Abu-Serriah M M, Bagg J, McGowan D A, Moos K F, MacKenzie D
Oral & Maxillofacial Surgery Department, Glasgow Dental Hospital & School, UK.
Int J Oral Maxillofac Surg. 2000 Oct;29(5):344-50.
Infection of soft tissues surrounding extra-oral craniofacial endosseous implants is a common clinical problem. The aim of this study was to analyse the microflora associated with such implants, in both health and disease. Eighteen patients with a total of 49 implants were studied. Each patient was seen on two occasions for both a clinical examination and for collection of microbiological samples, using swabs and paper points, from the peri-abutment soft tissues. Specimens were cultured on blood agar and on agars selective for staphylococci and yeasts. Isolates were identified and selective antibiotic susceptibility testing undertaken. No single organism emerged as a predominant cause of peri-abutment skin infection but Staphylococcus aureus, Gram-negative bacilli and yeasts were all present as potential pathogens in this context. Culture and sensitivity results should therefore guide the treatment of these infections.
口腔外颅面骨内种植体周围软组织感染是一个常见的临床问题。本研究的目的是分析此类种植体在健康和患病状态下相关的微生物群落。对18例患者共49颗种植体进行了研究。每位患者均接受两次检查,包括临床检查以及使用拭子和纸尖从种植体周围软组织采集微生物样本。样本在血琼脂平板以及对葡萄球菌和酵母菌有选择性的琼脂平板上培养。对分离出的菌株进行鉴定并进行选择性抗生素敏感性测试。没有单一微生物成为种植体周围皮肤感染的主要原因,但金黄色葡萄球菌、革兰氏阴性杆菌和酵母菌在此情况下均作为潜在病原体存在。因此,培养和药敏结果应指导这些感染的治疗。