MacLowry J D
Am J Med. 1983 Jul 28;75(1B):2-6. doi: 10.1016/0002-9343(83)90066-9.
Newer methodologies for detecting bacteria in blood are more sensitive than conventional procedures. The possibility of contamination from a variety of sources is discussed. The problem of interpreting the findings of some of these techniques is forcing the microbiologist and clinician to reevaluate previously held ideas regarding isolates that are considered insignificant. The aggressive use of foreign bodies, whether of short duration such as central venous catheters or of long duration such as prosthetic heart valves, predisposes patients to a wide variety of infectious complications that are often associated with bacteremia. Staphylococcus epidermidis, Corynebacterium species (particularly group JK), Bacillus species, and S. aureus are discussed.
检测血液中细菌的新方法比传统方法更敏感。讨论了来自各种来源的污染可能性。解释其中一些技术的结果所面临的问题,正促使微生物学家和临床医生重新评估之前对于那些被认为不重要的分离株的看法。积极使用异物,无论是短期的如中心静脉导管,还是长期的如人工心脏瓣膜,都会使患者易发生各种感染并发症,这些并发症通常与菌血症有关。文中讨论了表皮葡萄球菌、棒状杆菌属(特别是JK组)、芽孢杆菌属和金黄色葡萄球菌。