60株肺炎链球菌中有青霉素敏感的肺炎链球菌（PSSP）42株（71．7％）,青霉素不敏感肺炎链球菌（PNSSP）18株（28．3％）;其中,青霉素耐药的肺炎链球菌（PRSP）有2株（3．3％）。对PSSP菌株,20种抗菌药物中敏感率较高的药物有头孢曲松、头孢噻肟、加替沙星、莫西沙星、左氧氟沙星、阿莫西林／克拉维酸,敏感率均为100％;耐药率较高的药物有红霉素、罗红霉素、克拉霉素、阿奇霉素,耐药率分别为83-3％,83-3％,74．7％,74．7％。对PNSSP菌株,敏感率较高的药物有阿莫西林／克拉维酸、莫西沙星、头孢噻肟、加替沙星、左氧氟沙星,敏感率分别为100％,100％,88．8％,94．4％,94．4％;耐药率较高的药物有红霉素、克拉霉素、阿奇霉素,耐药率均为66．7％。20种抗菌药物对60株肺炎链球菌的累积抑菌百分率曲线显示莫西沙星和阿莫西林／克拉维酸的抑菌能力最强。结论：肺炎链球菌对大环内酯类、复方新诺明、磷霉素等抗菌药物的耐药率较高,第三、四代氟喹诺酮类药物（左氧氟沙星、莫西沙星、加替沙星）和阿莫西林／克拉维酸及第三代头孢菌素中的头孢噻肟、头孢曲松等对肺炎链球菌（包括PNSSP）有很好的抗菌活性,提示其可作为高度耐药肺炎链球菌感染的首选药物。     

Bacteriological evaluation of netilmicin

The following results were obtained from the bacteriological evaluations of netilmicin (NTL), a newly developed antibiotic agent, with gentamicin (GM), dibekacin (DKB) and amikacin (AMK) as the controls. (1) NTL demonstrated broad antibacterial spectra against both Gram-positive and Gram-negative bacteria, but its antibacterial potency against streptococci was not very strong among other Gram-positive bacteria. (2) In terms of distribution of sensitivity of clinically isolated bacterial strains, NTL proved to have antibacterial potency comparable to that of GM and higher potency than that of DKB of AMK against E. coli K. pneumonia, Enterobacter sp., or H. influenzae. However, its efficacy was inferior to GM against Proteus sp., S. marcescens and P. aeruginosa. (3) In conjunction with the influences of pH of culture media or of addition of horse sera upon the antibacterial efficacy, NTL showed an inclination similar to that of GM, DKB and AKM. Its antibacterial efficacy was fortified on the alkaline side or by addition of sera. In connection with the influences of the amounts of inoculated bacteria upon antibacterial efficacy, there were hardly any appreciable influences on it by any of the tested bacterial strains. (4) The interactions of NTL with carbenicillin were evaluated with the chequerboard titration method to find remarkable cooperative actions in any of E. coli, K. pneumoniae, S. marcescens, A. calcoaceticus and P. aeruginosa. (5) The results of evaluation on the patterns of its antibacterial effects revealed that it acted bactericidal in any tested bacterial strains. (6) As to the therapeutic effects against experimental infections in mice, it was found out that NTL = GM greater than DKB and AMK against E. coli, GM greater than NTL = DKB and AMK against K. pneumoniae and GM and DKB greater than NTL greater than or equal to AMK against A. calcoaceticus and P. aeruginosa in the decreasing order of efficacy.     

Antimicrobial Activity and Phytochemical Constituents of Leaf Extracts of Cassia auriculata

Plants produce a wide variety of phytochemical constituents, which are secondary metabolites and are used either directly or indirectly in the pharmaceutical industry. ‘For centuries, man has effectively used various components of plants or their extracts for the treatment of many diseases, including bacterial infections. In the present study methanol, chloroform and aqueous extracts of Cassia auriculata leaf were subjected for antimicrobial activity by well-diffusion method against six bacterial strains namely Bacillus cereus, Staphylococcus aureus, Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa and Proteus mirabilis. The results revealed that the methanol and chloroform extracts exhibited strong inhibitory activity against all the tested organisms (zone of inhibition of 12-20 mm), except Pseudomonas aeruginosa (zone of inhibition 10 mm or nil). The aqueous extracts showed moderate activity by ‘Zone of inhibition ≤12 or nil). The extracts were screened for their phytochemical constituents by standard protocols’ and were shown to contain carbohydrates, proteins, alkaloids, flavonoids, steroids, saponins and tannins. The antibacterial activity of these extracts is possibly linked to the presence of flavonoids, steroid, saponins and/or tannins. Further studies are needed to determine the precise active principles from Cassia auriculata.     

Antibacterial Activity of some Medicinal Mangroves against Antibiotic Resistant Pathogenic Bacteria

The antibacterial activity of the leaves and bark of mangrove plants, Avicennia marina, A. officinalis, Bruguiera sexangula, Exoecaria agallocha, Lumnitzera racemosa, and Rhizophora apiculata was evaluated against antibiotic resistant pathogenic bacteria, Staphylococcus aureus and Proteus sp. Soxhlet extracts of petroleum ether, ethyl acetate, ethanol and water were prepared and evaluated the antibacterial activity using agar diffusion method. Most of the plant extracts showed promising antibacterial activity against both bacterial species. However, higher antibacterial activity was observed for Staphylococcus aureus than Proteus sp. The highest antibacterial activity was shown by ethyl acetate of mature leaf extracts of E. agallocha for Staphylococcus aureus. All ethyl acetate extracts showed higher inhibition against S. aureus while some extracts of chloroform, ethyl acetate and ethanol gave inhibition against Proteus sp. None of the petroleum ether and aqueous extracts showed inhibition against Proteus sp. All fresh plant materials did also show more antibacterial activity against both bacterial strains than did dried plant extracts. Antibacterial activity of fresh and dried plant materials reduced for both bacterial strains with time after extraction. Since L. racemosa and A. marina gave the best inhibition for bacterial species, they were used for further investigations. Charcoal treated plant extracts of L. racemosa and A. marina were able to inhibit both bacterial strains more than those of untreated plant extracts. Phytochemical screening of mature leaf, bark of L. racemosa and leaf extracts of A. marina has been carried out and revealed that leaf and bark contained alkaloids, steroids, triterpenoids and flavonoids. None of the above extracts indicate the presence of saponins and cardiac glycosides. Separated bands of extracts by TLC analysis showed antibacterial activity against S. aureus.     

Antimicrobial activity of some medicinal species from the Dakar markets

After drawing up an inventory of Dakar markets popular medicinals plants, antimicrobial activity of 43 species have been screened. With the agar diffusion method, crude extracts of 24 species show an activity against Sarcina lutea or Escherichia coli. The antimicrobial spectrum of these extracts against 11 germs has been evaluated with the agar dilution method. 13 species show M.I.C. lower than 10 mg/ml against some germs. This preliminary study select some plants of potential interest for development of new antibacterial.     

Selection and identification of non-pathogenic bacteria isolated from fermented pickles with antagonistic properties against two shrimp pathogens

In this study, potential probiotic strains were isolated from fermented pickles based on antagonistic activity against two shrimp pathogens (Vibrio harveyi and Vibrio parahaemolyticus). Two strains L10 and G1 were identified by biochemical tests, followed by16S ribosomal RNA gene sequence analysis as Bacillus subtilis, and characterized by PCR amplification of repetitive bacterial DNA elements (Rep-PCR). Subsequently, B. subtilis L10 and G1 strains were tested for antibacterial activity under different physical conditions, including culture medium, salinity, pH and temperature using the agar well diffusion assay. Among the different culture media, LB broth was the most suitable medium for antibacterial production. Both strains showed the highest level of antibacterial activity against two pathogens at 30?°C and 1.0% NaCl. Under the pH conditions, strain G1 showed the greatest activity against V. harveyi at pH 7.3-8.0 and against V. parahaemolyticus at pH 6.0-8.0, whereas strain L10 showed the greatest activity against two pathogens at pH 7.3. The cell-free supernatants of both strains were treated with four different enzymes in order to characterize the antibacterial substances against V. harveyi. The result showed considerable reduction of antibacterial activity for both strains, indicating the proteinaceous nature of the antibacterial substances. A wide range of tolerance to NaCl, pH and temperature was also recorded for both strains. In addition, both strains showed no virulence effect in juvenile shrimp Litopenaeus vannamei. On the basis of these results and safety of strains to L. vannamei, they may be considered for future challenge experiments in shrimp as a very promising alternative to the use of antibiotics.     

Evaluation of the antibacterial activity of Chilean plants traditionally used for wound healing therapy against multidrug-resistant Staphylococcus aureus

Anti-staphylococcal activity of Chilean medicinal plants traditionally used by the Huilliche people for wound healing therapy was evaluated against nine Staphylococcus aureus strains. Three extracts of 26 plant samples (20 species) were evaluated by agar overlay bioautography and MIC determination. Total phenolics and tannins were determined, and the antibacterial contribution of the latter was evaluated. The diffusion assay showed that 17 species were active against susceptible S. AUREUS and that 15 species were active against resistant S. aureus. Removal of tannins from extracts rendered only six species active. MIC-determination showed that 20 extracts had antibacterial activity on all eight strains, and the most potent MIC value was 64?μg/mL. Remarkably, 37 extracts were active against the otherwise multidrug-resistant vanthida strain. Our findings support the wound healing properties of Huilliche medicinal plants and the hypothesis that these plants are promising sources of potential anti-staphylococcal agents towards multidrug-resistant strains.     

Inhibition of Staphylococcus Aureus Mediated by Extracts from Iranian Plants

In order to find new antibacterial agents effective against Staphylococcus aureus, ethanolic extracts of 10 plants were tested. S. aureus (489 samples) were isolated either from healthy carriers (nose and throat) or clinical samples. Out of 489 isolates tested, 98.6% were sensitive to trimethoprim-sulfamethoxazole which was used as the reference antibiotic. From the plant extracts screened for antibacterial activity, Myrtus communis L. (leaves) had the greatest activity, inhibiting the growth of 99% of the isolates. Glycyrrhiza glabra L., Eucalyptus globolus Labill and Menta viridis L., were also active against the isolates inhibiting the growth of 90, 59.5 and 48.7% of the isolates, respectively. All of these extracts were active against the reference strains of S. aureus tested. Saturia hortensis L., Teucrium polium L., and Achillea santolina L., had very little antibacterial activity, while Trigonella foenum graecum L., Echium amoenum Fisch & Mey (flowers) and Juglans regia L. (leaves), had no antibacterial activity against the bacterial isolates.     

Alteration of antibacterial activity of tosufloxacin and various antibacterial agents against Streptococcus pneumoniae

The minimum inhibitory concentrations (MICs) of tosufloxacin (TFLX), levofloxacin (LVFX), ciprofloxacin (CPFX), gatifloxacin (GFLX), sparfloxacin (SPFX), azithromycin (AZM), cefteram (CFTM), cefdinir (CFDN) and cefpodoxime (CPDX) against 337 clinical isolates of Streptococcus pneumoniae isolated from Japanese hospital from 1997 to 2002 were investigated by agar plate method. The incidence of penicillin-susceptible S. pneumoniae (PSSP), penicillin-intermediate resistant S. pneumoniae (PISP), and penicillin-resistant S. pneumoniae (PRSP) in each year was studied, and the MICs of antibacterial agents against these strains were determined. As the results, the total incidence of PSSP, PISP, and PRSP was 51.0%, 40.4% and 8.6%, respectively. The incidences of PSSP from 1997 to 2002 were 46.0-55.9%, and were almost definite in each year. In quinolone antibiotics, the differences of antibacterial activity among TFLX, SPFX, and GFLX against PSSP, PISP, and PRSP, were not observed, and these 3 quinolones had potent antibacterial activity. Although CPFX and LVFX showed antibacterial activity as well as other quinolones by 2001, the CPFX-resistant or LVFX-intermediate resistant strains of PSSP were seen with 56.5% and 91.3% in 2002, respectively. Thirty percents of each PSSP, PISP, and PRSP strains were AZM-resistant strains. Such tendency of increase was recognized in PSSP. Against cephem antibiotics, the incidence of intermediate resistant and resistant strains was higher for PISP and PRSP than for PSSP. No difference in the incidence of resistant strains was noted among CFTM, CFDN, and CPDX.     

头孢唑肟与其他5种抗生素体外抗菌活性比较

目的　比较头孢唑肟与其他 5种抗生素对临床分离菌的体外抗菌活性。方法　用 NCCL S2 0 0 2年发布的琼脂平板法测定抗生素的最低抑菌浓度。结果　本研究共测定细菌 5 70株 ,其中革兰氏阴性菌 36 7株 ,革兰氏阳性菌 2 0 3株。头孢唑肟对肠杆菌科细菌与链球菌具有强大抗菌活性 ,大肠埃希氏菌、肺炎克雷伯氏菌、产气肠杆菌、志贺氏菌、奇异变形菌、摩根摩氏菌、流感噬血杆菌、肺炎链球菌、化脓链球菌、无乳链球菌、粘膜炎莫拉氏菌对头孢唑肟 10 0 %敏感。头孢唑肟对大多数肠杆菌科细菌 MIC值与头孢曲松相近 ,远低于头孢他啶和头孢呋辛。头孢唑肟对液化沙雷氏的菌抗菌活性为所有检测药物中最强的一个 ,MIC50 与 MIC90 均为0 .5 mg/ L。结论　头孢唑肟应用于临床 15年后仍保持强大抗菌活性 ,本品可用于中重度细菌感染的经验性治疗     

Antibacterial activity of cephem antibiotics against isolates from clinical specimens at the Yokohama City University Hospital

Minimum inhibitory concentrations (MICs) of cephem antibiotics against 405 strains belonging to 17 species of clinical isolates were investigated using the standard method of the Japanese Congress of Chemotherapy. The results obtained are summarized below. Cephem antibiotics showed weak antibacterial activities against Enterococcus sp., B. fragilis and S. marcescens. S. pneumoniae, S. agalactiae, E. coli, K. pneumoniae and P. mirabilis were susceptible to cephem antibiotics. Cephem antibiotics of the 1st and the 2nd generations showed weak antibacterial activity against Citrobacter sp. and E. cloacae, while cephem antibiotics of 3rd generation had a good antibacterial activity against these species. Cephem antibiotics of the 2nd and the 3rd generations showed high antibacterial activity against H. influenzae and indole positive Proteus group. Cefoperazone showed high antibacterial activity against P. aeruginosa. Resistance to latamoxef, ceftizoxime and cefoxitin was observed among Staphylococcus sp., while the MICs of other antibiotics against Staphylococcus sp. were fairly low. Number of strains resistant to the 3rd cephem antibiotics seems to be increasing because the 3rd generation of cephem antibiotics have been used frequently. Further investigation will be required on resistant organism to these antibiotics including beta-lactamase producing strains.     

Antibacterial activity in Actinidia chinensis, Feijoa sellowiana and Aberia caffra

The antibacterial activity of extracts from various parts of plants (leaves, fruits and stems) was studied in Actinidia chinensis, Feijoa sellowiana and Aberia caffra. These are tropical plants used for food. The fruits (subdivided into skin, pulp and seeds), leaves and stems were separately extracted and tested, in triplicate, against eight Gram positive and Gram negative bacterial strains. All the extracts, except from the leaves of A. caffra, showed activity against all the strains employed. Inhibition of bacterial growth was tested against Na-cefotaxime, benzyl penicillin and tetracycline. The antibiotic activity of fruit resides essentially in the seeds. The antibacterial activity of extracts from vegetative plant parts was generally less active that from fruit extracts. The minimum inhibiting concentration (MIC) and minimum bactericidal concentration (MBC) were determined for all the extracts and showed exclusively bacteriostatic activity.     

4种头孢菌素对社区呼吸道感染分离菌的体外抗菌活性

目的研究头孢菌素的体外抗菌活性。方法从未接受抗菌药物治疗或48h接受有效抗菌药物治疗的呼吸道感染病人中分离致病菌,采用纸片法测定细菌敏感试验结果及采用琼脂平板二倍稀释法测定最低抑菌浓度(MIC)。结果本项研究共分离出致病菌160株,常见病原菌为:克雷伯菌(42)、嗜血杆菌(30)、葡萄球菌(30)、肺炎链球菌(9)、阴沟肠杆菌(7)和大肠埃希菌 (14)。对于流感嗜血杆菌和肺炎链球菌头孢呋辛和头孢他啶的敏感性为100％;对于甲氧西林敏感的金黄色葡萄球菌(MSSA)头孢唑林钠的敏感性最高,为100％,其次为头孢呋辛94％、头孢他啶61％,其MIC值的结果显示同样的结果;对于革兰阴性杆菌,第三代头孢菌素最强,依次为第二代、一代头孢菌素,在本次实验中一代头孢菌素对于克雷伯菌、大肠埃希菌有较好的抗菌活性。结论针对不同来源的病人,合理选择不同的头孢菌素。     

临床常见革兰氏阴性菌产超广谱β-内酰胺酶的耐药性分析及意义

目的 :分析临床常见革兰氏阴性菌产超广谱 β 内酰胺酶 (ExtendedSpectrum β lactamase ,ESBLs)的产生及对 11种抗菌药物的耐药情况 ,并对临床针对性治疗产ESBLs耐药菌感染提出了建议。方法 :采用VITEKESBL检测试验及双纸片协同试验 ,对从临床感染标本中分离出的 2 81株革兰氏阴性菌作ESBLs的检测 ,比较亚胺培南等 11种抗菌药物对产ESBLs耐药菌体外抗菌作用。结果 :产ESBLs耐药菌占全部分离菌的2 3.1% ,其中大肠埃希氏菌占 49.2 % ,肺炎克雷伯氏菌占 2 3.1% ,阴沟肠杆菌占 15 .4% ,铜绿假单胞菌占7.7%。在耐三代头孢菌素阴性菌中 ,各类细菌中产ESBLs所占的比例分别是 ,大肠埃希氏菌为 5 7.1% ,肺炎克雷伯氏菌为 43.5 % ,阴沟肠杆菌为 2 1.3% ,铜绿假单胞菌为 14 .3% ,弗氏柠檬酸杆菌及乙酸钙不动杆菌各有 1株。在产ESBLs菌中 ,有 4株肺炎克雷伯氏菌及 12株大肠埃希氏菌均同时对头孢噻肟和头孢他啶敏感。亚胺培南除对产ESBLs铜绿假单胞菌抗菌作用明显降低外 ,对其它产ESBLs耐药菌均表现出最强的抗菌作用 ;头孢西丁对产ESBLs肺炎克雷伯氏菌及大肠埃希氏菌有较好的抗菌作用 ,其它产ESBLs耐药菌对头孢西丁全部耐药 ;氨基糖苷类及氟喹诺酮类抗菌药物对产ESBLs肺炎克雷伯氏菌呈现出较好的抗菌作用 ,其它产ESB