[Identification and susceptibility to antimicrobial agents of strictly anaerobic bacteria isolated from hospitalized patients].
The aim of this study was to identify anaerobic strains isolated in 2001 from clinical specimens obtained from patients of Warsaw hospital and to evaluate a susceptibility of these strains to antimicrobial agents. In 2001 two hundred and twenty five clinical strains of obligate anaerobes were cultured, which were identified in the automatic ATB system (bioMérieux, France) using biochemical tests API 20 A. Drug-susceptibility of strains was determined also in ATB system with the use of ATB ANA strips. C. difficile strains were isolated on selective CCCA medium. Toxins A/B of C. difficile directly in stool specimens were detected by means of ELISA test (TechLab, USA). Fifty four strains of Gram-negative anaerobes (B. fragilis strains dominated) and 171 strains of Gram-positive anaerobes (the greatest number of strains belonged to genus Peptostreptococcus) were cultured from clinical specimens. In the cases of antibiotic-associated diarrhea 28 C. difficile strains were isolated and C. difficile toxins A/B were detected in 39 stool samples. The most active in vitro antimicrobials against Gram-negative anaerobes were metronidazole, imipenem, ticarcillin combined with clavulanic acid and piperacillin with tazobactam. Gram-positive, clinical strains of anaerobes were the most susceptible in vitro to beta-lactam antibiotics combined with beta-lactamase inhibitors (amoxicillin/clavulanate, piperacillin/tazobactam, ticarcillin/clavulanate) and imipenem.
Kot
Katarzyna
K
Katedra i Zakład Mikrobiologii Lekarskiej AM w Warszawie.
Rokosz
Alicja
A
Sawicka-Grzelak
Anna
A
łuczak
MirosŁaw
M
D001421:Bacteria, Anaerobic / Q000187:drug effects* / Q000302:isolation & purification*; D024881:Drug Resistance, Bacterial; D004797:Enzyme-Linked Immunosorbent Assay; D006801:Humans; D008826:Microbial Sensitivity Tests