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比利时蓝牛择期剖宫产时手术部位的细菌污染——第1部分:通过细菌培养鉴定

Bacterial Contamination of the Surgical Site at the Time of Elective Caesarean Section in Belgian Blue Cows-Part 1: Identified by Bacterial Culture.

作者信息

Djebala Salem, Coria Elise, Munaut Florian, Gille Linde, Eppe Justine, Moula Nassim, Taminiau Bernard, Daube Georges, Bossaert Philippe

机构信息

Clinical Department of Ruminants, University of Liège, Quartier Vallée 2, Avenue de Cureghem 7A-7D, 4000 Liège, Belgium.

Murphy and Leslie Veterinary Centre (Private Practice), Muckerstaff Granard, N39AN52 Co Longford, Ireland.

出版信息

Vet Sci. 2022 Dec 9;9(12):687. doi: 10.3390/vetsci9120687.

Abstract

To improve the efficacy of preoperative antibiotics used in elective caesarean section (CS), we aimed to identify the bacteria contaminating the surgical site during this surgery. A study was conducted on 76 Belgian Blue cows. Bacteriology was performed on cotton swab sampled from the visceral and parietal peritoneum of each cow during the CS. Most of samples showed a negative culture (55/76; 72.37%), 19/76 (25%) were positive (p < 0.0001) and two samples were contaminated. In total, 32 isolates belonging to 18 species were identified. Most of them are aerobic (17/18; 94.44%) and half of them were gram-negative (G-). The most encountered bacteria were Acinetobacter sp. (6/32; 18.75%), Pseudomonas sp. (4/32; 12.5%), Aerococcus viridans (4/32; 12.5%), Psychrobacter sp. (3/32; 9.37%), and Escherichia coli (2/32; 6.25%). Among the identified isolates, 31/32 (96.87%) were aerobic and 1/32 (3.12%) was anaerobic (p = 0.0001). Furthermore, 20/32 (62.50%) strains were G− while 12/32 (37.5%) were gram-positive (G+) (p = 0.012). In fact, most of cultured strains were aerobic G− (20/32), 11/32 were aerobic G+ and 1/32 is anaerobic G+ (p < 0.0001). In conclusion, most of samples showed a negative bacteriology; however, aerobic G− strains were the most identified in positive swabs. Therefore, preoperative antibiotics should be aimed against these bacteria.

摘要

为提高择期剖宫产手术中术前抗生素的疗效,我们旨在确定该手术过程中污染手术部位的细菌。对76头比利时蓝牛进行了一项研究。在剖宫产手术期间,从每头牛的内脏和壁层腹膜采集棉拭子进行细菌学检测。大多数样本培养结果为阴性(55/76;72.37%),19/76(25%)为阳性(p<0.0001),两个样本被污染。总共鉴定出属于18个物种的32株分离菌。其中大多数为需氧菌(17/18;94.44%),一半为革兰氏阴性菌(G-)。最常见的细菌是不动杆菌属(6/32;18.75%)、假单胞菌属(4/32;12.5%)、绿色气球菌(4/32;12.5%)、嗜冷杆菌属(3/;9.37%)和大肠杆菌(2/32;6.25%)。在鉴定出的分离菌中,31/32(96.87%)为需氧菌,1/32(3.12%)为厌氧菌(p=0.0001)。此外,20/32(62.50%)菌株为G-,而12/32(37.5%)为革兰氏阳性菌(G+)(p=0.012)。事实上,大多数培养菌株为需氧G-(20/32),11/32为需氧G+,1/32为厌氧G+(p<0.0001)。总之,大多数样本细菌学检测为阴性;然而,在阳性拭子中,需氧G-菌株最为常见。因此,术前抗生素应针对这些细菌。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/063b/9785745/02cffc66e3c4/vetsci-09-00687-g001.jpg

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