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接受血液透析治疗的免疫功能低下患者的金黄色葡萄球菌鼻腔携带率。

Rate of Staphylococcus aureus nasal carriage in immunocompromised patients receiving haemodialysis treatment.

作者信息

Kozioł-Montewka M, Chudnicka A, Ksiazek A, Majdan M

机构信息

Microbiology Department, University Medical School, 20-123, Lublin, Poland.

出版信息

Int J Antimicrob Agents. 2001 Aug;18(2):193-6. doi: 10.1016/s0924-8579(01)00350-8.

Abstract

Specimens from the nose and throat were collected from 28 long-term haemodialysed patients. Staphylococcus aureus strains were isolated from sixteen patients who been on haemodialysis for over 113 months. Cytokine levels, as well as full blood cell differential counts and cell surface antigens were determined in these patients. The serum concentration of TGF-beta was significantly higher in patients carrying Staphylococcus aureus. CD14 and HLA-DR molecule expression on monocytes, as well as NK cell percentage was significantly different in S. aureus carriers. Our preliminary results suggest that immune status imbalance in haemodialysed patients could be related to the high incidence of S. aureus nasal carriage and infections.

摘要

从28例长期血液透析患者的鼻腔和咽喉采集标本。从16例血液透析超过113个月的患者中分离出金黄色葡萄球菌菌株。对这些患者测定了细胞因子水平、全血细胞分类计数和细胞表面抗原。携带金黄色葡萄球菌的患者血清中转化生长因子-β浓度显著更高。金黄色葡萄球菌携带者单核细胞上CD14和HLA-DR分子表达以及自然杀伤细胞百分比存在显著差异。我们的初步结果表明,血液透析患者的免疫状态失衡可能与金黄色葡萄球菌鼻腔携带和感染的高发生率有关。

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