泵抑制剂提高肺炎克雷伯菌对环丙沙星的敏感性
Efflux pump Inhibitors improve the sensitivity of ciprofloxacin in drug-resistance Klebsiella pneumoniae
目的 研究泵抑制剂利血平和羰基氰氯苯腙(CCCP)能否提高肺炎克雷伯菌对环丙沙星的敏感性.方法 收集临床分离对环丙沙星敏感的肺炎克雷伯菌20株,随机抽取10株,应用不同浓度梯度环丙沙星逐级诱导为高耐药株.用琼脂稀释法测定应用泵抑制剂前后,分离的临床敏感株和诱导耐药株的最小抑菌浓度(MIC).结果 应用泵抑制剂利血平和CCCP后,分别有6株(60%)和8株(80%)诱导耐药株的MIC值有所下降,泵阳性株分别有4株和7株.结论 起始低浓度后梯度环丙沙星可以人工诱导出肺炎克雷伯菌高度耐药株.泵抑制剂利血平和CCCP能提高耐药肺炎克雷伯菌对环丙沙星的敏感性.
更多Objective To explore whether efflux pump inhibitors can improve the sensitivity of ciprofloxacin in drug-resislance Klebsilla pneumoniae. Methods Twenty sensitive strains of Klebsiella pneumoniae were isolated from patients. Ten strains were induced by concentration gradient ciprofloxacin and changed into ciprofloxacin-high resistant Klebsiella pneumoniae. The MICs of ciprofloxacin in the absence or presence of reserpine or carbonyl cyanide m-chlorophenyl hydrazone(CCCP) were detected by agar dilution method. Results After treated with efflux pump inhibitor, the MICs of most induced-resistant bacteria to ciprofloxacin were decreased:6 strains (60%) and 8 strains (80%) in the presence of reserpine and CCCP respectively. The positive efflux pump Klebsiella prveumoniae strains in the presence of reserpine and CCCP were 4(40%) and 6(60%) respectively. Conclusions The high drug-resistance Klebsiella pneumoniae can be artificialy induced with concentration gradient of ciprofloxaein. The efflux pump inhibitors can obviously improve the antibacterial activities of ciprofloxacin in drug-resistance Klebsiella pneumoaiae.
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