MULTIRESISTANT CORYNEBACTERIA IN BACTERIURIA - A COMPARATIVE-STUDY OF THE ROLE OF CORYNEBACTERIUM GROUP-D2 AND CORYNEBACTERIUM-JEIKEIUM

被引：28

作者：

DEBRIEL, D ^{[1
]}

LANGS, JC ^{[1
]}

ROUGERON, G ^{[1
]}

CHABOT, P ^{[1
]}

LEFAOU, A ^{[1
]}

机构：

[1] SERV UROL,F-67091 STRASBOURG,FRANCE

来源：

JOURNAL OF HOSPITAL INFECTION | 1991年 / 17卷 / 01期

关键词：

CORYNEBACTERIUM; ANTIBIOTIC RESISTANCE; BACTERIURIA;

D O I：

10.1016/0195-6701(91)90075-J

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

During an 11-month prospective study, urine cultures were performed on 5685 samples obtained in three hospital units. The use of a selective medium improved the recovery of antibiotic-multiresistant corynebacteria (AMC): 703 isolates (12·4%) compared with 88 isolates (1·6%) on sheep blood agar. Corynebacterium group D2 (CGD2) was isolated in 80·5% of urines yielding ≥105 AMC ml-1 whereas Corynebacterium jeikeium represented 80·2% of isolates with <105 AMC ml-1. Among 16 patients with ≥105 ml-1 C. jeikeium none had signs of urinary tract infection. In contrast, among 56 patients with ≥105 CGD2, 40 (71%) had abnormal urinary sediment (mainly apatite or struvite crystals) and 29 (52%) had clinical signs of urinary tract infections sometimes complicated by lithiasis (seven cases) and alkaline-encrusted cystitis (two cases). © 1991.

引用

页码：35 / 43

页数：9

共 24 条

[1] BACTERIURIA WITH A MULTIPLY RESISTANT SPECIES OF CORYNEBACTERIUM (CORYNEBACTERIUM GROUP D2) - AN UNNOTICED CAUSE OF URINARY-TRACT INFECTION [J].