目的评价利奈唑胺(嗯唑烷酮类抗菌药)、万古霉素(胺基糖苷类抗生素)2种抗菌药物对耐甲氧西林金黄色葡萄球菌(MRSA)的体外抗菌活性。方法用琼脂二倍稀释法,测定抗菌药物的最低抑菌浓度(MIC);用肉汤稀释法,测定抗菌药物的最低杀菌浓度(MBC),绘制杀菌曲线(KCs)。结果利奈唑胺对临床分离的98株MRSA的MIC50为1μg·mL^-1,MIC90为2μg·mL^-1,MBC50为8μg·mL^-1,MBC90为32μg·mL^-1,敏感率为100%;万古霉素对临床分离的98株MRSA的MIC50为1μg·mL^-1,MIC90为1μg·mL^-1,MBC50为8μg·mL^-1,MBC90为32μg·mL^-1,敏感率为100%。随着抗菌药物浓度的升高,其杀菌时间缩短不甚明显,呈现非浓度依赖性的特点。结论利奈唑胺对MRSA的体外抗菌活性与万古霉素相当,均显示非浓度依赖性的杀菌曲线。
Objective To evaluated the in vitro antimicrobial activities of linezolid and vancomycin agents against methicillin -resistant Staphylococcus aureus (MRSA). Methods The minimal inhibitory concentrations (MICs) of antibacterial agents were determined by the standard two -fold agar dilution method. The minimal bactericidal concentrations (MBCs) antibacterial agents were determined by tube broth dilution method and time -killing curves were obtained. Results The sensitive rates to linezolid and vancomycin against MRSA were both 100%, the MIC50 and MIC90 were 1 μg·mL^-1,1 μg·mL^-1 and 2 μg·mL^-1, 1 μg·mL^-1. 32 μg·mL^-1 respectively. The MBC50 and MBC90 were both 8μg·mL^-1,32μg·mL^-1, respectively. With the increase of drug concentrations, the killing time did not show obvious decline. Conclusion Linezolid and vancomycin have strong antibacterial activity against MRSA, and they have nonconcentration independent characteristic.