A patient in a Tokyo Hospital developed a vancomycin resistant staph infection.

东京一的一名患者出现了万古霉耐药葡萄球菌感染。

Not just yet. Let's try vancomycin. It worked for her before.

先别打扰他。再试试万古霉。以前对她有效。

First, they discovered they could get the same cancer-suppressing effect using just vancomycin, an antibiotic that kills only “Gram-positive” bacteria.

首先，他们发现，用专杀“革兰氏阳性”细菌的抗生万古霉进行实验，也能取得相同的抑癌效果。

And so a vancomycin resistance moved into these strains, we could have untreatable strains of a very common resistant organism.

因此，万古霉的耐药性转移到这些菌株中，我们就有了一种很常见的耐药菌的不可治疗菌株。

We found vancomycin in a puddle of mud in a jungle in Borneo in 1953.

1953 年， 我们婆罗洲丛林中的一滩泥浆中发现了万古霉。

And I remember them saying, OK, so we're going to start him on vancomycin.

我记得他们说，好的，所以我们开始给他使用万古霉。

And at that time, vancomycin was kept under lock and key.

当时，万古霉是被严格管控的。

Let's try vancomycin. It worked for her before.

再试试万古霉 以前对她有效。

Let's give him acetaminophen, add a 500 of vancomycin and, uh, blood and urine cultures also.

给他注射醋氨酚 加上500单位的万古霉，再做一下 血尿培养。

Scientists developed alternative antibiotics, vancomycin and methicillin, to try and defeat the resistant strains in the 1950s and early 1960s.

科学们20世纪50年代和60年代初期研发了替代抗生——万古霉和甲氧西林，试图击败那些产生抗药性的菌株。

Only one type of antibiotic, vancomycin, remained effective against it, but in 1997 a hospital in Tokyo reported the appearance of a strain that could resist even that.

万古霉，用来对付它还有效果。但1997年东京有一报告说，葡萄球菌出现了一个新品种，对那种药也有抗药性。

Given the changing clinical presentation and concern about hospital-acquired pneumonia, treatment with vancomycin (a 1750-mg loading dose followed by 1 g administered intravenously every 8 hours) and cefepime (administered intravenously every 8 hours) was initiated.

鉴于不断变化的临床表现和对获得性肺炎的担忧， 开始使用万古霉（1750 mg 负荷剂量， 随后每 8 小时静脉注射 1 g）和头孢吡肟（每 8 小时静脉注射）进行治疗。