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三种喹诺酮类药物抗结核分支杆菌最低抑菌浓度分布状况研究 被引量:12

Study on MICs' distribution of three kinds of fluoroquinlone against Mycobacterium tuberculosis
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摘要 目的 探索三种喹诺酮类药物抗结核分支杆菌的抑菌浓度 ,分析三种药物的最低抑菌浓度(minimalinhibitoryconcentration ,MIC)分布。方法 采用试管等倍稀释法测药物MIC。结果 未用喹诺酮类药物的结核菌株 2 1株中 2 0株 ( 95.2 % )的MIC分布与H37Rv的MIC值相近。应用喹诺酮类药物于 4周的结核菌株 15株中 13株 ( 86.7% )MIC分布与未用药组MIC分布相同 ,用喹诺酮类药物 4周以上的结核菌株 16株中 15株 ( 93.7% )的MIC的分布与未用药组的MIC分布相比 ,增高的趋势明显。结论 长时间应用喹诺酮类药物可能会引起MIC的增高而影响临床疗效。 Objective To explore the MICs' distribution of ofloxacin,levofloxacin and ciprofloxacin against clinical isolate of Mycobacterium tuberculosis in vitro strains.Methods The MICs of these drugs were determined by equivalent dilution method.Results Of 21 clinical isolates of M.tuberculosis not previously exposed,and of 15 clinical isolates previously exposed within 4 weeks to these drugs,the MICs of 20 (95.2%) and 13(86.7%) respectively were closed to that of Mycobacterium tuberculosis H 37 Rv's,of 16 isolates of M.tuberculosis previously exposed beyond 4 weeks,MICs of 15 isolates (93.7%) were higher than that of H 37 Rv.Conclusion If the three drugs were treated patients with tuberculosis for a long time,the MICs of M.Tuberculosis of these drugs might be increased.
出处 《中国防痨杂志》 CAS 北大核心 2001年第4期222-224,共3页 Chinese Journal of Antituberculosis
关键词 结核分支杆菌 喹喏酮类 药代动力学 结核病 抗结核病药 Mycobacterium,tuberculosis Fluoroquinlones/pharmacokin
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