Brook I, Frazier E H, Thompson D H
Department of Pediatrics, Naval Medical Center, Bethesda, Md.
Laryngoscope. 1991 Feb;101(2):170-2. doi: 10.1288/00005537-199102000-00012.
Aspirates of pus from acute suppurative parotitis were studied for aerobic and anaerobic bacteria. Bacterial growth was present in 23 specimens. A total of 36 bacterial isolates (20 anaerobic and 16 aerobic and facultative) were recovered, accounting for 1.6 isolates per specimen (0.9 anaerobic and 0.7 aerobic and facultative). Anaerobic bacteria only were present in 10 (43%) patients, aerobic and facultatives in 10 (43%), and mixed aerobic and anaerobic flora in 3 (13%). Single bacterial isolates were recovered in 9 infections, 6 of which were Staphylococcus aureus and 3 were anaerobic bacteria. The predominant bacterial isolates were S. aureus (8 isolates), Bacteroides sp. (6 isolates, including 4 Bacteroides melaninogenicus group), and Peptostreptococcus sp. (5). beta-Lactamase-producing organisms were recovered from 11 (73%) of the 15 specimens tested. This study highlights the polymicrobial nature and importance of anaerobic bacteria in acute suppurative parotitis.
对急性化脓性腮腺炎的脓液抽吸物进行了需氧菌和厌氧菌研究。23份标本中存在细菌生长。共分离出36株细菌（20株厌氧菌和16株需氧菌及兼性厌氧菌），每个标本平均分离出1.6株（0.9株厌氧菌和0.7株需氧菌及兼性厌氧菌）。仅厌氧菌存在于10例（43%）患者中，需氧菌及兼性厌氧菌存在于10例（43%）患者中，需氧菌和厌氧菌混合菌群存在于3例（13%）患者中。9例感染中分离出单一细菌菌株，其中6株为金黄色葡萄球菌，3株为厌氧菌。主要的细菌分离株为金黄色葡萄球菌（8株）、拟杆菌属（6株，包括4株产黑色素拟杆菌群）和消化链球菌属（5株）。在检测的15份标本中，有11份（73%）分离出产β-内酰胺酶的微生物。本研究强调了急性化脓性腮腺炎中微生物的多样性以及厌氧菌的重要性。
