頁籤選單縮合
題 名 | 臺灣東北部地區出現的Vancomycin 抗藥性腸球菌=Vancomycin-Resistant Enterococci in North-Eastern Taiwan |
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作 者 | 張上淳; 陳昶華; 盧進德; 戴惠敏; 徐快君; 羅勝雄; | 書刊名 | 微免與感染雜誌 |
卷 期 | 32:1 1999.03[民88.03] |
頁 次 | 頁63-67 |
分類號 | 414.83 |
關鍵詞 | Vancomycin抗藥性腸球菌; 脈衝電泳分析; van A 基因; 最低仰菌濃度; Vancomycin-resistant enterococci; Pulsed-field gel electrophoresis; van A gene; Minimum inhibitory concentration; |
語 文 | 中文(Chinese) |
中文摘要 | Vancomycin抗藥性腸球菌(vancomycin-resistant enterococi, VRE)是臨床上對 病人威脅極大的新興抗藥性細菌,臺灣地區自1995年開始出現VRE菌株,此後在西 部地區即有愈來愈多的菌株被分離出來,然而在東北部的蘭陽地區卻仍無VRE菌 株被發現。1997年12月及1998年1月在蘭陽地區的兩家區域醫院分別發現VRE 泌尿道感染的病例,患者先前均曾因其他感染而接受長期多種抗生素的治療,因為 身上的VRE菌株仍對其他抗生素具有感受性,故均以其他抗生素治療成功;並且 經由適當的感染管制措施而未造成VRE菌種的散種。由這兩位病人尿液所分離出 來的三株VRE菌株對vancomycin的最低抑菌濃度(MIC)均>256ug/mL,且均 帶有van A基因;以脈衝電泳進行分析發現此三株VRE的DNA型態不同,因此推 測患者所感染的VRE彼此不相關連。 |
英文摘要 | Vancomycin-resistant enterococci (VRE) is a world-wide emerging pathogen. The first confirmed VRE isolate in Taiwan was detected in 1995. After that more and more isolates of VRE were found in western part of Taiwan. However, before this report, there was no any isolate of VRE found in eastern part of Taiwan. In December 1997 and January 1998, two cases of VRE urinary tract infection were found in two regional hospitals in north-eastern Taiwan. They had received prolonged treatment with multiple antibiotics for other infections before they got VRE infection. The isolates showed susceptibility to other antimicrobial agents by routine disk diffusion susceptibility test and these two patients were successfully treated. The VRE did not spread in those two hospitals. After further study, the 3 isolates from these two patients all had minimum inhibitory concentration of vancomycin>256 ug/mL. They all carried van A gene and the pulsed-field gel electrophoresis demonstrated they belonged to different DNA types. It was concluded that VRE appeared in north-eastern Taiwan but the strains were not from a common source. |
本系統中英文摘要資訊取自各篇刊載內容。