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鲎试剂检测法——一种快速简便检测乳腺炎乳汁中革兰氏阴性菌产生的内毒素的方法

[Limulus test--a rapid and simple method for the detection of endotoxins produced by gram-negative bacteria in mastitis milk].

作者信息

Jonsson P, Björklund L, Olofson A S, Eriksson O

出版信息

Nord Vet Med. 1985 Sep-Oct;37(5):298-305.

PMID:4080536
Abstract

According to the present study the limulus amebocyte lysate test (LAL) seems to be a convenient test to detect endotoxin in milk from udder quarters with and without inflammation. The correlation between endotoxin concentration and the results from the bacteriological investigation of 79 milk samples was good (Table I). Determination of endotoxin in 20 milk samples from cases of acute clinical mastitis with high cell count and a negative bacteriological culture showed that all but one had an endotoxin concentration of greater than 1.0 ng/ml milk (Table II). By using a micromethod of the LAL it is possible to detect cases of mastitis caused by gram-negative bacteria about one hour after the sample has reached the laboratory. In a preliminary field study milk from 13 cases of acute clinical mastitis were tested by a modified limulus amebocyte lysate (LAL) test ("cowshed test"). A 100% correlation to bacteriological findings was observed (Table IV). By using the LAL test to detect mastitis cases caused by gram-negative bacteria great economic advantages and less risk for resistance problems can be achieved by using proper antibiotics. This is the fact in Sweden where the frequency of acute clinical mastitis caused by streptococci (100% of strains sensitive for penicillin) and Staphylococcus aureus (about 90% of strains sensitive for penicillin) is high (70-80%) and about 20% are caused by gram-negative bacteria, mostly E. coli.

摘要

根据本研究,鲎试剂检测法(LAL)似乎是一种方便的检测方法,可用于检测来自有炎症和无炎症乳房区域的牛奶中的内毒素。79份牛奶样本的内毒素浓度与细菌学调查结果之间的相关性良好(表I)。对20份来自急性临床乳腺炎病例且细胞计数高但细菌学培养呈阴性的牛奶样本进行内毒素测定,结果显示除一份样本外,所有样本的内毒素浓度均大于1.0 ng/ml牛奶(表II)。通过使用LAL的微量方法,在样本到达实验室约一小时后,就有可能检测出由革兰氏阴性菌引起的乳腺炎病例。在一项初步的现场研究中,通过改良的鲎试剂检测法(“牛舍检测法”)对13例急性临床乳腺炎病例的牛奶进行了检测。观察到与细菌学检查结果的相关性为100%(表IV)。通过使用LAL检测法来检测由革兰氏阴性菌引起的乳腺炎病例,使用适当的抗生素可实现巨大的经济优势,且耐药问题风险较小。在瑞典就是这种情况,由链球菌(100%的菌株对青霉素敏感)和金黄色葡萄球菌(约90%的菌株对青霉素敏感)引起的急性临床乳腺炎发生率很高(70 - 80%),约20%由革兰氏阴性菌引起,主要是大肠杆菌。

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