Savitskaia K I, Vorob'ev A A, Solodilova O E
Zh Mikrobiol Epidemiol Immunobiol. 1989 Mar(3):39-45.
The aim of this investigation was the complex analysis of the dynamics of microflora at the focus of inflammation, the factors of the anti-infective resistance of the body and the clinical course of acute pneumonia in groups of children subjected to different kinds of antibacterial therapy (corresponding and not corresponding to the antibioticogram of the causative agent) or in the absence of antibacterial therapy, i.e. in groups 1, 2 and 3 respectively. As a result, differences in the change of microflora at the focus of inflammation were revealed. They were manifested, in particular, by the possibility of the development of microflora consisting of multiresistant strains as early as on day 7 of hospitalization. Different dynamics of the anti-infective resistance factors corresponded to changes in microflora at the focus of inflammation. No negative effect of antibiotics of the penicillin series and gentamicin on the levels of immunoglobulins, complement and on phagocytic activity was revealed.
本研究的目的是对接受不同种类抗菌治疗(与病原体抗菌谱相符和不相符)或未接受抗菌治疗(即分别为第1、2和3组)的儿童群体中炎症病灶处微生物群落的动态变化、机体抗感染抵抗力的因素以及急性肺炎的临床病程进行综合分析。结果显示,炎症病灶处微生物群落的变化存在差异。具体表现为,住院第7天就有可能出现由多重耐药菌株组成的微生物群落。抗感染抵抗力因素的不同动态变化与炎症病灶处微生物群落的变化相对应。未发现青霉素类抗生素和庆大霉素对免疫球蛋白水平、补体及吞噬活性有负面影响。