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在用于解剖课程的人体尸体上偶然发现产气荚膜梭菌。

Incidental finding of Clostridium perfringens on human corpses used for the anatomy course.

机构信息

Division of Macroscopic and Clinical Anatomy, Gottfried Schatz Research Center, Medical University of Graz, Auenbruggerplatz 25, 8036, Graz, Austria.

D & R Institute of Hygiene, Microbiology and Environmental Medicine, Medical University of Graz, Neue Stiftingtalstrasse 6, 8010, Graz, Austria.

出版信息

Anat Sci Int. 2023 Jan;98(1):151-154. doi: 10.1007/s12565-022-00699-y. Epub 2022 Dec 5.

Abstract

Post-mortem specimens used for anatomy teaching are commonly embalmed using compositions of chemicals, with the objective to maintain tissue quality and to avoid putrefaction. Monitoring for bacterial or fungal contamination is becoming increasingly important especially when measures are taken to minimize exposure by chemicals such as formaldehyde. In this case, random swabs were taken from six corpses embalmed with ethanol-glycerin and Thiel embalming. Cultures and MALDI-TOF analyses yielded four cases of Clostridium perfringens contamination. C. perfringens is of special interest as a human pathogen. A potential source was identified in the containers filled with the moistening solution. Cross contamination with Clostridium species has likely occurred between corpses sharing the moistening solution and soaking the cover linen directly within the containers. To minimize any risk for those exposed, the moistening solutions were discarded and all equipment thoroughly disinfected. The specimens had to be cremated as they formed a potential source of Clostridium spores. Deviating from previous routines it was formalized that the cover linen must not be submerged in the moistening contains rather than moistening the specimens directly with dedicated vessels. Follow-up analyses yielded no further contamination with C. perfringens.

摘要

用于解剖教学的尸体标本通常使用化学物质的混合物进行防腐处理,目的是保持组织质量并防止腐败。监测细菌或真菌污染变得越来越重要,特别是在采取措施尽量减少甲醛等化学物质暴露的情况下。在这种情况下,从用乙醇-甘油和 Thiel 防腐液防腐的六具尸体上随机采集拭子。培养和 MALDI-TOF 分析得出了四例产气荚膜梭菌污染的结果。产气荚膜梭菌作为人类病原体具有特殊意义。在装满保湿溶液的容器中发现了一个潜在的污染源。共享保湿溶液的尸体之间以及直接将覆盖亚麻布浸泡在容器中都可能发生梭菌属的交叉污染。为了将暴露风险降到最低,保湿溶液被丢弃,所有设备都进行了彻底消毒。由于这些标本可能是产气荚膜梭菌孢子的潜在来源,因此必须将其火化。与以往的常规做法不同,规定覆盖亚麻布不得浸没在保湿容器中,而是通过专用容器直接对标本进行保湿。后续分析未发现产气荚膜梭菌的进一步污染。

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