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受损宿主的胃肠道去污及其临床意义。

Gastrointestinal decontamination in the compromised host and its clinical significance.

作者信息

Ozawa A, Sawamura S, Yanagawa Y, Nagao T, Sasaki S

出版信息

Tokai J Exp Clin Med. 1985 Jun;10(2-3):181-92.

PMID:3914741
Abstract

The result documenting the disappearance of obligate anaerobic bacteria as the predominant intestinal organisms with the onset of septicemia from S. marcescens calls for exploration into the clinical significance of anaerobic bacteria in the intestine in relationships between gut flora and host. The finding that no significant difference could be seen between the rates of septicemia under protective isolation and in uncontrolled environments is indicative of the fact that the disease most likely originated as an infection of endogenous nature. In the five cases of leukemia in children with bone marrow transplantation cited in this presentation, not one case of bacterial or fungal infection was recorded. The establishment of endogenous infections surrounding the results presented herein is discussed in terms of the biological phenomena of the interaction between intestinal flora and host, and between the intestinal bacterial flora.

摘要

随着粘质沙雷氏菌败血症的发生,专性厌氧菌作为主要肠道微生物消失的结果,要求探讨肠道厌氧菌在肠道菌群与宿主关系中的临床意义。在保护性隔离和非受控环境下败血症发生率之间未观察到显著差异,这一发现表明该疾病很可能起源于内源性感染。在本报告引用的5例儿童骨髓移植白血病病例中,未记录到一例细菌或真菌感染。本文围绕这些结果对内源性感染的形成,从肠道菌群与宿主之间以及肠道细菌菌群之间相互作用的生物学现象方面进行了讨论。

相似文献

1
Gastrointestinal decontamination in the compromised host and its clinical significance.受损宿主的胃肠道去污及其临床意义。
Tokai J Exp Clin Med. 1985 Jun;10(2-3):181-92.
2
The clinical significance of gastrointestinal decontamination in the occurrence of endogenous infections.
Jpn J Clin Oncol. 1984 Dec;14 Suppl 1:465-78.
3
[Clinical significance of gastrointestinal decontamination under protected environment].[保护环境下胃肠道去污的临床意义]
Kansenshogaku Zasshi. 1991 Jan;65(1):40-6. doi: 10.11150/kansenshogakuzasshi1970.65.40.
4
Total intestinal decontamination for prevention of infection in bone marrow transplantation.
Jpn J Clin Oncol. 1983;13 Suppl 1:111-26.
5
[Infections and bone marrow autograft carried out for leukemias in children. Apropos of 47 cases].[儿童白血病的感染与骨髓自体移植。附47例报告]
Arch Fr Pediatr. 1988 Jun-Jul;45(6):393-7.
6
[Gastrointestinal decontamination procedure in bone marrow transplantation].[骨髓移植中的胃肠道去污程序]
Rinsho Ketsueki. 1986 Jun;27(6):879-84.
7
Management of bacterial and fungal infections in bone marrow transplant recipients and other granulocytopenic patients.
Cancer Detect Prev. 1988;12(1-6):609-19.
8
Gastrointestinal decontamination of dogs treated with total body irradiation and bone marrow transplantation.
Exp Hematol. 1981 Oct;9(9):904-16.
9
Fungal colonization and invasive fungal infections following allogeneic BMT using metronidazole, ciprofloxacin and fluconazole or ciprofloxacin and fluconazole as intestinal decontamination.使用甲硝唑、环丙沙星和氟康唑或环丙沙星与氟康唑进行肠道去污的异基因骨髓移植后的真菌定植和侵袭性真菌感染。
Bone Marrow Transplant. 2000 Nov;26(9):993-7. doi: 10.1038/sj.bmt.1702655.
10
Experience with protective isolation for infection prevention in the compromised host.在免疫功能低下宿主中进行预防感染的保护性隔离经验。
Tokai J Exp Clin Med. 1986;11 Suppl:23-8.

引用本文的文献

1
Critical assessment of the methods used for detection of bacterial translocation.对用于检测细菌移位的方法的批判性评估。
Pediatr Surg Int. 2004 Apr;20(4):267-70. doi: 10.1007/s00383-003-1124-0. Epub 2004 Feb 10.
2
Prevention of infection in children with acute leukaemia. No major difference between total and selective bowel decontamination.急性白血病患儿感染的预防。全肠道去污与选择性肠道去污之间无重大差异。
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