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3 세대 세파계 항생제에 내성인 임상균주의 분포와 PCR 법을 이용한 TEM type $eta$-lactamase 생산균주의 동정
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  • 3 세대 세파계 항생제에 내성인 임상균주의 분포와 PCR 법을 이용한 TEM type $eta$-lactamase 생산균주의 동정
  • Prevalence of Strains Resistant to the Third Generation Cephalosporins among Clinical Isolates and Identification of TEM Type $eta$-lactamase from Resistant Strains by PCR Method
저자명
김무용,오정인,송혜경,백경숙,곽진환
간행물명
약학회지
권/호정보
1995년|39권 3호|pp.276-282 (7 pages)
발행정보
대한약학회
파일정보
정기간행물|
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
서지반출

기타언어초록

Compared to the first and second-generation cephalosporins, the third-generation cephalosporins are remarkably stable against hydrolysis by the $eta$-lactamases produced by aerobic gram-negative bacilli, such as Enterobacteriaceae. Among these bacteria, the most prevalent plasmid-encoded $eta$-lactamase is TEM-1 $eta$-lactamase belonging to class A or group 2b. This enzyme is produced constitutively and is principally active against peniciflins and old cephalosporins rather than third-generafion cephalosporins, carbapenems and mmobactams. However, new TEM type $eta$-lactamases including TEM-9 and TEM-12 evolved through point mutations in a gene encoding $eta$-lactamase have been discovered from patients during chemotherapy. These $eta$-lactamases are known to be capable of hydrolyzing most of the third-generatim cephalosporins. To study the prevalence of $eta$-lactamases from clinical isolates collected in Korea. the minimal inhibitory concentratims(MICs) of several third-generation cephalosporins against 628 clinical isolates were determined by agar dilution methods, and $eta$-lactamas-producing bacteria were isolated by use of cefinase disc. By polymerase chain reaction (PCR) method, clinical isolates harboring a gene for TEM type $eta$-lactamase were identified among the $eta$-lactamase producing strains. Twentiy three percent of the clinical isolates was resistant to the thirdgeneration cephalosporins, and more than 90% of resistant cells produced various $eta$-lactamases. TFM type $eta$-lactamases were dominant in gram-negative bacilli, such as Escherichia coli, Klebsiella pneumoniae, Enterobacter species. These results suggest the necessity of the development of new cephalosporins which are stable against $eta$-lactamases like TEM.