Journal

The Journal of the Japanese Society for Clinical Microbiology

Biblioraphy Information

[Vol.19 No.3 contents]
Japanese / English

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Article in Japanese

ArticleTitle Prevalence and Combined Effects of Antibacterial Agents against Clinically Isolated Multi-Drug Resistant Pseudomonas aeruginosa Strains
Language J
AuthorList Hitoshi Miyamoto, Shinobu Murakami, Mitsuharu Murase
Affiliation Division of Medical Technology, Ehime University Hospital
Publication J.J.C.M.: 19 (3), 157-162, 2009
Received February 16, 2009
Accepted May 27, 2009
Abstract The effectiveness of antibacterial agents against 22 strains of clinically isolated multi-drug resistant Pseudomonas aeruginosa (MDRP) was measured by the micro-dilution method. The all strains produced Metallo-β-lactamase (MBL), and the IMP-1 gene was detected by the polymerase chain reaction (PCR). The combined effects of antibacterial agents were tested against 22 strains of MDRP selected by the Breakpoint Checkerboard Plate method after evaluation by the fractional inhibitory concentration (FIC) index. The incidence of MDRP was ranged from 0.9 to 2.5% in the last 5 years. Twelve MBL-positive strains were detected in genes for the IMP-1 group by PCR. Six of the other 10 strains were susceptible for CAZ. MDRP showed good susceptibilities to the combination of aztreonam and amikacin in 59.1%. Further studies are needed to find a new effective combination of antimicrobial agents to multi-drug resistant strains.
Keywords multi-drug resistant Pseudomonas aeruginosa, Breakpoint Checkerboard Plate, Metallo-β-lactamase, ceftazidime
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