Moroni M, Cavalli G
Ann Sclavo. 1977 Jul-Aug;19(4):546-52.
The most important events of the bacteriological study of the anaerobic infections are the choose of specimen, how to collect and carry it. These preliminary steps may condition the success of each further manipulation. A correct methodology requires some general rules: 1. to prepare anaerobic assay only whether the clinical data are indicative: so the laboratory could give better performances for the truly interesting cases; 2. to prevent, for what it is possible, contacts between 02 and the sample; to avoid contamination with anaerobic bacteria of the endogen flora present on human mucosa; 3. the sample must be assayed within 30--45 min after having been collected. After this time many bacterial cells are lost and the sample does not represent anymore microbiology of the septic focus. Indications about samples available for anaerobic assay, are given. It is emphasized how much preferable is a syringe collecting, while swab or biopsy present some technical difficulties and cause loss of the exigent bacteria. Some indication is at last given about the transport of specimen in the case the patient is not near the laboratory.
厌氧感染细菌学研究中最重要的环节是样本的选择、采集及送检方式。这些前期步骤可能决定后续各项操作的成败。正确的方法需要遵循一些通用规则:1. 仅在临床数据表明有必要时才进行厌氧检测:这样实验室才能针对真正有意义的病例提供更有效的检测结果;2. 尽可能防止氧气与样本接触;避免人类黏膜上的内源性菌群中的厌氧菌污染样本;3. 样本采集后必须在30 - 45分钟内进行检测。超过这个时间,许多细菌细胞会丢失,样本便无法再代表脓毒症病灶的微生物情况。文中给出了可用于厌氧检测的样本的相关说明。着重强调了使用注射器采集样本的优越性,而拭子或活检样本存在一些技术难题,且会导致急需检测的细菌丢失。最后,针对患者不在实验室附近时样本的运送给出了一些说明。