脲酶阳性菌尿与长期导尿管梗阻
Urease-positive bacteriuria and obstruction of long-term urinary catheters.
作者信息
Mobley H L, Warren J W
机构信息
Department of Medicine, University of Maryland School of Medicine, Baltimore 21201.
出版信息
J Clin Microbiol. 1987 Nov;25(11):2216-7. doi: 10.1128/jcm.25.11.2216-2217.1987.
Abstract
Long-term urethral catheterization (greater than or equal to 30 days), a management technique for urinary incontinence, results in polymicrobial bacteriuria. We frequently found urease-producing bacteria: of 1,135 weekly urine specimens from 32 long-term-catheterized patients, 86% had urease-positive bacterial species at greater than or equal to 10(5) CFU/ml. The most common species were Proteus mirabilis and Morganella morganii, each found in over half the specimens. P. mirabilis, but not other urease-positive species, was significantly associated with the 67 obstructions observed in 23 patients. M. morganii had a more complex association and in some way may protect the catheter from obstruction.
摘要
长期导尿（大于或等于30天）是一种治疗尿失禁的管理技术，会导致多种微生物性菌尿。我们经常发现产脲酶细菌：在来自32例长期导尿患者的1135份每周尿液标本中，86%的标本中脲酶阳性细菌种类的菌落形成单位（CFU）大于或等于10⁵/ml。最常见的菌种是奇异变形杆菌和摩根摩根菌，每种菌在超过一半的标本中被发现。奇异变形杆菌，而非其他脲酶阳性菌种，与23例患者中观察到的67次梗阻显著相关。摩根摩根菌的关联更为复杂，可能在某种程度上保护导尿管不被堵塞。
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本文引用的文献
1
Providencia rustigianii: a new species in the family Enterobacteriaceae formerly known as Providencia alcalifaciens biogroup 3.鲁氏普罗威登斯菌：肠杆菌科中的一个新物种，以前被称为产碱普罗威登斯菌生物群3。
J Clin Microbiol. 1983 Jun;17(6):1057-60. doi: 10.1128/jcm.17.6.1057-1060.1983.
2
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J Infect Dis. 1982 Dec;146(6):719-23. doi: 10.1093/infdis/146.6.719.
3
Bacteriology of branched renal calculi and accompanying urinary tract infection.
J Urol. 1984 Feb;131(2):213-5. doi: 10.1016/s0022-5347(17)50311-0.
4
Stone formation in paraplegia.
Paraplegia. 1969 Aug;7(2):77-85. doi: 10.1038/sc.1969.15.
5
The problem of catheter encrustation.导管结垢问题。
Can Med Assoc J. 1974 Aug 3;111(3):238-9 passim.
6
Variable phenotypes of Providencia stuartii due to plasmid-encoded traits.由于质粒编码性状导致的斯氏普罗威登斯菌可变表型。
J Clin Microbiol. 1985 Nov;22(5):851-3. doi: 10.1128/jcm.22.5.851-853.1985.
7
An in vitro ultrastructural study of infectious kidney stone genesis.感染性肾结石形成的体外超微结构研究。
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8
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9
Fever, bacteremia, and death as complications of bacteriuria in women with long-term urethral catheters.
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10
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