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Khảo sát sự kháng kháng sinh của staphyloccus aureus và các chủng staphylococcus spp tại bệnh viện nhân dân gia định

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PHỤ LỤC
1. Các tiêu chuẩn giải thích đường kính vịng vô khuẩn ở Staphylococci
Kháng sinh
Penicillin
Penicillin
Oxacillin

Ampicillin
Methicillin
Nafcillin
Hợp chất β-lactam -chất
ức chế β-lactamase
Amoxicillin/clavulanic.a
Ampiccillin-sulbactam
Piperacillin-tazobactam
Ticarcillin-clavulanic.a
Cephems (đường chích)
Cefamandole
Cefazolin

Cefepime
Cefmetazole
Cefonicid
Cefoperazone
Cefotaxime
Cefotetan
Ceftazidime
Ceftizoxime
Ceftriaxone
Cefuroxime sodium
(parenteral)
Cephalothin
Moxalactam
Cephems (đường uống)
Cefaclor
Cefdibir
Cefpodoxime
Cefprozil
Cefuroxime axetil
(uống)
Loracarbef

Nồng độ đĩa
kháng sinh

Đường kính vịng vơ khuẩn
S
I
R


10 đơn vị
30 μg cefoxitin
1 μg oxacillin
30 μg cefoxitin
1 μg oxacillin
10 μg
5 μg
1 μg

≤ 28
≤ 21
≤ 10
≤ 24
≤ 17
≤ 28
≤9
≤ 10

11 - 12
10 - 13
11 - 12

≥ 29
≥ 22
≥ 13
≥ 25
≥ 18
≥ 29
≥ 14
≥ 13


20/10 μg
10/10 μg
100/10 μg
75/10 μg

≤ 19
≤ 11
≤ 17
≤ 22

12 – 14
-

≥ 20
≥ 15
≥ 18
≥ 23

30 μg
30 μg
30 μg
30 μg
30 μg
75 μg
30 μg
30 μg
30 μg
30 μg
30 μg

30 μg

≤ 14
≤ 14
≤ 14
≤ 12
≤ 14
≤ 15
≤ 14
≤ 12
≤ 14
≤ 14
≤ 13
≤ 14

15 – 17
15 – 17
15 – 17
13 – 15
15 – 17
16 – 20
15 – 22
13 – 15
15 – 17
15 – 19
14 – 20
15 – 17

≥ 18
≥ 18

≥ 18
≥ 16
≥ 18
≥ 21
≥ 23
≥ 16
≥ 18
≥ 20
≥ 21
≥ 18

30 μg
30 μg

≤ 14
≤ 14

15 – 17
15 – 22

≥ 18
≥ 23

30 μg
5 μg
10 μg
30 μg
30 μg

≤ 14

≤ 16
≤ 17
≤ 14
≤ 14

15 – 17
17 – 19
18 – 20
15 – 17
15 – 22

≥ 18
≥ 20
≥ 21
≥ 18
≥ 23

30 μg

≤ 14

15 – 17

≥ 18


Carbapenems
Ertapenem
Imipenem
Meropenem

Glycopepides
Vancomycin
Teicoplanin
Aminoglycosides
Gentamicin
Amikacin
Kanamicin
Netilmicin
Tobramicin
Macrolides
Azithromycin or
Clarithromycin or
Erythromycin
Ketolides
Telithromycin
Tetracyclines
Tetracycline
Doxycycline
Minocycline
Fluoroquinolones
Ciprofloxacin or
Gatifloxacin
Levofloxacin
Ofloxacin
Moxiloxacin
Lomefloxacin
Norfloxacin
Enoxacin
Grepafloxacin
Sparfloxacin

Fleroxacin
Nitrofurantoins
Nitrofurantoin
Lincosamides
Clindamycin

10 μg
10 μg
10 μg

≤ 15
≤ 13
≤ 13

16 – 18
14 – 15
14 – 15

≥ 19
≥ 16
≥ 16

30 μg
30 μg

≤ 10

11 – 13

≥ 15

≥ 14

10 μg
30 μg
30 μg
30 μg
10 μg

≤ 12
≤ 14
≤ 13
≤ 12
≤ 12

13 – 14
15 – 16
14 – 17
13 – 14
13 – 14

≥ 15
≥ 17
≥ 18
≥ 15
≥ 15

15 μg
15 μg
15 μg


≤ 13
≤ 13
≤ 13

14 – 17
14 – 17
14 – 22

≥ 18
≥ 18
≥ 23

15 μg

≤ 18

19 – 21

≥ 22

30 μg
30 μg
30 μg

≤ 14
≤ 12
≤ 14

15 – 18
13 – 15

15 – 18

≥ 19
≥ 16
≥ 19

5 μg
5 μg
5 μg
5 μg
5 μg
10 μg
10 μg
10 μg
5 μg
5 μg
5 μg

≤ 15
≤ 19
≤ 15
≤ 14
≤ 20
≤ 18
≤ 12
≤ 14
≤ 14
≤ 15
≤ 15


16 – 20
20 – 22
16 – 18
15 – 17
21 – 23
19 – 21
13 – 16
15 – 17
15 – 17
16 – 18
16 – 18

≥ 21
≥ 23
≥ 19
≥ 18
≥ 24
≥ 22
≥ 17
≥ 18
≥ 18
≥ 19
≥ 19

300 μg

≤ 14

15 – 16


≥ 17

2 μg

≤ 14

15 – 20

≥ 21


Các chất ức chế con
đường biến dưỡng folate
1.25/
≤ 10
Trimethoprim/
23.75 μg
Sulfamethoxazole
250 or 300 μg
≤ 12
Sulfonamides
Trimethoprim
5 μg
≤ 10
Phenicols
Chloramphenicol
30 μg
≤ 12
Ansamycins
Rifampin

5 μg
≤ 16
Streptogramins
Quinupristin-dalfopristin
15 μg
≤ 15
Oxazolidinones
Linezolid
30 μg
Ghi chú: S (susceptible): nhạy cảm; I (intermediate): trung
kháng

11 – 15

≥ 16

13 – 16
11 – 15

≥ 17
≥ 16

13 – 17

≥ 18

17 – 19

≥ 20


16 – 18

≥ 19

≥ 21
gian; R (resistant): đề



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