Liu X
Department of Ophthalmology, Second Affiliated Hospital Third Military Medical University, Chongquing.
Zhonghua Yan Ke Za Zhi. 1991 Mar;27(2):80-3.
Anaerobes were isolated from 43.9% of 116 eyes with infectious diseases and 21.4% of 140 normal conjunctival sacs. The predominant anaerobes were peptococcus (28.6%) in the former and propionibacterium (53.3%) in the latter. In eyes with infection, only anaerobes were isolated from 27, and a mixture of anaerobes and aerobes in 24. The sensitivity of anaerobes (68 strains) to 10 antibiotics differed significantly from that of aerobes (102 strains). Most anaerobes are sensitive to chloramphenicol and cephaloridine, but not to aminoglycosides or polymyxin B. Therefore, when an ocular infection shows a negative aerobic culture, anaerobic infection should be suspected and chloramphenicol is indicated as first choice for treatment.
在116只患有感染性疾病的眼睛中,43.9%分离出厌氧菌,在140个正常结膜囊中,21.4%分离出厌氧菌。前者主要的厌氧菌是消化球菌(28.6%),后者是丙酸杆菌(53.3%)。在感染的眼睛中,仅从27只眼中分离出厌氧菌,24只眼中分离出厌氧菌与需氧菌的混合菌。68株厌氧菌和102株需氧菌对10种抗生素的敏感性有显著差异。大多数厌氧菌对氯霉素和头孢菌素敏感,但对氨基糖苷类或多粘菌素B不敏感。因此,当眼部感染需氧培养为阴性时,应怀疑有厌氧菌感染,治疗首选氯霉素。