Email Alert | RSS    帮助

中国防痨杂志 ›› 2003, Vol. 25 ›› Issue (3): 146-148.

• 论著 • 上一篇    下一篇

110株结核分支杆菌对喹喏酮类药物的药敏试验分析

李丽;夏俊娣;张文华;董志云;于维琴;   

  1. 天津市肺科医院 天津 300222;
  • 出版日期:2003-03-10 发布日期:2003-11-03

Analysis of susceptibility testing for 110 strains of Mycobacterium tuberculosis to quinolones

LI Li,XIA Jun-di,ZHANG Wen-hua,et al.   

  1. Tianjin Pulmonology Hospital,Tianjing 300222
  • Online:2003-03-10 Published:2003-11-03

摘要: 目的 分析110株结核分支杆菌对环丙沙星(CPLX)、氧氟沙星(OFLX)、左氧氟沙星(LVFX)、司帕沙星(SPFX)的药敏试验结果。方法 采用2倍稀释法,改良罗氏培养基进行药敏试验。结果 49例初治病人耐药率:CPLX4%,OFLX8%,LVFX2%,SPFX6%;52例耐多药菌株耐药率:CPLX52%,OFLX44%,LVFX22%,SPFX10%;110株结核分支杆菌总耐药率:CPLX26.2%,OFLX24.7%,LVFX10.5%,SPFX7.2%。交叉耐药率23.6%。结论 (1)初治结核病人,抗炎治疗尽量避免使用喹喏酮类药物;(2)复治结核病人要选择合理治疗方案,避免假联合用药;(3)应用喹喏酮类药物,剂量要足,疗程要够;(4)建议将喹喏酮类药列入结核分枝杆菌常规药敏试验中。

关键词: 喹喏酮, 分枝杆菌,结核, 药物敏感性

Abstract: Objective To analyze the drug susceptibility testing for 110 strains of M.tuberculosis to quinolones.Methods The drug susceptibility testing (DST) was performed by the tube doubling dilution method, and reformed L-J medium was used.Results The resistance rates of 49 cases with newly diagnosed pulmonary tuberculosis were CPLX 4%, OFLX 8%, LVFX 2% and SPFX 6% . The resistance rates to CPLX, OFLX, LVFX and in the 52 cases with MDR-TB were 52%, 44%, 22%, and 10% respectively , The total resistance rate of 110 strains of MTB were CPLX 26.2%, OFLX 24.7%, LVFX 10.5% and SPLX 7.2%, The cross resistance rate was 23.6%. Conclusion 1.Avoid to give the quinolones as anti-in flammatory treatment on newly diagnosed cases with pulmonary tuberculosis;2.Only use reasonable chemotherapy regimens for the retreated cases with pulmonary tuberculosis;3.To give the full dosage and must complete the full course of treatment with the quinolones;4.The drug susceptibility test to quinolones as the routine assay is necessary.

Key words: Quinolones, Mycobacterium tuberculosis, Susceptibility to drugs