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[由需氧和厌氧机会致病菌引起的实验性多微生物骨髓炎]

[Experimental polymicrobial osteomyelitis produced by both aerobic and anaerobic opportunistic pathogens].

作者信息

Sakaeda H

机构信息

Department of Orthopaedic Surgery, Gifu University School of Medicine, Japan.

出版信息

Nihon Seikeigeka Gakkai Zasshi. 1988 Aug;62(8):791-802.

PMID:3235897
Abstract

Experimental models of polymicrobial osteomyelitis were prepared using clinical isolates of Staphylococcus epidermidis and Enterococcus faecalis as aerobes and Bacteroides fragilis and Bacteroides bivius as anaerobes. These pathogens were used because of their opportunistic properties. Two 8 mm long silk threads with the microorganism were inserted into the bone marrow of a rat. The microorganism inoculated was about 10(5) c.f.u. for aerobes and 10(6) c.f.u. for anaerobes. Infected parts observed in the roentgenograms, histopathological changes, and bacterial counts all showed the evolution of osteomyelitis. It was found that our models caused osteomyelitis both when each of S. epidermidis, E. faecalis, B. fragilis, and B. bivius was implanted individually and in their combinations. The patterns of the radiological and the histological observations were almost similar in all cases examined, but their characteristics differed depending on the kinds and combinations of the pathogens.

摘要

使用表皮葡萄球菌和粪肠球菌的临床分离株作为需氧菌,脆弱拟杆菌和二路拟杆菌作为厌氧菌,制备了多微生物骨髓炎实验模型。选择这些病原体是因为它们具有机会致病特性。将两根带有微生物的8毫米长丝线插入大鼠骨髓。接种的需氧菌微生物数量约为10⁵ c.f.u.,厌氧菌为10⁶ c.f.u.。X线片观察到的感染部位、组织病理学变化和细菌计数均显示了骨髓炎的进展。研究发现,当单独植入表皮葡萄球菌、粪肠球菌、脆弱拟杆菌和二路拟杆菌中的每一种以及它们的组合时,我们的模型均会引发骨髓炎。在所有检查病例中,放射学和组织学观察模式几乎相似,但根据病原体的种类和组合,其特征有所不同。

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