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适用于抗生素预防的手术伤口感染实验动物模型。

Experimental animal model of surgical wound infection applicable to antibiotic prophylaxis.

作者信息

Moesgaard F, Lykkegaard Nielsen M C, Justesen T

出版信息

Eur J Clin Microbiol. 1983 Oct;2(5):459-62. doi: 10.1007/BF02013904.

DOI:10.1007/BF02013904
PMID:6357789
Abstract

Wound infection, defined as accumulation of pus draining spontaneously or after opening of the wound, developed in 19 out of 22 guinea pigs (86%) after intraincisional contamination with 10(7) Escherichia coli plus 10(8) Bacteroides fragilis before wound closure. Antibiotic prophylaxis with gentamicin plus clindamycin significantly reduced the wound sepsis rate from 86% to 29% (p less than 0,001). Pus for bacteriological studies was available in all cases of wound infection but one, and culture always revealed both Escherichia coli and Bacteroides fragilis. The animal model presented employs widely accepted criteria for wound infection, and avoids culture of tissue homogenates.

摘要

伤口感染定义为伤口自行引流或开放后有脓液积聚,在22只豚鼠中有19只(86%)在伤口闭合前经切口内接种10⁷ 大肠杆菌加10⁸ 脆弱拟杆菌后发生了伤口感染。用庆大霉素加克林霉素进行抗生素预防可将伤口脓毒症发生率从86%显著降低至29%(p<0.001)。除1例伤口感染病例外,所有伤口感染病例均有用于细菌学研究的脓液,培养结果总是显示有大肠杆菌和脆弱拟杆菌。所采用的动物模型采用了广泛接受的伤口感染标准,并且避免了组织匀浆的培养。

相似文献

1
Experimental animal model of surgical wound infection applicable to antibiotic prophylaxis.适用于抗生素预防的手术伤口感染实验动物模型。
Eur J Clin Microbiol. 1983 Oct;2(5):459-62. doi: 10.1007/BF02013904.
2
Wound infection rates after intraincisional plus systemic antibiotic prophylaxis in an animal model.
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Use of antibiotics for prevention of Bacteroides fragilis wound sepsis in rats.抗生素在预防大鼠脆弱拟杆菌伤口败血症中的应用。
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The incidence of wound infection after stapled or sutured bowel anastomosis and stapled or sutured skin closure in humans and guinea pigs.人类和豚鼠中,吻合器或缝线进行肠吻合以及吻合器或缝线进行皮肤闭合后伤口感染的发生率。
Surgery. 1985 Jul;98(1):20-4.
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Preventing anaerobic infection in surgery of the colon.预防结肠手术中的厌氧菌感染。
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2
Wound infection rates after intraincisional plus systemic antibiotic prophylaxis in an animal model.
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3
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本文引用的文献

1
The effective period of preventive antibiotic action in experimental incisions and dermal lesions.预防性抗生素在实验性切口和皮肤损伤中的作用有效期。
Surgery. 1961 Jul;50:161-8.
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WOUND SEPSIS AFTER CLEAN OPERATIONS.清洁手术后的伤口脓毒症
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The value and duration of defence reactions of the skin to the primary lodgement of bacteria.皮肤对细菌初次定植的防御反应的价值和持续时间。
Reduction of experimental wound infection rate by administration of clindamycin in addition to netilmicin.除奈替米星外,加用克林霉素可降低实验性伤口感染率。
Eur J Clin Microbiol. 1986 Aug;5(4):451-3. doi: 10.1007/BF02075705.
Br J Exp Pathol. 1957 Feb;38(1):79-96.
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Quantitative recovery of contaminating bacteria at operation and the relation to postoperative infection in intestinal surgery.肠道手术中污染细菌的定量回收及其与术后感染的关系
Acta Chir Scand. 1981;147(4):285-8.
5
Bacterial adherence to surgical sutures. A possible factor in suture induced infection.细菌对手术缝线的黏附。缝线诱导感染的一个可能因素。
Ann Surg. 1981 Jul;194(1):35-41. doi: 10.1097/00000658-198107000-00007.
6
Prophylaxis with doxycycline (Vibramycin) in colorectal surgery.结直肠手术中使用强力霉素(维霸霉素)进行预防。
Scand J Gastroenterol Suppl. 1980;59:12-6.
7
Wound infection: a controlled clinical and experimental demonstration of synergy between aerobic (Escherichia coli) and anaerobic (Bacteroides fragilis) bacteria.伤口感染:需氧菌(大肠杆菌)与厌氧菌(脆弱拟杆菌)协同作用的对照临床与实验证明
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An experimental study of the relationship between synergistic wound sepsis and suture materials.
Br J Surg. 1980 Sep;67(9):636-8. doi: 10.1002/bjs.1800670909.
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Role of suture materials in the development of wound infection.缝合材料在伤口感染发生中的作用。
Ann Surg. 1967 Feb;165(2):192-9. doi: 10.1097/00000658-196702000-00005.
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Anaerobic infections in chronic prostatitis and chronic urethritis.
Med Microbiol Immunol. 1973 Mar 8;158(3):237-48. doi: 10.1007/BF02120559.