Ardelt Michael, Dittmar Yves, Kocijan Roland, Rödel Jürgen, Schulz Birte, Scheuerlein Hubert, Settmacher Utz
Department of General, Visceral and Vascular Surgery, University of Jena, Jena, Germany.
Medical Department II with Osteology, Rheumatology and Gastroenterology, St. Vincent Hospital, Vienna, Austria.
Int Wound J. 2016 Apr;13(2):231-7. doi: 10.1111/iwj.12274. Epub 2014 Apr 24.
The aim of the present retrospective single centre study was to define the changes in the microbiological flora of the recurring sacrococcygeal pilonidal sinus (PS). Microbiological findings of swab samples of abscess-forming PS from 2000 to 2010 were evaluated. Within this time span, 73 swab samples were taken from primary sacrococcygeal pilonidal sinus (pPS) and 23 swab samples of patients with recurring sacrococcygeal pilonidal sinus (rPS). Our results show a statistically significant shift of the bacterial flora towards the gram-positive range (P = 0·029) and a shift with tendency towards the aerobic range (P = 0·090). Pathogens of pPS are not always solely anaerobic or gram-negative, and those of rPS not always aerobic or gram-positive. Therefore, antibiosis preceding microbiological examination should cover both the aerobic and anaerobic bacteria as well as the gram-positive and the gram-negative spectrum.
本回顾性单中心研究的目的是确定复发性骶尾部藏毛窦（PS）微生物菌群的变化。对2000年至2010年形成脓肿的PS拭子样本的微生物学结果进行了评估。在此时间段内，从原发性骶尾部藏毛窦（pPS）采集了73份拭子样本，从复发性骶尾部藏毛窦（rPS）患者采集了23份拭子样本。我们的结果显示，细菌菌群在统计学上有显著向革兰氏阳性菌范围的转变（P = 0·029），并有向需氧菌范围转变的趋势（P = 0·090）。pPS的病原体并不总是单纯的厌氧菌或革兰氏阴性菌，rPS的病原体也并不总是需氧菌或革兰氏阳性菌。因此，在微生物学检查之前使用的抗生素应覆盖需氧菌和厌氧菌以及革兰氏阳性菌和革兰氏阴性菌谱。
