Neisseria gonorrhoeae’de kinolon direnci: İstanbul Tıp Fakültesi 2002-2006
Üretritli erkek hastalardan 2002-2006 yıllarında izole edilen kinolon dirençli Neisseria gonorrhoeae (KDNg) suşları bildirilmiştir. Bu süre için ortalama KDNg oranı % 33 (18/54 izolat), penisilin ve tetrasikline dirençli suş oranları sırasıyla % 62 ve % 61 olarak saptanmıştır. Seftriakson, sefoksitin ve sefuroksime dirençli suş saptanmamıştır. Yüksek direnç oranları nedeniyle, kinolonlar, penisilin ve tetrasiklin gonokok infeksiyonlarının ampirik tedavisinde kullanılmamalıdır.
Quinolone resistance in neisseria gonorrhoeae: Istanbul Medical Faculty 2002-200
Quinolone-resistant Neisseria gonorrhoeae (QRNg) strains isolated from male patients with urethritis in 2002-2006 were reported. In this period the mean percentage of QRNg was detected as 33 % (18/54 isolates) and, penicillin- and tetracycline-resistant strains were 62 % and 61 %, respectively. No resistant strain was detected for ceftriaxone, cefoxitin and cefuroxime. Due to their high resistance rates, quinolones, penicillin and tetracycline should not be used in empirical treatment of gonococcal infections.
___
- 1. Aydın D, Küçükbasmacı Ö, Gönüllü N, Aktaş Z: Susceptibilities of Neisseria gonorrhoeae and Ureaplasma urealyticum isolates from male patients with urethritis to several antibiotics including telithromycin, Chemotherapy 2005;51(2-3):89-92.
- 2. Aydın MD: Neisseria gonorrhoeae suşlarında antibiyotik direnci ve betalaktamaz üretimi: 1996-2001, ANKEM Derg 2002;16(4):481-5.
- 3. Badescu AC, Petrescu Z, Enache A, Buiuc D: Antimicrobial resistance in Neisseria gonorrhoeae in North-East Romania, Rev Med Chir Soc Med Nat Iasi 2007;111(2):512-5.
- 4. Clinical and Laboratory Standards Institute: Performance Standards for Antimicrobial Susceptibility Testing; Sixteenth Informational Supplement, CLSI Document M100-S16, Wayne, PA (2006).
- 5. Fenton KA, Lowndes CM: Recent trends in the epidemiology of sexually transmitted infections in the European Union, Sex Transm Infect 2004;80(4):255-63.
- 6. Kubanova A, Frigo N, Kubanov A et al: National surveillance of antimicrobial susceptibility in Neisseria gonorrhoeae in 2005-2006 and recommendations of first-line antimicrobials for gonorrhoea treatment in Russia, Sex Transm Infect 2008 Feb 6 (http://sti.bmj.com/cgi/content/abstract/ sti.2007.029033v1).
- 7. Le Lin B, Pastore R, Liassine N, Aramburu C, Sudre P: A new sexually transmitted infection (STI) in Geneva? Ciprofloxacin-resistant Neisseria gonorrhoeae, 2002-2005, Swiss Med Wkly 2008;138(15-16):243-6.
- 8. Stathi M, Flemetakis A, MiriagouVivi et al: Antimicrobial susceptibility of Neisseria gonorrhoeae in Greece: data for the years 1994-2004, J Antimicrob Chemother 2006;57(4):775-9.