Department of Gastrointestinal Surgery, Sixth Affiliated Hospital (Gastrointestinal & Anal Hospital) of Sun Yat-sen University, Guangzhou, Guangdong 510655, China.
Chin Med J (Engl). 2010 Feb 5;123(3):326-31.
Techniques for the fast and accurate detection of bacterial infection are critical for early diagnosis, prevention and treatment of bacterial translocation in clinical severe acute pancreatitis (SAP). In this study, the availability of a real-time PCR method in detection of bacterial colonization in SAP rat models was investigated.
Samples of blood, mesenteric lymph nodes (MLN), pancreas and liver from 24 specific pathogen-free rats (8 in a control group, 16 in a SAP group) were detected for bacterial infection rates both by agar plate culture and a real-time PCR method, and the results were made contrast.
Bacterial infection rates of the blood, MLN, pancreas and liver in the SAP group and the control group by the two different methods were almost the same, which were 5/16, 12/16, 15/16, 12/16 in the SAP group compared with 0/8, 1/8, 0/8, 0/8 in the control group by agar plate culture, while 5/16, 10/16, 13/16, 12/16 and 0/8, 1/8, 0/8, 0/8 respectively by a real-time PCR method. Bacterial number was estimated by real-time PCR, which showed that in the same mass of tissues, the pancreas contained more bacteria than the other three kinds of organs in SAP rats (P < 0.01), that may be due to the edema, necrosis and hemorrhage existing in the pancreas, making it easier for bacteria to invade and breed.
Fast and accurate detection of bacterial translocation in SAP rat models could be carried out by a real-time PCR procedure.
快速准确地检测细菌感染对于临床重症急性胰腺炎(SAP)中细菌易位的早期诊断、预防和治疗至关重要。在本研究中,研究了实时 PCR 方法在 SAP 大鼠模型中检测细菌定植的可用性。
对 24 只无特定病原体大鼠(8 只对照组,16 只 SAP 组)的血液、肠系膜淋巴结(MLN)、胰腺和肝脏样本进行了细菌感染率检测,分别通过琼脂平板培养和实时 PCR 方法进行检测,并对结果进行了对比。
两种不同方法检测 SAP 组和对照组大鼠血液、MLN、胰腺和肝脏的细菌感染率几乎相同,SAP 组分别为 5/16、12/16、15/16、12/16,而对照组为 0/8、1/8、0/8、0/8 ,通过琼脂平板培养,而通过实时 PCR 方法分别为 5/16、10/16、13/16、12/16 和 0/8、1/8、0/8、0/8。通过实时 PCR 法估计细菌数量,结果显示,在相同质量的组织中,SAP 大鼠的胰腺比其他三种器官含有更多的细菌(P<0.01),这可能是由于胰腺存在水肿、坏死和出血,使细菌更容易侵入和繁殖。
实时 PCR 程序可用于快速准确地检测 SAP 大鼠模型中的细菌易位。