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Title: Providencia stuartii ? ?? ????? 1?


1
Providencia stuartii ? ?? ????? 1? ???, ???,
???, ???, ???, ??? ????? ???? ???????
? ? ?????? 3? ?? ??? 2/3 ???? ??? ??? ?? ??
?? ??? ????, 6? ???? ?? ??? ??? ????. ?????? ????
?? ?? 3? ???? Streptococcus pneumoniae,
Haemophilus influenzae ? Moraxella catarrhalis? ?
? ??. ? ?? ß-hemolytic streptococcus,
Staphylococcus aureus, ??? Escherichia coli,
Klebsiella pneumoniae, Pseudomonas aeruginosa ??
??????? ? ?? ??? ???? ??????. Providencia
stuartii ? Enterobacteriaceae? ??? ???????? ?????
??? ??, ?? ? ??? ? ??? ??????? ????. ????? ?? ???
?????? ????? ????? ????. ?? ?? ??? ?? ????? ????
?????? ??? ??. P. stuartii? ? ?? ??????? ?? ???
???? ?????? ?????? ??? ??? ?? ????? ?? ??? ? ??.
?? ????????? ??? ?????????? ???? 2? ??? ?? ???
?? ??? ?? ?? P. stuartii? ???? ?? ??? ?? ????? ??.
Table 1. Biochemical reactions of P. stuartii
isolate with manual methods TSI Slant /
Butt K / A Gas / H2S - /
- Motility weak
Indole Citrate
Phenylalanine deaminase Methyl
red Voges-Proskauer - Ornithine
deaminase - Lysine decarboxylase
- Urease - Oxidase -
Table 2. Biochemical reactions of P. stuartii
isolate with commercial kit (API
20E) Ortho-nitro-phenyl-galactoside - Arginine
dihydrolase - Lysine decarboxylase - Or
nithine decarboxylase - Citrate H2S
- Urease - Tryptophane
desaminase - Indole Voges-Proskauer
- Gelatinase - Glucose Mannito
l - Inositol Sorbitol - Rha
mnose - Saccharose - Melibiose
- Amygdaline - Arabinose Oxidase
-
? ? ?? ???, 2? ?? ?? ?? 2? ??? ??? ??
??(otorrhea) ??? ???? ???. ??? ???? ???.
??? ?? ??? ?? ??? ??? ?????? ??? ???? ?? ???? ??
????? ??? ?? ?????. ????? ??? 380C ??? ???
???, ??? ??? ?? ?? ??? ????? ???? ???? ?? ????
?????, ?? ??? ?? ??? ???? ??? ?????. ?? ?? ??
?????. ??????? ??? ?????? ?? ?? ????? ??? ???
?? ?? ??? ??? ??? ???? ??????????? ??? ???.
?????? ??????? ??? ?? 7,400/µL (??? 21.0, ???
65.2, ??? 8.0, ??? 5.8), ???? 11.2 g/dL, ???
?? 270,000/µL? ?? ???? ????. ??? ? ??? ??? ???
????? ?? ????? ??? ???, ????? ?? ?????.
??????? ????? ??? ??? ??? ??? ?? ??? ??? ???? ??
??? ?? ? ??? ??? ? ???? ??? ?????. ??? ????? ??
?????? ? MacConkey ????? ?????, ??? ????? ??
Brucella ????? ??????, ????? thioglycolate ?????
?? ?????. ?? ?? ????????? ??? ?? ?? ??? ?????,
MacConkey ?????? ??? ??? ??????, Brucella ???????
?? ??? ???. ?? ? ??? ?? oxidase ??? ??? ??? ???,
?? ????? ??????? ?????. TSI (triple sugar iron)
???? ??(slant)? ??????, ??(butt)? ???? ?????, ??
? H2S? ???? ???. ???? ??? ?????, indole ?? ???
??? ???, ornithine decarboxlyase ??? ??? ???. ??
citrate ?? ??, phenylalanine deaminase ?? ??,
methyl red ?? ??? ??? Voges-Proskauer ?? ??,
urease ?? ??? ??? ???(Table 1). ??? ? ??? ?? API
20E ??(bioMerieux, France)? ??????, ?? ?? ?
0244202? ?? P. stuartii? ?????(Table 2). ???????
??? ??? ??? ?? ??? Table 3? ???. ?? ? ?? ??? ??
?? ???? ?????? 1??? ??? ????? amoxicillin-clavulan
ic acid? netilmicin? ?? ?????. ??? ??? ?? ??? ???
?? ?, ??? ?? ?? ??? ?? P. stuartii? ?????, ? ??
?? ??? ??? ???? ???? ??? ??? ceftriaxone?
amikacin?? ??? ?????. ??? ?? ? 3???? ??? ??????,
1?? ??? ??? ???? ?? ??? ??? ?????. ??? ?? ??? ??
??? ????? ? ??? ?? ?? ???? P. stuartii? ??? ??? ?
?? ???? ???. ?? 9?? ??? ?????, ?? ? ??? ?? ??
???? ???, ?? ??? ?? ????? ? ?? ??? ???? ??? ??.
Table 3. Antimicrobial susceptibility of P.
stuartii Antimicrobial agent Susceptibility
Gentamicin R Cephalothin R Ciprofloxac
in S Ampicillin R Amikacin S T
obramycin R Ceftriaxone S Ticarcillin-
clavulanate S
? ? Providencia stuartii? Enterobacteriaceae?
??? ????????? ??????? ?? ??? ???? ???, ??????
??????? ?? ????? ?? ??? ? ??. ????? ????????? ???
?????????? ???? 2? ??? ?? ?? ?? ??? ?? ?? P.
stuartii? ?????, ? ?? ?? ??? ??? ???? ???? ???
??? ???? ??? ?????? ??? ??? ?????. ? ??? P.
stuartii? ?????? ??????? ?? ???? ??? ? ??? ???
???.
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