鼻部手术中的中毒性休克综合征：Merocel和NuGauze鼻填塞物的物理化学及微生物学评估

Toxic shock syndrome in nasal surgery: a physiochemical and microbiologic evaluation of Merocel and NuGauze nasal packing.

作者信息

Breda S D, Jacobs J B, Lebowitz A S, Tierno P M

机构信息

Department of Otolaryngology, New York University Medical Center, NY 10016.

出版信息

Laryngoscope. 1987 Dec;97(12):1388-91. doi: 10.1288/00005537-198712000-00002.

DOI:10.1288/00005537-198712000-00002

PMID:3683048

Abstract

A prospective comparison of the microbiologic safety of Merocel versus NuGauze nasal packing in 119 surgical patients is presented. Presurgical and postsurgical nasal cultures were obtained, analyzed, and compared. The importance of a preoperative nasal culture isolate of Toxic Shock Syndrome Toxin Number 1 (TSST-1) producing Staphylococcus aureus in predicting postoperative toxigenic S. aureus isolation and Toxic Shock Syndrome symptomatology is demonstrated. An in vitro comparison of the ability of NuGauze and Merocel to amplify TSST-1 production was performed.

摘要

本文对119例手术患者使用美罗藻（Merocel）和纽高斯（NuGauze）鼻填塞物的微生物安全性进行了前瞻性比较。采集、分析并比较了术前和术后的鼻腔培养物。结果表明，术前鼻腔培养分离出产生中毒性休克综合征毒素1（TSST-1）的金黄色葡萄球菌，对于预测术后产毒金黄色葡萄球菌的分离及中毒性休克综合征症状具有重要意义。同时对纽高斯和美罗藻扩增TSST-1产生能力进行了体外比较。