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奶牛剖宫产时胎儿体液的细菌污染

Bacterial contamination of fetal fluids at the time of cesarean section in the cow.

作者信息

Mijten P, van den Bogaard A E, Hazen M J, de Kruif A

机构信息

Department of Reproduction, Obstetrics and Herd Health Faculty of Veterinary Medicine, Casinoplein 24, B-9000 Gent, Belgium.

出版信息

Theriogenology. 1997 Aug;48(3):513-21. doi: 10.1016/s0093-691x(97)00259-8.

Abstract

Complications after cesarean section delivery in cattle are mainly the result of infections. The bacteria responsible for this infection can be of exogenous or endogenous origin. In this investigation endogenous contamination was studied. Fetal fluid samples of 23 cows were collected from the uterine cavity during cesarean section just after the removal of the calf, by means of a sterile disposable plastic syringe. The uterine flora was cultured, quantitated and presumptively identified by using selective and elective agarplates. Nineteen samples were positive after culture. Eleven samples contained obligate anaerobic bacteria. When the amniotic sac was broken before the obstetrical examination, the total number of bacteria was significantly higher. Vaginal exploration by the farmer had no significant influence on the number of bacteria encountered. Cesarean section is considered a clean contaminated procedure. One must always take into account that the fetal fluids are contaminated with the endogenous vaginal flora. This leads inevitably to contamination of the wound and the peritoneal cavity. Properly antimicrobial prophylaxis is certainly indicated.

摘要

牛剖腹产术后的并发症主要是感染所致。引起这种感染的细菌可能源于外源性或内源性。在本研究中,对内源性污染进行了研究。在剖腹产取出小牛后,立即通过无菌一次性塑料注射器从23头母牛的子宫腔采集羊水样本。使用选择性和选择性琼脂平板对子宫菌群进行培养、定量和初步鉴定。培养后19个样本呈阳性。11个样本含有专性厌氧菌。在产科检查前胎膜破裂时,细菌总数显著更高。养殖户进行的阴道探查对所遇到的细菌数量没有显著影响。剖腹产被认为是一个清洁-污染手术。必须始终考虑到羊水被内源性阴道菌群污染。这不可避免地导致伤口和腹腔污染。适当的抗菌预防措施当然是必要的。

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