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阿司匹林对产黏液、凝固酶阴性葡萄球菌黏附于血管移植物的影响。

The effect of aspirin on adherence of slime-producing, coagulase-negative staphylococci to vascular grafts.

作者信息

Demirag Mustafa Kemal, Esen Saban, Zivalioglu Muammer, Leblebicioglu Hakan, Keceligil Hasan Tahsin

机构信息

Department of Cardiovascular Surgery, Ondokuz Mayis University Medical School, 55139 Samsun, Turkey.

出版信息

Ann Vasc Surg. 2007 Jul;21(4):464-7. doi: 10.1016/j.avsg.2006.06.006. Epub 2007 Feb 14.

Abstract

In this study, we examined the adherence of slime-producing standard Staphylococcus epidermidis strain ATCC 12228 to Dacron and polytetrafluoroethylene (PTFE) grafts in in vitro medium either containing salicylate or not. Dacron and PTFE graft pieces of standard size were placed in trypticase soy broth either containing 5 mM acetylsalicylic acid solution or not. These soy broths also contained 1 x 10(7) colony-forming units/mL S. epidermidis ATCC 12228. The incubation period lasted for 18 hr at 37 degrees C. The bacteria on the graft were freed by vortexing. The obtained bacteria suspension was diluted serially. Afterward, the suspension was plated on 5% sheep blood agar and counted after overnight incubation. In this study, we demonstrate that aspirin of an ideal concentration (5 mM) decreased the adherence of slime-producing S. epidermidis strain to Dacron and PTFE grafts. The mean number of colonies was significantly lower for both Dacron and PTFE groups in salicylated medium. We believe that aspirin provided in the postoperative period can, by maintaining the ideal serum level, decrease graft infections emerging due to coagulase-negative staphylococcus.

摘要

在本研究中,我们检测了产黏液的标准表皮葡萄球菌菌株ATCC 12228在含或不含水杨酸盐的体外培养基中对涤纶和聚四氟乙烯(PTFE)移植物的黏附情况。将标准尺寸的涤纶和PTFE移植物片置于含或不含5 mM乙酰水杨酸溶液的胰蛋白酶大豆肉汤中。这些大豆肉汤中还含有1×10⁷集落形成单位/毫升的表皮葡萄球菌ATCC 12228。在37℃下孵育18小时。通过涡旋使移植物上的细菌脱落。将获得的细菌悬液进行连续稀释。然后,将悬液接种于5%羊血琼脂平板上,过夜孵育后计数。在本研究中,我们证明理想浓度(5 mM)的阿司匹林可降低产黏液的表皮葡萄球菌菌株对涤纶和PTFE移植物的黏附。在含水杨酸盐的培养基中,涤纶组和PTFE组的平均菌落数均显著降低。我们认为术后提供的阿司匹林通过维持理想的血清水平,可减少因凝固酶阴性葡萄球菌引起的移植物感染。

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