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[接受慢性血液透析治疗患者的细菌定植]

[Bacterial colonization of patients treated with chronic hemodialysis].

作者信息

Galiński J, Misiewicz I, Wielgosz A, Manitius A

机构信息

Katedry Mikrobiologii Lekarskiej.

出版信息

Pol Tyg Lek. 1991;46(40-42):743-5.

PMID:1669149
Abstract

The study was aimed at investigating the predispositions of the patients chronically treated with hemodialysis to nose and skin colonization with potentially pathogenic bacteria. The study involved 41 patients chronically hemodialysed and patients treated at the Department of Renal diseases or out-patient clinic (30 individuals). Smears from the nose and throat were taken from all patients and used for bacteriologic tests. In case of hemodialysed patients material for bacteriologic tests was additionally taken from the skin at the site of arterio-venous fistula and groin. It was found, that patients chronically treated with hemodialyses are more frequently colonized with enteric bacilli and coagulase-positive staphylococci that both hospitalized patients and those treated in out-patient clinic. No relationship between the presence of coagulase-positive staphylococci in the nose and throat and on the skin was seen despite such suggestions of other authors.

摘要

该研究旨在调查长期接受血液透析治疗的患者鼻腔和皮肤被潜在病原菌定植的易感性。该研究纳入了41例长期接受血液透析的患者以及在肾病科或门诊接受治疗的患者(30例)。采集了所有患者的鼻腔和咽喉涂片用于细菌学检测。对于接受血液透析的患者,还从动静脉瘘部位的皮肤和腹股沟处采集了用于细菌学检测的样本。结果发现,长期接受血液透析治疗的患者比住院患者和门诊治疗患者更易被肠道杆菌和凝固酶阳性葡萄球菌定植。尽管其他作者有此类推测,但未发现鼻腔、咽喉和皮肤上凝固酶阳性葡萄球菌的存在之间存在关联。

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