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[腐生葡萄球菌在泌尿系统感染中的作用]

[Role of Staphylococcus saprophyticus in urinary infections].

作者信息

Galiński J, Namysł E

机构信息

Katedry i Zakładu Mikrobiologii Lekarskiej AM, Gdańsku.

出版信息

Pol Tyg Lek. 1991;46(40-42):746-9.

PMID:1669150
Abstract

A proportion of S. saprophyticus in other coagulase-negative staphylococcal isolates from the urine of patients with urinary infections and healthy individuals has been investigated. Certain diagnostic aspect of the urinary infections with S. saprophyticus have also been considered. Hundred four coagulase-negative staphylococcal strains isolated from patients in Słupsk and Gdańsk area and 72 strains of the coagulase-negative staphylococci isolated from the urine of healthy women have been divided into 9 species, according to Kloos and Schleifers' classification. Bacteriologic tests have shown that S. saprophyticus produced 20.4% of the urinary tract infections in Słupsk area holding the second place after S. haemolyticus (27.3%). This species was the most infrequent in the urine of patients in Gdańsk area (3.3%). Its sensitivity to antibiotics did not differ from that of other coagulase-negative staphylococci. In contrast to the majority of other strains, S. saprophyticus has not been isolated from the urinary tract of healthy women and has been encountered most frequently in low bacteriuria. Test of resistance to novobiocin which is considered as a simplified identification method of this species proved to be not very precise as other species have also been resistant to this antibiotic.

摘要

对来自尿路感染患者尿液及健康个体的其他凝固酶阴性葡萄球菌分离株中的腐生葡萄球菌比例进行了调查。还考虑了腐生葡萄球菌引起的尿路感染的某些诊断方面。根据克洛斯(Kloos)和施莱弗斯(Schleifers)的分类,从斯武普斯克(Słupsk)和格但斯克(Gdańsk)地区患者中分离出的104株凝固酶阴性葡萄球菌菌株以及从健康女性尿液中分离出的72株凝固酶阴性葡萄球菌菌株被分为9个种。细菌学检测表明,在斯武普斯克地区,腐生葡萄球菌引起了20.4%的尿路感染,仅次于溶血葡萄球菌(27.3%),位居第二。该菌在格但斯克地区患者尿液中最为少见(3.3%)。其对抗生素的敏感性与其他凝固酶阴性葡萄球菌并无差异。与大多数其他菌株不同,腐生葡萄球菌未从健康女性的尿道中分离出来,且在低菌尿症中最为常见。将对新生霉素的耐药性检测作为该菌的一种简化鉴定方法,结果证明并不十分精确,因为其他菌种也对这种抗生素耐药。

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