Obst Ursula, Marten Silke-Mareike, Niessner Christoph, Hartwig Erich, Korsch Michael, Walther Winfried
Institute of Functional Interfaces, Karlsruhe Institute of Technology (KIT), Eggenstein-Leopoldshafen, Germany.
Int J Artif Organs. 2012 Oct;35(10):727-34. doi: 10.5301/ijao.5000144.
The aim of this study was to compare the diversity of microbial colonization on implant material from different individuals. Eubacterial DNA was extracted, separated and sequenced from orthopaedic metallic implant material, tissues or body fluids, and skin of 4 patients as well as from identical dental cement material from 10 individuals after revision and routine removal. Additionally, the composition of the bacterial population of the dental cement and the oral swab sample from one individual after direct extraction of bacterial DNA was compared to extraction after conventional microbiological enrichment. The latter investigation proved that the commonly used cultivation technique gave different results than direct extraction of DNA, especially as regards the detection of anaerobes. Comparing the bacterial colonization of implant materials from different patients showed significant individual diversity. The common focus on a constricted pathogen spectrum may have to be expanded toward a multispecies population. Moreover, the dependence of the bacterial population on the individual host has to be integrated in discussing implant colonization and infection.
本研究的目的是比较不同个体植入材料上微生物定植的多样性。从4例患者的骨科金属植入材料、组织或体液、皮肤以及10例个体在翻修和常规取出后相同的牙科水门汀材料中提取、分离和测序真细菌DNA。此外,将一名个体直接提取细菌DNA后的牙科水门汀和口腔拭子样本的细菌群体组成与常规微生物富集后的提取结果进行比较。后一项研究证明,常用的培养技术与直接提取DNA的结果不同,尤其是在厌氧菌检测方面。比较不同患者植入材料的细菌定植情况显示出显著的个体差异。对狭窄病原体谱的普遍关注可能需要扩大到多物种群体。此外,在讨论植入物定植和感染时,必须考虑细菌群体对个体宿主的依赖性。
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