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[对呼吸道炎症性疾病患者非白喉棒状杆菌的分离频率分析。]

[Analysis of the frequency of allocation of Corynebacteria non-diphtheria from patients with inflammatory diseases of the respiratory tract.].

作者信息

Kharseeva G G, Mangutov E O, But O M, Chepusova A V, Alutina E L

机构信息

Federal state establishment of health care the Medical and sanitary part of the Ministry of Internal affairs of the Russian Federation across the Rostov region, 344002, Rostov on Don, Russia.

Municipal budgetary health care institution, «Сity hospital No. 20 of Rostov-on-Don», 344091, Rostov on Don, Russia.

出版信息

Klin Lab Diagn. 2019;64(7):430-434. doi: 10.18821/0869-2084-2019-64-7-430-434.

Abstract

Corynebacteria non-diphtheria and, in particular, C. pseudodiphtheriticum species that are closely related to C. propinquum and C. striatum form a group of new respiratory pathogens leading to the development of bronchitis, tracheitis, exacerbation of chronic obstructive pulmonary diseases, nosocomial pneumonia and other pathology. The goal is to analyze the frequency of the release of Сorynebacteria non-diphtheria from the upper respiratory tract of patients with various inflammatory diseases of the respiratory tract. Strains of Сorynebacteria non-diphtheria (C. pseudodiphtheriticum, C. propinquum, C. accolens, et al.), isolated from patients with inflammatory diseases of the respiratory tract (60 pcs.) and practically healthy individuals (31 pcs.) were studied. Identification of Сorynebacteria was performed using the method of mass spectrometry (MALDI-ToFMS). Сorynebacteria nondiphtheria in the amount of 105 and higher were more frequently detected with the development of chronic tonsillitis (60.0%) and nasopharyngitis (30%). The strains of C. pseudodiphtheriticum (40.0±6.4%) and the closely related species C. propinquum (21.7±5.3%) were mainly found; much less often - C. accolens (8.3±3.6%), C. afermentans (6.7±3.3%), et al. In 86.7% of cases, Corynebacteria non-diphtheria were isolated from children. In chronic tonsillitis, C. pseudodiphtheriticum and the closely related species of C. propinquum were isolated more often; in nasopharyngitis and bronchitis - С. pseudodiphtheriticum. Isolation of Corynebacteria non-diphtheria and, especially, C. pseudodiphtheriticum, C. propinquum, C. accolens species from patients with inflammatory diseases of the respiratory tract in the amount of 105 and above, if there are no other pathogenic microorganisms in the role of microbial associates, of clinical importance.

摘要

非白喉棒状杆菌,尤其是与毗邻棒状杆菌和纹带棒状杆菌密切相关的假白喉棒状杆菌,构成了一组导致支气管炎、气管炎、慢性阻塞性肺疾病加重、医院获得性肺炎和其他病理状况的新型呼吸道病原体。目的是分析从患有各种呼吸道炎症性疾病的患者上呼吸道中分离出非白喉棒状杆菌的频率。研究了从患有呼吸道炎症性疾病的患者(60例)和实际健康个体(31例)中分离出的非白喉棒状杆菌菌株(假白喉棒状杆菌、毗邻棒状杆菌、拥挤棒状杆菌等)。使用质谱法(MALDI-ToFMS)对棒状杆菌进行鉴定。慢性扁桃体炎(60.0%)和鼻咽炎(30%)发生时,更频繁地检测到数量为105及以上的非白喉棒状杆菌。主要发现了假白喉棒状杆菌菌株(40.0±6.4%)和密切相关的毗邻棒状杆菌物种(21.7±5.3%);较少见的是拥挤棒状杆菌(8.3±3.6%)、无发酵棒状杆菌(6.7±3.3%)等。在86.7%的病例中,非白喉棒状杆菌是从儿童中分离出来的。在慢性扁桃体炎中,更常分离出假白喉棒状杆菌和密切相关的毗邻棒状杆菌物种;在鼻咽炎和支气管炎中——假白喉棒状杆菌。如果没有其他致病微生物作为微生物伴生菌,从呼吸道炎症性疾病患者中分离出数量为105及以上的非白喉棒状杆菌,尤其是假白喉棒状杆菌、毗邻棒状杆菌、拥挤棒状杆菌物种,具有临床重要性。

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