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[日托儿童上呼吸道的微生物定植与急性发病情况的关系]

[Microbial colonization of the upper respiratory tracts of day care children in relation to acute morbidity episodes].

作者信息

Ritter E, Grimmer I, Adamczyk G, Schmidt G

机构信息

Institut für Medizinische Mikrobiologie, Bereiches Medizin (Charité), Humboldt-Universität zu Berlin.

出版信息

Z Gesamte Hyg. 1990 Nov;36(11):617-20.

PMID:2085047
Abstract

The upper respiratory tracts of 20 children attending a crèche were studied for bacteria up to the 128th day of crèche attendance. To this end nose and throat swabs as well as double blood withdrawals were to determine antibodies against various respiratory viruses. The germ spectrum thus obtained was correlated with the acute pathological processes occurring during the period of investigation. In addition to the normal flora, the nasopharynx of infection-stable children was, with one exception, only populated with gram-positive pathopotent bacteria during the first four months of crèche attendance. In infection-labile children, however, gram-negative pathopotent bacteria, blastomycetes of the Candida group as well as Mycoplasma, virus and mixed infections were discovered apart from gram-positive bacteria. This broad germ spectrum should be taken into wider consideration in the chemotherapy of respiratory infections.

摘要

对20名日托幼儿园儿童的上呼吸道进行了研究,在他们入园的第128天前检测其中的细菌。为此,采集了鼻拭子、咽拭子以及两份血样,以检测针对各种呼吸道病毒的抗体。由此获得的菌群谱与调查期间发生的急性病理过程相关。除正常菌群外,在入园的头四个月里,抗感染能力稳定的儿童的鼻咽部,除一例例外,仅存在革兰氏阳性致病细菌。然而,在抗感染能力不稳定的儿童中,除革兰氏阳性细菌外,还发现了革兰氏阴性致病细菌、念珠菌属酵母菌以及支原体、病毒和混合感染。在呼吸道感染的化疗中,应更广泛地考虑这种广泛的菌群谱。

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