结核分支杆菌依赖链霉素的实验观察
Initial investigation on the streptomycin-depending of M. tuberculosis
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摘要: 目的: 调查临床结核菌分离株对链霉素的依赖状况。方法: 采用双向匡氏琼脂培养基分离痰结核菌和作结核菌依赖性测定,采用匡氏琼脂培养基检测结核菌耐药性。结果: 184例临床分离结核菌株链霉素的依赖情况:含药管结核菌的生长较对照管明显粗大旺盛,且高浓度管菌落数≥低浓度管者占11.41%(21/184);含药管结核菌的生长较对照管明显粗大旺盛,且低浓度管菌落数>高浓度管者占2.72%(5/184);低浓度管结核菌的生长较对照管明显粗大旺盛,而高浓度管菌落数<对照管者占4.35%(8/184);高浓度管结核菌的生长较对照管明显粗大旺盛,而低浓度管菌落数<对照管者占4.35%(8/184)。总计,显示链霉素依赖特征的临床分离株占22.83%(42/184)。结论: 约22.8%的结核菌临床分离株显示出链霉素依赖性,并具有不同的依赖特征。Abstract: Objective: To investigate the streptomycin-depending of clinical isolated strains of M.tuberculosis. Methods: The isolation and drug-depending of tuberculosis were done by double-phase Kuang’s agar medium, and the drug-resistance of tuberculosis were carried by Kuang′s agar medium. Results: The condition of depending streptomycin in 184 clinical isolates of M.tuberculosis were as follows: The strains which grew faster and more vigorous in the drug tubes than those in the contrast tubes, and the growth in high concentration tubes≥those in low concentration tubes covered 11.41%(21/184);The strains which grew faster and more vigorous in the drug tubes than those in the contrast tubes, and the growth in low concentration tubes>those in high concentration tubes covered 2.72%(5/184);The strains which grew faster and more vigorous in low concentration tubes than those in the contrast tubes, and the growth in high concentration tubes<those in the contrast tubes covered 4.35% (8/184);The strains which grew faster and more vigorous in high concentration tubes than in the contrast tubes, and the growth in low concentration tubes<those in the contrast tubes covered 4.35%(8/184);In brief, the streptomycin-depending strains among clinical isolates covered 22.83%(42/184). Conclusion: There were streptomycin-depending strains in the clinical isolates of tuberculosis, and different depending features were existed among those strains.
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