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免疫功能低下患者凝固酶阴性葡萄球菌感染

[Infections caused by coagulase-negative Staphylococci in immunocompromised patients].

作者信息

Peters G, Schumacher-Perdreau F, Pulverer G

出版信息

Immun Infekt. 1986 Sep;14(5):165-9.

PMID:3770797
Abstract

Coagulase-negative staphylococci are important members of the normal aerobic microflora of human skin and mucous membranes. Normally they are not pathogenic for men. But the increase in patients with implanted plastic foreign bodies or intravascular catheters had led to a dramatic change. In these patients, coagulase-negative staphylococci are the predominant organisms causing septicemia. Special pathomechanisms are involved in the colonization of polymers by staphylococci leading to a "plastic infection". Intravascular catheters are also important factors in the origin of septicemia in premature neonates and in patients with malignant diseases, especially under cytostatic therapy. Premature or suppressed opsonophagocytosis mechanisms are responsible for the origin and maintainance of septicemia.

摘要

凝固酶阴性葡萄球菌是人类皮肤和黏膜需氧正常微生物群的重要成员。通常情况下,它们对人类无致病性。但植入塑料异物或血管内导管的患者数量增加,导致了情况的显著变化。在这些患者中,凝固酶阴性葡萄球菌是引起败血症的主要病原体。葡萄球菌在聚合物上定植导致“塑料感染”,涉及特殊的发病机制。血管内导管也是早产儿和恶性疾病患者,尤其是接受细胞抑制疗法患者发生败血症的重要因素。过早或受抑制的调理吞噬作用机制是败血症发生和持续存在的原因。

相似文献

1
[Infections caused by coagulase-negative Staphylococci in immunocompromised patients].免疫功能低下患者凝固酶阴性葡萄球菌感染
Immun Infekt. 1986 Sep;14(5):165-9.
2
[Staphylococcus coagulase negative infection in neonates caused by intravascular catheters. Prospective study].
An Esp Pediatr. 1990 Jun;32(6):518-21.
3
Antibody responses and opsonic activity in sera of preterm neonates with coagulase-negative staphylococcal septicemia and the effect of the administration of fresh frozen plasma.凝固酶阴性葡萄球菌败血症早产儿血清中的抗体反应和调理活性以及新鲜冰冻血浆输注的影响
Pediatr Res. 1998 May;43(5):645-51. doi: 10.1203/00006450-199805000-00013.
4
Is hospital-acquired intravascular catheter-related sepsis associated with outbreak strains of coagulase-negative staphylococci?医院获得性血管内导管相关败血症是否与凝固酶阴性葡萄球菌的暴发菌株有关?
J Hosp Infect. 2000 Oct;46(2):130-4. doi: 10.1053/jhin.2000.0810.
5
Coagulase-negative staphylococci as nosocomial pathogens in neonates. The role of host defense, artificial devices, and bacterial hydrophobicity.凝固酶阴性葡萄球菌作为新生儿医院感染病原体。宿主防御、人工装置及细菌疏水性的作用。
Am J Med. 1986 Jun 30;80(6B):161-5. doi: 10.1016/0002-9343(86)90495-x.
6
[Generalized infections caused by coagulase-negative staphylococci].凝固酶阴性葡萄球菌引起的全身性感染
Pediatr Pol. 1987 Oct;62(10):693-8.
7
Coagulase-negative staphylococci. Pathogens have major role in nosocomial infections.凝固酶阴性葡萄球菌。病原体在医院感染中起主要作用。
Postgrad Med. 2001 Oct;110(4):63-4, 69-70, 73-6.
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Role of coagulase-negative staphylococci in human disease.凝固酶阴性葡萄球菌在人类疾病中的作用。
Vet Microbiol. 2009 Feb 16;134(1-2):45-54. doi: 10.1016/j.vetmic.2008.09.009. Epub 2008 Sep 11.
9
Neonatal septicemia caused by coagulase-negative staphylococci.凝固酶阴性葡萄球菌引起的新生儿败血症。
Isr J Med Sci. 1986 Jan;22(1):29-33.
10
Persistent bacteremia and severe thrombocytopenia caused by coagulase-negative Staphylococcus in a neonatal intensive care unit.新生儿重症监护病房中由凝固酶阴性葡萄球菌引起的持续性菌血症和严重血小板减少症。
Pediatrics. 2006 Feb;117(2):340-8. doi: 10.1542/peds.2005-0333.

引用本文的文献

1
Assessment of multiple coagulase-negative staphylococci isolated in blood cultures using pulsed-field gel electrophoresis.使用脉冲场凝胶电泳对血培养中分离出的多种凝固酶阴性葡萄球菌进行评估。
Eur J Clin Microbiol Infect Dis. 1997 Aug;16(8):581-6. doi: 10.1007/BF02447920.
2
Nosocomial infections in general surgery: surveillance report from a German university clinic.
Infection. 1990 Jul-Aug;18(4):219-25. doi: 10.1007/BF01643391.