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使用三种含聚茴香脑磺酸钠的培养基(需氧等渗和高渗以及厌氧等渗培养基)进行血培养的研究(作者译)

[Investigations on bloodcultures with three culture media containing Na-polyanetholsulfonate (aerobic iso- and hypertonic and anaerobic isotonic (author's transl)].

作者信息

Rotter M, Hirschl A, Stanek G

出版信息

Zentralbl Bakteriol Orig A. 1978 Dec;242(4):555-65.

PMID:219639
Abstract

By using parallel culture techniques 330 blood specimens steming from patients of an intensive care unit were cultured simultanously in 3 media containing 0.05% Na-Poly-anetholsulfonate. Otherwise having an identical composition the media differed in the following respects : the isotonic medium A and the - by additional content of 10% sucrose - hypertonic medium B were used for aerobic culture. The anaerobic and isotonic medium C contained 2% Proteose-peptone, additionally. Without regards to the isolation of strictly anaerobic bacteria a total of 114 positive bloodcultures was obtained (tab. 1). The use of medium A resulted in 81 positive bloodcultures, that of medium B and C in 93 and 50, respectively (tab. 2). With the combined use of media A + B 103 positive bloodcultures would have been detected, with B + C 102, but with A + C 92 only (tab. 2). Of all 3 media the hypertonic medium B promotes bacterial growth most efficiently, but 13 strains grown in A did not grow in B (tab. 3), a fact that leads to the conclusion that isotonic as well as hypertonic aerobic media are employed in parallel advantageously. The effect of the hypertonic medium was expressed most distinctly with the isolation of grampositive bacteria (tab. 4). As during the period of this investigation the intensive care unit was afflicted by an outbreak of Serratia marcescens the predominance of this species among the other isolated microbes (tab. 5) is not surprising. While no difference of detection-time was observed between A and B, microbial growth in medium C seemed to be slower (fig). It was concluded that the use of 3 media, aerobic isotonic and hypertonic as well as anaerobic isotonic should be employed whenever possible.

摘要

通过使用平行培养技术,对来自重症监护病房患者的330份血液标本同时在3种含有0.05% 聚茴香脑磺酸钠的培养基中进行培养。这些培养基在其他方面组成相同,但在以下方面有所不同:等渗培养基A和通过额外添加10% 蔗糖制成的高渗培养基B用于需氧培养。厌氧等渗培养基C还含有2% 蛋白胨。不考虑严格厌氧菌的分离情况,共获得114份阳性血培养结果(表1)。使用培养基A得到81份阳性血培养结果,培养基B和C分别得到93份和50份(表2)。联合使用培养基A + B可检测到103份阳性血培养结果,B + C为102份,但A + C仅为92份(表2)。在所有3种培养基中,高渗培养基B促进细菌生长的效率最高,但在A中生长的13株菌株在B中不生长(表3),这一事实得出的结论是,等渗和高渗需氧培养基并行使用是有利的。高渗培养基的效果在革兰氏阳性菌的分离中表现得最为明显(表4)。在本研究期间,重症监护病房爆发了粘质沙雷氏菌感染,该菌在其他分离出的微生物中占优势(表5)也就不足为奇了。虽然在A和B之间未观察到检测时间的差异,但培养基C中的微生物生长似乎较慢(图)。得出的结论是,只要有可能,应使用3种培养基,即需氧等渗和高渗培养基以及厌氧等渗培养基。

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