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A comparative evaluation of methicillin-resistant staphylococci isolated from harness racing-horses,breeding mares and riding-horses in Italy 被引量:2
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作者 Karina Mallardo Sandra Nizza +2 位作者 Filomena Fiorito Ugo Pagnini Luisa De Martino 《Asian Pacific Journal of Tropical Biomedicine》 SCIE CAS 2013年第3期169-173,共5页
Objective:To investigate the prevalence of methicillin-resistant staphylococci(MRS)which is a potencial risk factor of transmission between animals and humans in different types of horses(harness racing-horses,breedin... Objective:To investigate the prevalence of methicillin-resistant staphylococci(MRS)which is a potencial risk factor of transmission between animals and humans in different types of horses(harness racing-horses,breeding mares and riding-horses)and to compare the antimicrobial resistance of the isolates.Methods:A total of 191 healthy horses,housed at different locations of the Campania Region(Italy),were included in the study.Nasal swab samples were collected from each nostril of the horses.The mecA gene was detected by a nested PCR technique.Antibiotic susceptibility was tested for each isolate.Results:MRS was isolated from nasal samples of 68/191(35.6%;95%CI:28.9%-42.9%)healthy horses.All isolates were coagulase-negative with the exception of two coagulase-positive MRS strains,identified as Staphylococcus aureus and Staphylococcus pseudintermedius.2/83(2.4%;95%,CI:0.4%-9.2%).Interestingly,both coagulase-positive MRS isolates were from harness racing-horses.These horses also presented a significantly higher positivity for MRS(53.3%;95%CI:40.1%-66.1%)than the breeding mares and riding-horses groups.Antibiotic susceptibility testing showed difference between isolates due to different origins except for an almost common high resistance to aminopenicillins,such as ampicillin and amoxicillin.Conclusions:It can be concluded that harness racing-horses may act as a significant reservoir of MRS as compared to breeding mares and riding-horses. 展开更多
关键词 METHICILLIN-RESISTANT staphylococci MARES HARNESS racing-horse Riding-horse Nasal swabs
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Pathogenicity and Antimicrobial Resistance in Coagulase-Negative Staphylococci
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作者 Debora Brito Goulart 《Journal of Biosciences and Medicines》 CAS 2023年第5期9-29,共21页
The coagulase-negative staphylococci (CoNS) group was considered saprophytic or rarely pathogenic for many years. Since the first case of septicemia caused by CoNS, there has been a progressive increase in the prevale... The coagulase-negative staphylococci (CoNS) group was considered saprophytic or rarely pathogenic for many years. Since the first case of septicemia caused by CoNS, there has been a progressive increase in the prevalence of healthcare-associated infections caused by CoNS. The CoNS group has emerged as one of the main causes of nosocomial infections related to vascular catheters and prostheses, especially among immunocompromised patients. This gradual increase in infections is due to the change in the relationship between patients and procedures since CoNS are closely related to devices implanted in the human body. CoNS are successful in colonizing the host because they have several virulence mechanisms, such as biofilm formation and production of enzymes and toxins, in addition to several mechanisms of resistance to antimicrobials. Despite their great clinical relevance, few studies have focused on CoNS’s pathogenicity and resistance to antimicrobials, which reveals the current need to better understand the factors by which this group became pathogenic to humans and other animals. This review aims to synthesize the aspects related to the pathogenicity and antimicrobial resistance in CoNS. 展开更多
关键词 Coagulase-Negative staphylococci ANTIMICROBIAL-RESISTANCE Biofilm Nosocomial Infections Pathogenesis Beta-Lactams Antibiotics Glycopeptide Antibiotics Macrolide Antibiotics SEPTICEMIA BACTEREMIA
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Identification of Quinolones/Fluoroquinolones Resistance Genes from Staphylococci Strains Isolated at the University Hospital of Brazzaville, Republic of the Congo
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作者 Léa Gwladys Gangoue Faust René Okamba Ondzia +5 位作者 Stech Anomene Eckzechel Nzaou Fils Landry Mpele Tarcisse Baloki Ngoulou Fabien Rock Niama Rachel Moyen Etienne Nguimbi 《Journal of Biosciences and Medicines》 CAS 2023年第2期30-52,共23页
Staphylococci strains, like the majority of bacterial strains, have developed the resistance to several antibiotics, including Quinolones and Fluoroquin-olones In the Republic of the Congo, cases of resistance leading... Staphylococci strains, like the majority of bacterial strains, have developed the resistance to several antibiotics, including Quinolones and Fluoroquin-olones In the Republic of the Congo, cases of resistance leading to treat-ment failures have been observed during the treatment of staphylococcal infections with antibiotics in hospitals. The objective of this study was to identify the Quinolone/Fluoroquinolone resistance genes from staphylo-cocci strains isolated in hospitals. A total of 51 strains of Staphylococci were isolated, including 16 (31.37%) community strains, and 35 (68.62%) clinical strains. 46 strains of Staphylococcus aureus (S. aureus) and 5 SCNs were identified. A total of 34 DNA fragments from different strains resistant to Quinolones/Fluoroquinolones, including 21 (61.67%) DNA fragments from clinical S. aureus and 13 (38.23%) from community SCN strains were analyzed by the molecular method (genotypic detection) by PCR. The genotypic results made it possible to identify the gyrA, grLA and norA genes and to show that these genes are involved in the resistance of the strains to the various antibiotics used. The grLA gene was the most identified gene with a frequency of 75%. The gyrA and grLA genes have been identified in Staphylococcus aureus and Coagulase Negative Staphy-lococci. The norA gene, on the other hand, has only been identified in Staphylococcus aureus. Two mechanisms are essentially involved in the resistance of Staphylococci to quinolones/Fluoroquinolones, the mecha-nism of resistance by efflux, which takes place thanks to a transmembrane protein coded by the norA gene and by point mutations (substitution and deletion of acids or nucleotides) observed within the protein and nucleic sequences of the chromosomal gyrA and grLA genes. 展开更多
关键词 Genes Resistance Quinolones/Fluoroquinolones staphylococci
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Antibiotic Effect on Planktonic and Biofilm-Producing Staphylococci
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作者 Hassan A. M. Samaha Mohamed H. Al-Agamy Wafaa E. Soliman 《Advances in Microbiology》 2017年第6期498-512,共15页
The pathogenic effect of Staphylococci is due to extra-cellular factors and properties such as adherence and biofilm production. The nature of the biofilm and the physiological properties of biofilm-producing bacteria... The pathogenic effect of Staphylococci is due to extra-cellular factors and properties such as adherence and biofilm production. The nature of the biofilm and the physiological properties of biofilm-producing bacteria result in an inherent antibiotic resistance and require further investigation. Two hundred and sixty Staphylococcal strains were cultured from 600 clinical specimens obtained from hospitalized patients. Among these, 155 were identified as coagulase-positive (CPS) and 105 as coagulase-negative (CNS) staphylococci. Staphylococcal strains were tested for biofilm production using the tissue culture plate (TCP) method. TCP detection showed that of the 155 CPS, 124 (80%) were biofilm producers, while 63 (60%) of the 105 CNS were biofilm producers. Biofilm-producing strains were scanned by scanning electron microscope (SEM) to confirm biofilm formation, study biofilm production, and examine antibiotic effects on biofilm formation. Disc diffusion method was used to study resistance of planktonic and biofilm-forming cells to antibiotics. Planktonic cells were less resistant to antibiotics than biofilm-forming cells. Microbroth dilution method and a new BioTimer assay were used to determine antibiotic MICs affecting planktonic and biofilm cells. Both methods showed that the MICs for planktonic cells were less than that for biofilm cells. The BioTimer assay was therefore found to be sensitive, accurate, and reliable, with results in agreement with those from the broth dilution method and SEM. 展开更多
关键词 staphylococci ADHERENCE BIOFILM TISSUE Culture Plate BioTimer ASSAY Method
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Coagulase Gene Typing with Emphasis on Methicillin-Resistance Staphylococci: Emergence to Public Health
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作者 Dalia A. Hamza Sohad M. Dorgham Amany Arafa 《Advances in Infectious Diseases》 2015年第4期196-203,共8页
Emerging antimicrobial resistance among CNS is a concern in veterinary and human medicine. Coagulase test is considered as the key test to differentiate staphylococci to two groups, coagulase positive staphylococci (C... Emerging antimicrobial resistance among CNS is a concern in veterinary and human medicine. Coagulase test is considered as the key test to differentiate staphylococci to two groups, coagulase positive staphylococci (CPS) and coagulase negative staphylococci (CNS). A total of 200?Staphylococci?strains were isolated with percentage 66.7% (200/300) from quarter milk samples. The total of?S. aureus?strains are 70 with percentage 35% (70/200). Among 70 strains of?S. aureus, 30 strains are coagulase positive?S. aureus?with percentage 43% (30/70) and coagulase negative?S. aureus?57% (40/70). CNS other than?S. aureus?was detected with percentage 65% (130/200) from subclinical mastitic cows. We examine sixty isolates of staphylococci recovered from subclinical mastitis in dairy cattle which divided as ten isolates of coagulase positive?S. aureus?(CP?S. aureus), ten isolates of coagulase negative?S. aureus(CN?S. aureus) and forty isolates of coagulase negative staphylococci (CNS) which identified using API-Staph Kits as?S. chromogenes,?S. simulans,?S. haemolyticus,?S. epidermidis?and?S. cohnii.?The genotypic detection of?coa?gene and?mecA gene was screened in CP?S. aureus, CN?S. aureus?and CNS. 展开更多
关键词 COAGULASE coa GENE mecA GENE staphylococci METHICILLIN
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Batumin—A Selective Inhibitor of Staphylococci—Reduces Biofilm Formation in Methicillin Resistant <i>Staphylococcus aureus</i>
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作者 Larisa Churkina Mario Vaneechoutte +3 位作者 Elena Kiprianova Natalia Perunova Lilja Avdeeva Oleg Bukharin 《Open Journal of Medical Microbiology》 2015年第4期193-201,共9页
The antibiotic batumin, produced by Pseudomonas batumici, has been shown to be highly active against 123 type and reference strains and clinical isolates of 30 Staphylococcus species (including MRSA and small colony v... The antibiotic batumin, produced by Pseudomonas batumici, has been shown to be highly active against 123 type and reference strains and clinical isolates of 30 Staphylococcus species (including MRSA and small colony variants—(SSCVs) of S. aureus, S. epidermidis and S. haemolyticus). Batumin activity against these bacteria did not depend on the species, origin or resistance to other antibiotics and its MIC was 0.0625 - 0.5 mg/ml. Batumin influence on biofilm formation was studied in clinical isolates of S. aureus, S. epidermidis and S. intermedius. Addition of batumin at a concentration of half of the MIC in the broth, i.e. 0.125 μg/ml, decreased the biofilm of 16 out of 20 S. aureus strains to varying degrees. Batumin was more effective against Staphylococcus strains with strong biofilm formation. Using atomic-force microscopy, it could be shown that batumin reduced the number of S. aureus ATCC 25923 adherent cells more than fourfold. The adherent cells of staphylococci were visualized as monolayers of separate islets. A detailed study of the surface of bacterial cells treated with batumin allowed to establish significant reduction of their roughness values. Observed values were typical for planktonic S. aureus cells. The obtained data explain one of the mechanisms of the antimicrobial activity of batumin, which is based оn preventing the formation of S. aureus biofilm. As such, batumin could be considered as an agent offering opportunities for the treatment of staphylococcal biofilm-associated infections. 展开更多
关键词 Batumin staphylococci SSCVs BIOFILM
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The Treatment Effects and Mechanism of Highly Agglutinative Staphylococci, Local Therapy in Patients with Superficial Metastatic Tumor
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作者 罗锋 魏于全 +6 位作者 彭枫 姜愚 邹立群 刘继彦 阚兵 雷松 张萍 《Chinese Journal of Cancer Research》 SCIE CAS CSCD 2000年第3期79-80,共2页
关键词 The Treatment Effects and Mechanism of Highly Agglutinative staphylococci Local Therapy in Patients with Superficial Metastatic Tumor
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Determination of antimicrobial resistance profile and inducible clindamycin resistance of coagulase negative staphylococci in pediatric patients: the first report from Iran
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作者 Mohammad Aghazadeh Reza Ghotaslou +3 位作者 Mohammad Ahangarzadeh Rezaee Mohammad Hassan Moshafi Zoya Hojabri Fereshteh Saffari 《World Journal of Pediatrics》 SCIE CSCD 2015年第3期250-254,共5页
Background:Currently,coagulase negative staphylococci(CoNS)have got much attention as a serious health problem especially in neonates and children.High incidence of antibiotic resistance,in particular methicillin resi... Background:Currently,coagulase negative staphylococci(CoNS)have got much attention as a serious health problem especially in neonates and children.High incidence of antibiotic resistance,in particular methicillin resistance,has complicated the treatment of these organisms.The aim of this study is to determine the susceptibility to different antimicrobial agents and the prevalence of macrolides-lincosamides-streptogramins B(MLS_(B))resistance in CoNS isolates obtained from pediatric patients.Methods:Totally 157 CoNS isolates from various clinical samples were examined for antibiotic resistance using disk diffusion and E-test methods.Double-disk test was applied to detect constitutive and inducible MLSB resistance(cMLS_(B)and iMLS_(B))phenotypes.Results:Resistance to methicillin was seen in 98(62.4%)isolates.All isolates were susceptible to vancomycin and linezolid.The prevalence of resistance to antibiotics tested was as follows:fusidic acid(n=58,36.9%),gentamicin(n=73,46.5%),ciprofloxacin(n=81,51.6%),clindamycin(n=112,71.3%),erythromycin(n=129,82.2%)and trimethoprim/sulfamethoxazole(n=133,84.7%).iMLS_(B)phenotype was seen in 14(8.9%)isolates,and 18(11.5%)and 98(62.4%)isolates showed MS and cMLS_(B)phenotypes,respectively.We observed that high overall antibiotic resistance rates were associated significantly with methicillin resistance.Conversely,iMLS_(B)phenotype was correlated neither with methicillin resistance nor with invasiveness.Conclusion:Given the similarity observed between the prevalence of iMLS_(B)and MS phenotypes,the performance of disk diffusion induction test is strongly recommended in our region. 展开更多
关键词 antibiotic susceptibility coagulase negative staphylococci inducible resistance PEDIATRICS
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凝固酶阴性葡萄球菌的研究进展
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作者 李扬威 段宝生 《国外医药(抗生素分册)》 2025年第6期378-388,共11页
葡萄球菌是常见的革兰阳性球菌,分为凝固酶阳性葡萄球菌和凝固酶阴性葡萄球菌两大类,与凝固酶阳性葡萄球菌不同,凝固酶阴性葡萄球菌多年来一直被认为致病性较低或无致病性。凝固酶阴性葡萄球菌常定植在人体皮肤和黏膜,很少引发有临床症... 葡萄球菌是常见的革兰阳性球菌,分为凝固酶阳性葡萄球菌和凝固酶阴性葡萄球菌两大类,与凝固酶阳性葡萄球菌不同,凝固酶阴性葡萄球菌多年来一直被认为致病性较低或无致病性。凝固酶阴性葡萄球菌常定植在人体皮肤和黏膜,很少引发有临床症状的感染。然而,随着医疗技术的发展和免疫功能低下患者群体的出现,如今凝固酶阴性葡萄球菌已成为医院感染的常见病原体,同时其致病作用在医院临床科室中越来越受重视,凝固酶阴性葡萄球菌正成为一个全球性的公共卫生问题。本文就凝固酶阴性葡萄球菌的流行病学、致病性和耐药性等方面进行综述,以期为更好地防范和治疗凝固酶阴性葡萄球菌相关感染提供理论依据。 展开更多
关键词 凝固酶阴性葡萄球菌 流行病学 致病性 耐药性 抗生素
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血液培养中凝固酶阴性葡萄球菌的污染率及抗菌药物敏感性
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作者 张翰庭 王晶 《医学研究前沿》 2025年第8期92-95,共4页
目的分析血液培养中凝固酶阴性葡萄球菌污染发生率、菌种分布及耐药特征,明确污染相关危险因素。方法回顾性研究2022-2024年1864份血培养标本,确诊CoNS污染102例(污染组),随机抽取真性菌血症108例(真感组)。记录两组基础疾病、采血参数... 目的分析血液培养中凝固酶阴性葡萄球菌污染发生率、菌种分布及耐药特征,明确污染相关危险因素。方法回顾性研究2022-2024年1864份血培养标本,确诊CoNS污染102例(污染组),随机抽取真性菌血症108例(真感组)。记录两组基础疾病、采血参数。病原体鉴定采用MALDI-TOF MS,药敏试验遵循CLSI 2023标准。污染判定依据单套阳性、重复培养阴性、炎症标志物阈值及临床无凝固酶阴性葡萄球菌靶向抗菌治疗用药记录。结果CoNS总污染率5.5%(102/1864)。污染组表皮葡萄球菌占62.7%(64/102),显著高于溶血葡萄球菌21.6%(22/102)及人葡萄球菌9.8%(10/102)。药敏显示污染株对苯唑西林耐药率85.3%(87/102),红霉素76.5%(78/102),左氧氟沙星47.1%(48/102);对万古霉素、替考拉宁、利奈唑胺均敏感。急诊科采血污染率11.7%(34/290)显著高于病房4.2%(68/1574)(P=0.003);采血量<8ml/瓶者污染率13.9%(25/180)高于标准采血量组4.6%(77/1684)(P<0.001)。Logistic回归证实急诊采血(OR=3.12,95%CI 1.89-5.15)及采血不足(OR=2.97,95%CI 1.75-5.04)为独立危险因素。结论血培养CoNS污染以表皮葡萄球菌为主,呈现多重耐药特性但保留糖肽类药物敏感性。急诊采血及采血量不足显著增加污染风险,需强化操作规范以降低假阳性率。 展开更多
关键词 血液培养 凝固酶阴性葡萄球菌 污染率 抗菌药物敏感性
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万古霉素异质性耐药葡萄球菌的分离及其药物敏感性分析 被引量:31
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作者 吴本权 唐英春 +3 位作者 张扣兴 张天托 朱家馨 席云 《中国抗生素杂志》 CAS CSCD 北大核心 2002年第2期116-120,共5页
目的 调查葡萄球菌对万古霉素异质性耐药亚群发生频率以及对常见抗生素的药物敏感性。方法 利用菌群分析法筛选万古霉素异质性耐药葡萄球菌亚群 ,Microscan Microbiology System对萄萄球菌分型和鉴定并分析对 19种常用抗生素的药物敏... 目的 调查葡萄球菌对万古霉素异质性耐药亚群发生频率以及对常见抗生素的药物敏感性。方法 利用菌群分析法筛选万古霉素异质性耐药葡萄球菌亚群 ,Microscan Microbiology System对萄萄球菌分型和鉴定并分析对 19种常用抗生素的药物敏感性。结果  115株耐甲氧西林的葡萄球菌 ,9株对万古霉素耐药亚群的 MIC8~ 12 mg/ L,其发生频率为 10 - 4~ 10 - 7,其中 3株金葡球菌 ,6株溶血性葡萄球菌。传至 7代后万古霉素 MIC6 4 mg/ L。对 19种抗生素药敏显示 ,万古霉素敏感 2株、中介 7株 ,敏感率 2 2 .2 % ;利福平敏感7株 (MIC≤ 1mg/ L)、中介 1株 (MIC=2 mg/ L)及耐药 1株 (MIC>2 mg/ L)、敏感率 77.8% ;SMZ/ TMP敏感 6株 (MIC≤ 2 / 38mg/ L)、耐药 3株 (MIC>2 / 38mg/ L) ,敏感率 6 6 .7% ;克林霉素敏感 3株 (MIC=0 .5或≤ 0 .2 5 )、耐药 6株 (MIC>2 mg/ L) ,敏感率 33.3% ;四环素敏感 3株 (MIC≤ 2 mg/ L)、耐药 6株 (MIC>8mg/L) ,敏感率 33.3% ;左氧氟沙星敏感 1株 (MIC≤ 2 mg/ L)、耐药 8株 (MIC>4 mg/ L) ,敏感率 11.1%。其余 13种抗生素耐药。结论 下呼吸道分离的葡萄球菌存在一定频率的对万古霉素异质性耐药株 ,可能是万古霉素治疗失败的原因之一 ,利福平、SMZ/ TMP具有较好的敏感性 。 展开更多
关键词 葡萄球菌 万古霉素 抗药性 异质性 药物敏感性
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凝固酶阴性葡萄球菌所致血行感染的相关研究 被引量:83
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作者 徐雅萍 罗燕萍 +3 位作者 周光 李连赞 付小红 唐玲 《中华医院感染学杂志》 CAS CSCD 北大核心 2006年第2期224-226,182,共4页
目的分析凝固酶阴性葡萄球菌(CNS)所致血行感染的相关因素,为临床诊治CNS菌血症提供参考依据。方法对本院2004年1月~2005年5月间血中分离到CNS143例病历进行回顾性分析。结果143例患者中79例为CNS菌血症的确诊病例(55.24%),血... 目的分析凝固酶阴性葡萄球菌(CNS)所致血行感染的相关因素,为临床诊治CNS菌血症提供参考依据。方法对本院2004年1月~2005年5月间血中分离到CNS143例病历进行回顾性分析。结果143例患者中79例为CNS菌血症的确诊病例(55.24%),血培养阳性出现时间20.8h,早于污染菌(31h)(P〈0.01);病原菌与污染菌对常用抗菌药物敏感性差异无显著性;多瓶血样本均在48h内培养出CNS,全部为菌血症的确诊病例。结论CNS污染率较高,护士在采集血培养标本时,尽可能减少污染;血中分离出CNS时应综合分析临床和实验室资料,做出正确判断后,再用药,避免滥用抗菌药物。 展开更多
关键词 凝固酶阴性葡萄球菌 菌血症 病原菌 污染菌
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发酵香肠中的菌种分离及鉴定 被引量:34
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作者 罗欣 王海燕 +1 位作者 张春江 朱燕 《食品与发酵工业》 CAS CSCD 北大核心 2003年第3期5-9,共5页
从发酵香肠混合发酵剂中分离菌株 ,确定用于发酵香肠生产的菌株名称 ,并研究了其生理生化性质。实验结果表明乳酸菌中 3 2MRS的生长速度最快 ,3MRS的生长速度最慢 ;2种葡萄球菌的生长速度差异不显著。在筛选的菌株中 3MRS的最适生长温度... 从发酵香肠混合发酵剂中分离菌株 ,确定用于发酵香肠生产的菌株名称 ,并研究了其生理生化性质。实验结果表明乳酸菌中 3 2MRS的生长速度最快 ,3MRS的生长速度最慢 ;2种葡萄球菌的生长速度差异不显著。在筛选的菌株中 3MRS的最适生长温度为 35℃ ,其余 6种菌株的最适生长温度为 30℃。 展开更多
关键词 发酵香肠 乳酸菌 葡萄球菌 菌种分离 鉴定 混合发酵剂
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耐甲氧西林凝固酶阴性葡萄球菌及糖肽类耐药的检测与分析 被引量:14
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作者 张远春 李爽 +3 位作者 李凤莲 刘迎春 王靖 王萍 《中华医院感染学杂志》 CAS CSCD 北大核心 2007年第9期1152-1155,共4页
目的了解中日友好医院临床耐甲氧西林凝固酶阴性葡萄球菌(MRCNS)糖肽类耐药的流行情况和耐药机制,为MRCNS医院感染的预防与控制提供可靠依据。方法头孢西丁纸片法、mecA基因PCR检测MRCNS;万古霉素耐药确证试验筛选对万古霉素敏感性下降... 目的了解中日友好医院临床耐甲氧西林凝固酶阴性葡萄球菌(MRCNS)糖肽类耐药的流行情况和耐药机制,为MRCNS医院感染的预防与控制提供可靠依据。方法头孢西丁纸片法、mecA基因PCR检测MRCNS;万古霉素耐药确证试验筛选对万古霉素敏感性下降的凝固酶阴性葡萄球菌(CNS),E-test法检测其MIC及多重PCR检测其van基因。结果CNS对头孢类、β-内酰胺类、氨基糖苷类、大环内酯类、克林霉素类抗菌药物耐药程度较高;52株CNS菌中头孢西丁纸片法与mecA基因检测MRCNS的符合率为96.2%,mecA基因阳性率为92.3%;256株CNS菌中筛选出4株异质性耐万古霉素葡萄球菌(VRS),均为MRCNS,未检出vanA、vanB、vanC1及vanC2基因。结论对VRS和MRCNS进行有效的实验室检测与院内监测并采取有效措施预防与控制其传播是非常重要的。 展开更多
关键词 凝固酶阴性葡萄球菌 耐甲氧西林凝固酶阴性葡萄球菌 MECA基因 van基因 异质性耐万古霉素葡萄球菌
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湿疹皮炎中葡萄球菌及对常用抗生素耐药性状况与硝酸益康唑/曲安奈德霜治疗的观察 被引量:22
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作者 林麟 陈晓 +9 位作者 陈敏 岳晓玉 杨雪源 仇宁 胡兹嘉 李慧珠 宗文凯 盛楠 林彤 李安生 《临床皮肤科杂志》 CAS CSCD 北大核心 2002年第12期764-766,共3页
为了探讨湿疹皮炎中金黄色葡萄球菌(金葡菌)及其它葡萄球菌定殖或感染,以及对某些常用外用抗生素敏感性,对149例湿疹皮炎类皮肤病患者的皮损进行细菌分离,并对分离出的125株葡萄球菌进行6种抗生素的药敏试验。临床上同时使用硝酸益康唑... 为了探讨湿疹皮炎中金黄色葡萄球菌(金葡菌)及其它葡萄球菌定殖或感染,以及对某些常用外用抗生素敏感性,对149例湿疹皮炎类皮肤病患者的皮损进行细菌分离,并对分离出的125株葡萄球菌进行6种抗生素的药敏试验。临床上同时使用硝酸益康唑/曲安奈德霜治疗,观察疗效。结果149例患者有121例查出细菌,共有135株菌,其中金葡菌58株(42.96%)等。细菌对抗生素的敏感率以利福平最高(82.4%)。硝酸益康唑/曲安奈德霜治疗,3周内痊愈率88.6%。比较带金葡菌者与未带金葡菌者的疗效,两组结果无显著性差异。本研究显示湿疹皮炎类皮肤病皮损中带菌率高,疾病与细菌可能有重要关系。治疗这类疾病时,合用敏感性高的抗菌药物很有帮助。 展开更多
关键词 湿疹皮炎 葡萄球菌 抗生素 耐药性 硝酸益康唑 曲安奈德霜 治疗
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血培养凝固酶阴性葡萄球菌阳性的临床意义 被引量:79
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作者 王辉 张悦娴 +2 位作者 谢秀丽 徐英春 陈民钧 《中国抗感染化疗杂志》 2001年第2期79-82,共4页
目的 :评价血培养中凝固酶阴性葡萄球菌 (CNS)阳性的临床意义。方法 :对本院 1995~ 1999年血中分离到CNS的70例住院患者进行回顾性分析 ,判定是菌血症还是血样本污染。结果 :70例患者中 37例 (5 2 .9% )为菌血症 ,其入侵部位 15例 (4 0... 目的 :评价血培养中凝固酶阴性葡萄球菌 (CNS)阳性的临床意义。方法 :对本院 1995~ 1999年血中分离到CNS的70例住院患者进行回顾性分析 ,判定是菌血症还是血样本污染。结果 :70例患者中 37例 (5 2 .9% )为菌血症 ,其入侵部位 15例 (4 0 .5 % )为静脉插管及人工装置 ,8例 (2 1.6 % )为术后伤口感染 ,4例为呼吸道 ,4例为脐带 ,1例为眼部 ,5例不明。 37例菌血症主要发生于重症监护病房、新生儿病房、外科病房和血液科病房。入院 48h内检出的CNS中 ,2 4株 (39.3% )为污染菌 ,入院 48h以后检出的CNS ,均为污染菌 (9株 ) ;污染菌的检出时间显著长于病原菌 (36 .2h/2 1.9h ,P =0 .0 1)。病原菌与污染菌对青霉素、苯唑西林、庆大霉素、环丙沙星、万古霉素的敏感性差异无显著性 (P >0 .2 5 )。在 15例由静脉插管及人工装置引起的菌血症中 ,10例经拔除导管后 ,菌血症得到控制 ;另 5例还同时使用了万古霉素 ,菌血症才得以控制。结论 :CNS血培养阳性时污染率较高 ,需综合临床和实验室的资料判定其临床意义 。 展开更多
关键词 凝固酶阴性葡萄球菌 菌血症 污染菌 临床意义 血培养
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大蒜素联合头孢唑林或苯唑西林对葡萄球菌的抗菌作用 被引量:19
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作者 蔡芸 裴斐 +5 位作者 郑砚君 梁蓓蓓 范燕 李聪然 童卫杭 王睿 《中国临床药理学与治疗学》 CAS CSCD 2006年第8期925-928,共4页
目的:评价大蒜素分别与头孢唑林或苯唑西林联合用药,对于临床分离的革兰阳性球菌,包括金黄色葡萄球菌(staphylococcus aureus)和表皮葡萄球菌(staphylococcus epidermidis)的体外联合抗菌效应.方法:采用棋盘法设计,微量肉汤稀释... 目的:评价大蒜素分别与头孢唑林或苯唑西林联合用药,对于临床分离的革兰阳性球菌,包括金黄色葡萄球菌(staphylococcus aureus)和表皮葡萄球菌(staphylococcus epidermidis)的体外联合抗菌效应.方法:采用棋盘法设计,微量肉汤稀释法测定.测定不同浓度组合的二组抗菌药物对40株临床分离的革兰阳性球菌的最低抑菌浓度,并计算FIC指数,也称部分抑菌浓度(Fractiona inhibitory concentration index)判定联合效应.FIC≤0.5 为协同作用,0.5<FIC≤1为相加作用,1<FIC≤2为无关作用,FIC>2为拮抗作用.结果:大蒜素与头孢唑林或苯唑西林联合应用后,其MIC50显著降低.FIC指数分布:FIC≤0.5占55%~75%;0.5<FIC≤1占20%~40%;1<FIC≤2占0~5.88%;FIC>2为0.结论:头孢唑林或苯唑西林这2种抗菌药物与大蒜素联合用药后,对革兰阳性球菌基本表现为协同作用和相加作用. 展开更多
关键词 大蒜素 头孢唑林 苯唑西林 葡萄球菌 联合药敏
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2011—2013年临床血培养病原菌的分布及耐药性变迁 被引量:23
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作者 高丽钦 王武军 +5 位作者 甘龙杰 欧启水 林宇岚 王文华 陈守涛 杨滨 《中国抗生素杂志》 CAS CSCD 北大核心 2015年第7期555-560,共6页
目的了解福建医科大学附属第一医院血液培养标本中病原菌分布及耐药性变化规律。方法回顾性分析2011年至2013年从32779份血培养标本中分离的3098例阳性标本中病原菌种类及其药敏检测结果。结果病原菌血培养阳性率为9.45%(309 8/32779),... 目的了解福建医科大学附属第一医院血液培养标本中病原菌分布及耐药性变化规律。方法回顾性分析2011年至2013年从32779份血培养标本中分离的3098例阳性标本中病原菌种类及其药敏检测结果。结果病原菌血培养阳性率为9.45%(309 8/32779),居前5位的是大肠埃希菌(20.92%,648/3098)、凝固酶阴性葡萄球菌(16.59%,514/3098)、肺炎克雷伯菌(11.14%,345/3098)、金黄色葡萄球菌(6.23%,193/3098)和鲍曼不动杆菌(6.10%,189/3098)。但从2013年开始出现对碳青霉烯类药物耐药的肺炎克雷伯菌菌株,其对亚胺培南和美罗培南的耐药率分别为3.18%和3.16%;凝固酶阴性葡萄球菌、金黄色葡萄球菌尚未发现对万古霉素耐药。结论血培养分离的细菌菌种呈多样化,大肠埃希菌仍然是血流感染的首要致病菌,且其耐药率有上升趋势;凝固酶阴性葡萄球菌和肺炎克雷伯菌的分离率有所增加。应继续开展病原菌分布及其耐药性监测,用于指导临床医生合理使用抗生素。 展开更多
关键词 血流感染 病原菌 耐药性 大肠埃希菌 凝固酶阴性葡萄球菌
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猪体内金黄色葡萄球菌及凝固酶阴性葡萄球菌耐药性调查及耐药基因分布研究 被引量:14
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作者 林大川 刘健华 +5 位作者 王晶 孙娜 郭潇木 魏鸿堃 冯言言 曾振灵 《华南农业大学学报》 CAS CSCD 北大核心 2012年第4期550-555,共6页
2010年从广东省不同地区230头猪的淋巴结样品中分离鉴定出90株葡萄球菌,其中金黄色葡萄球菌19株,凝固酶阴性葡萄球菌71株.采用琼脂稀释法检测其对14种抗菌药物的敏感性,并用PCR方法检测13种耐药基因的携带情况,运用统计学方法分析猪体... 2010年从广东省不同地区230头猪的淋巴结样品中分离鉴定出90株葡萄球菌,其中金黄色葡萄球菌19株,凝固酶阴性葡萄球菌71株.采用琼脂稀释法检测其对14种抗菌药物的敏感性,并用PCR方法检测13种耐药基因的携带情况,运用统计学方法分析猪体内金黄色葡萄球菌与凝固酶阴性葡萄球菌的耐药性和耐药基因分布情况的差异.结果显示葡萄球菌对大环内酯类、林可胺类和四环素类抗生素的耐药率较高(>80%).金黄色葡萄球菌与凝固酶阴性葡萄球菌对多数药物耐药情况及耐药基因的携带情况差异不显著,但对苯唑西林的耐药率及linA、ermB基因的携带率差异显著(P<0.05),凝固酶阴性葡萄球菌明显高于金黄色葡萄球菌. 展开更多
关键词 金黄色葡萄球菌 凝固酶阴性葡萄球菌 耐药性 耐药基因
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肉品发酵剂葡萄球菌和微球菌的筛选 被引量:20
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作者 王永霞 牛天贵 郝华昆 《食品与发酵工业》 CAS CSCD 北大核心 2004年第9期5-10,共6页
应用一种快速半定量平板方法初步筛选可作为肉品发酵剂的葡萄球菌和微球菌。从中式传统肉制品中分离、纯化了 1 0 0多株葡萄球菌和微球菌 ,将菌株点种在加有KNO3的琼脂平板 ,据菌落周围显示的红圈大小挑选出硝酸盐还原酶活性较高的菌株 ... 应用一种快速半定量平板方法初步筛选可作为肉品发酵剂的葡萄球菌和微球菌。从中式传统肉制品中分离、纯化了 1 0 0多株葡萄球菌和微球菌 ,将菌株点种在加有KNO3的琼脂平板 ,据菌落周围显示的红圈大小挑选出硝酸盐还原酶活性较高的菌株 ,同时具有一定蛋白酶和脂肪酶活性的菌株进行发酵适应性试验。筛选出 1株过氧化氢酶阳性球菌 ,经初步鉴定为肉糖葡萄球菌S1 5。通过在模拟肉汤培养基中和乳酸菌混合培养确定了一种复配方案P2 0 +S1 5。将混合发酵剂用于发酵香肠的制作 ,测定微生物和理化指标 。 展开更多
关键词 肉品发酵剂 微球菌 混合发酵剂 发酵香肠 传统肉制品 乳酸菌 感官指标 葡萄球菌 筛选 阳性
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