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采用肉汤稀释法和纸片法测定94株临床分离病原菌对β-内酰胺抗生素的敏感性和检测病原菌的β-内酰胺酶50株(53.2%)对氨苄青霉素耐药,其中47株(96.0%)β-内酰胺酶阳性;对舒他西林耐药6株(6.4%),5株检出β-内酰胺酶对头孢噻肟耐药3株(3.2%),2株含β-内酰胺酶表明β-内酰胺酶的产生是金葡球菌、大肠杆菌、肺炎杆菌及其它杆菌耐上述三种β-内酰胺抗生素的主要原因。因此,β-内酰胺酶的测定,对临床合理应用抗生素具有重要意义,β-内酰胶酶抑制剂与β-内酰胺抗生素联用是治疗耐药菌的有效途径之一。
The sensitivity of β-lactam antibiotics to 94 strains of clinical isolates and 50 strains of β-lactamases (53.2%) to detect pathogenic bacteria were tested against ampicillin using broth dilution method and disk method. Among them, 47 strains (96.0%) were positive for β-lactamase; 6 (6.4%) were resistant to sultamicillin; 3 were resistant to cefotaxime (3% ), Two strains containing β-lactamase showed that the production of β-lactamase was caused by Staphylococcus aureus, Escherichia coli, Klebsiella pneumoniae and other bacilli and was the main cause of the above three β-lactam antibiotics. Therefore, the determination of β-lactamase, clinically rational use of antibiotics is important, β-lactamase inhibitor and β-lactam antibiotics is an effective way to treat drug-resistant bacteria.