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乳胶导尿管的细胞毒性

Cytotoxicity of latex urinary catheters.

作者信息

Ruutu M, Alfthan O, Talja M, Andersson L C

出版信息

Br J Urol. 1985 Feb;57(1):82-7. doi: 10.1111/j.1464-410x.1985.tb08992.x.

DOI:10.1111/j.1464-410x.1985.tb08992.x
PMID:3971110
Abstract

After an epidemic of severe urethral strictures in cardiac surgery patients, all brand latex catheters marketed in Finland were investigated for cellular toxicity with eluates made from the catheters. Four of the seven brands, including the one involved in the stricture cases, showed marked cytotoxicity and inhibited almost all cell growth in various human cell cultures when a 30% catheter eluate was used. DNA histograms of cells cultured with toxic catheter eluate showed inhibition of DNA synthesis. Silicone catheters did not influence cell growth, which correlates with the finding that no new stricture cases were seen after the latex catheters were replaced with silicone ones. Attention is paid to the facts that international standards regarding urethral catheter toxicity are lacking and that catheter quality control is insufficient.

摘要

在心脏手术患者中出现严重尿道狭窄的疫情后,对芬兰市场上销售的所有品牌乳胶导管进行了调查,用导管洗脱液检测其细胞毒性。七个品牌中的四个,包括涉及狭窄病例的那个品牌,当使用30%的导管洗脱液时,在各种人类细胞培养物中显示出明显的细胞毒性,并几乎抑制了所有细胞生长。用有毒导管洗脱液培养的细胞的DNA直方图显示DNA合成受到抑制。硅胶导管不影响细胞生长,这与用硅胶导管取代乳胶导管后未出现新的狭窄病例的发现相关。人们关注到缺乏关于尿道导管毒性的国际标准以及导管质量控制不足的事实。

相似文献

1
Cytotoxicity of latex urinary catheters.乳胶导尿管的细胞毒性
Br J Urol. 1985 Feb;57(1):82-7. doi: 10.1111/j.1464-410x.1985.tb08992.x.
2
Unexpected urethral strictures after short-term catheterization in open-heart surgery.心脏直视手术短期导尿后意外发生的尿道狭窄
Scand J Urol Nephrol. 1984;18(1):9-12. doi: 10.3109/00365598409182157.
3
Comparison of silicone and latex catheters in the development of urethral stricture after cardiac surgery.
Br J Urol. 1986 Oct;58(5):549-50. doi: 10.1111/j.1464-410x.1986.tb05465.x.
4
Toxic catheters and diminished urethral blood circulation in the induction of urethral strictures.
Eur Urol. 1986;12(5):340-5. doi: 10.1159/000472651.
5
Effect of catheter material on the incidence of urethral strictures.
Br J Urol. 1991 Dec;68(6):612-7. doi: 10.1111/j.1464-410x.1991.tb15425.x.
6
Recurrence of urethral stricture and late results after optical urethrotomy: comparison of strictures caused by toxic latex catheters and other causes.
Scand J Urol Nephrol. 1992;26(4):327-31. doi: 10.3109/00365599209181221.
7
Toxicity testing of urinary catheters.导尿管的毒性测试。
Br J Urol. 1985 Oct;57(5):579-84. doi: 10.1111/j.1464-410x.1985.tb05870.x.
8
Catheters and urethral strictures.导管与尿道狭窄
Br J Urol. 1986 Oct;58(5):475-8. doi: 10.1111/j.1464-410x.1986.tb05449.x.
9
A prospective, randomized trial evaluating the use of hydrogel coated latex versus all silicone urethral catheters after urethral reconstructive surgery.一项前瞻性随机试验,评估尿道重建术后水凝胶涂层乳胶导尿管与全硅胶导尿管的使用情况。
J Urol. 2008 Jan;179(1):203-6. doi: 10.1016/j.juro.2007.08.174. Epub 2007 Nov 14.
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Scand J Urol Nephrol Suppl. 1989;124:1-43.

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A retrospective analysis of delayed complications of urethroplasty at a tertiary care centre.对三级医疗中心尿道成形术迟发性并发症的回顾性分析。
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Yonsei Med J. 2005 Aug 31;46(4):579-83. doi: 10.3349/ymj.2005.46.4.579.
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Resistance of Pseudomonas aeruginosa to imipenem induced by eluates from siliconized latex urinary catheters is related to outer membrane protein alterations.硅化乳胶导尿管洗脱液诱导的铜绿假单胞菌对亚胺培南的耐药性与外膜蛋白改变有关。
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Susceptibility to antimicrobial agents of Pseudomonas aeruginosa attached to siliconized latex urinary catheters.
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