Mironov A Iu, Savitskaia K I, Vorob'ev A A
Sechenov Medical Academy, Vladimirsky Regional Clinical Research Institute, Moscow, Russia.
Zh Mikrobiol Epidemiol Immunobiol. 2000 Sep-Oct(5):11-5.
The microflora of clinical material (blood, wound discharge, abdominal exudate, pleural exudate, milk in mastitis, as well as feces in dysbiosis of the large intestine), obtained from patients with purulent septic diseases in the Moscow region was studied. The study revealed the change of microflora from surface biotopes to closed cavities of the body. Gram-positive cocci, primarily coagulase-negative staphylococci, mainly epidermal, were shown to play the leading etiological role in the development of purulent septic diseases. The development of bacteriemia was found to be caused by the penetration of staphylococci from local pyoinflammatory foci (appearing in purulent mastitis, wounds, peritonitis, pleural empyema and pleuritis), as well as by the translocation of staphylococci and Escherichia coli from the large intestine in dysbiosis.
对从莫斯科地区患有化脓性败血症的患者身上获取的临床材料(血液、伤口分泌物、腹腔渗出液、胸腔渗出液、乳腺炎乳汁以及大肠菌群失调时的粪便)中的微生物群进行了研究。研究发现微生物群从体表生物群落向身体的封闭腔隙发生了变化。革兰氏阳性球菌,主要是凝固酶阴性葡萄球菌,主要是表皮葡萄球菌,在化脓性败血症的发展中起主要病因作用。发现菌血症的发生是由于葡萄球菌从局部脓性炎症病灶(出现在化脓性乳腺炎、伤口、腹膜炎、胸腔积脓和胸膜炎中)侵入,以及在菌群失调时葡萄球菌和大肠杆菌从大肠移位所致。