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硅化乳胶导尿管对细菌黏附和人中性粒细胞活性的影响。

Effect of a siliconized latex urinary catheter on bacterial adherence and human neutrophil activity.

作者信息

López-López G, Pascual A, Martínez-Martínez L, Perea E J

机构信息

Department of Microbiology, School of Medicine, University of Seville, Spain.

出版信息

Diagn Microbiol Infect Dis. 1991 Jan-Feb;14(1):1-6. doi: 10.1016/0732-8893(91)90078-t.

DOI:10.1016/0732-8893(91)90078-t
PMID:1849474
Abstract

The effect of a siliconized latex urinary catheter on the in vitro adherence and growth of Pseudomonas aeruginosa and Escherichia coli and on the activity of human polymorphonuclear leukocytes (PMNs) was assessed. The adherence of P. aeruginosa to latex catheters was significantly greater than that of E. coli, being 30 times higher at 6 hr of incubation. The survival of E. coli (10(8) CFU/ml) in phosphate-buffered saline (PBS) containing segments of siliconized latex catheters was lower than in the controls. This effect seems to be due to a toxic effect produced by substances eluted into the medium from the catheters, as the viability of E. coli (10(3) CFU/ml) in eluates obtained from the incubation of catheters in PBS (24 hr; 37 degrees C) was significantly lower than in the controls. These phenomena were not observed with P. aeruginosa. The incubation of human PMNs with either catheter segments or eluates did not affect the uptake of opsonized E. coli but significantly decreased the production of superoxide radicals by these phagocytes. It is concluded that the adherence of P. aeruginosa to these catheters is higher than that of E. coli and that the latex urinary catheter used herein elutes substances that are in vitro toxic for E. coli and the oxygen-dependent bactericidal mechanisms of human PMNs.

摘要

评估了硅化乳胶导尿管对铜绿假单胞菌和大肠杆菌的体外黏附及生长以及对人多形核白细胞(PMN)活性的影响。铜绿假单胞菌对乳胶导尿管的黏附显著高于大肠杆菌,在孵育6小时时高出30倍。在含有硅化乳胶导尿管片段的磷酸盐缓冲盐水(PBS)中,大肠杆菌(10⁸CFU/ml)的存活率低于对照组。这种效应似乎是由于从导管洗脱到培养基中的物质产生的毒性作用,因为在PBS(24小时;37℃)中孵育导管获得的洗脱液中大肠杆菌(10³CFU/ml)的活力显著低于对照组。铜绿假单胞菌未观察到这些现象。将人PMN与导管片段或洗脱液一起孵育不影响调理素化大肠杆菌的摄取,但显著降低了这些吞噬细胞超氧自由基的产生。得出的结论是,铜绿假单胞菌对这些导管的黏附高于大肠杆菌,并且本文使用的乳胶导尿管洗脱的物质在体外对大肠杆菌和人PMN的氧依赖性杀菌机制有毒性。

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J Hosp Infect. 2014 Jan;86 Suppl 1:S1-70. doi: 10.1016/S0195-6701(13)60012-2.
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J Hosp Infect. 2007 Feb;65 Suppl 1:S1-64. doi: 10.1016/S0195-6701(07)60002-4.
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Zinc eluted from siliconized latex urinary catheters decreases OprD expression, causing carbapenem resistance in Pseudomonas aeruginosa.
从硅化乳胶导尿管中洗脱出来的锌会降低OprD的表达,导致铜绿假单胞菌对碳青霉烯类药物产生耐药性。
Antimicrob Agents Chemother. 2003 Jul;47(7):2313-5. doi: 10.1128/AAC.47.7.2313-2315.2003.
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Resistance of Pseudomonas aeruginosa to imipenem induced by eluates from siliconized latex urinary catheters is related to outer membrane protein alterations.硅化乳胶导尿管洗脱液诱导的铜绿假单胞菌对亚胺培南的耐药性与外膜蛋白改变有关。
Antimicrob Agents Chemother. 1999 Feb;43(2):397-9. doi: 10.1128/AAC.43.2.397.
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Susceptibility to antimicrobial agents of Pseudomonas aeruginosa attached to siliconized latex urinary catheters.
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