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骨髓移植患者消化道微生物菌群的选择性去污。一项微生物学研究。

Selective decontamination of alimentary tract microbial flora in patients treated with bone marrow transplantation. A microbiological study.

作者信息

Heimdahl A, Gahrton G, Groth C G, Lundgren G, Lönnquist B, Ringden O, Nord C E

出版信息

Scand J Infect Dis. 1984;16(1):51-60. doi: 10.3109/00365548409068409.

DOI:10.3109/00365548409068409
PMID:6364328
Abstract

14 patients undergoing bone marrow transplantation were studied regarding the oral and faecal microflora. Seven patients were given a multidrug regimen, directed against aerobic gram-negative rods and fungi, for local decontamination of the oral cavity and gastrointestinal tract. Seven other patients served as controls. The decontamination regimen was found to decrease the numbers of fungi in the oral cavity and to protect from new colonization. In the gastrointestinal tract aerobic gram-negative rods were eliminated in all patients and new colonization with acquired microorganisms was not observed even when the indigenous anaerobic flora had been disturbed by parenteral antibiotics. In the control group aerobic gram-negative rods and fungi were isolated from all patients during the observation period.

摘要

对14例接受骨髓移植的患者的口腔和粪便微生物群进行了研究。7例患者接受了针对需氧革兰氏阴性杆菌和真菌的多药方案,用于口腔和胃肠道的局部净化。另外7例患者作为对照。发现净化方案可减少口腔中的真菌数量并防止新的定植。在胃肠道中,所有患者的需氧革兰氏阴性杆菌均被清除,即使肠道内源性厌氧菌群受到胃肠外抗生素的干扰,也未观察到获得性微生物的新定植。在对照组中,在观察期内所有患者均分离出需氧革兰氏阴性杆菌和真菌。

相似文献

1
Selective decontamination of alimentary tract microbial flora in patients treated with bone marrow transplantation. A microbiological study.骨髓移植患者消化道微生物菌群的选择性去污。一项微生物学研究。
Scand J Infect Dis. 1984;16(1):51-60. doi: 10.3109/00365548409068409.
2
Effects of imipenem, cefotaxime and cotrimoxazole on aerobic microbial colonization of the digestive tract.亚胺培南、头孢噻肟和复方新诺明对消化道需氧微生物定植的影响。
Scand J Infect Dis. 1993;25(4):473-8. doi: 10.3109/00365549309008529.
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Selective decontamination in bone marrow transplant recipients.骨髓移植受者的选择性去污
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Selective bowel decontamination to decrease gram-negative aerobic bacterial and Candida colonization and prevent infection after orthotopic liver transplantation.选择性肠道去污以减少革兰氏阴性需氧菌和念珠菌定植,并预防原位肝移植后的感染。
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Impact of different betalactam antibiotics on the normal human flora, and colonization of the oral cavity, throat and colon.不同β-内酰胺类抗生素对正常人体菌群以及口腔、咽喉和结肠定植的影响。
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[Evaluation of the microbial burden using rinsing of the oral cavity in patients undergoing bone marrow transplantation].[通过对接受骨髓移植患者口腔进行冲洗评估微生物负荷]
Ann Ig. 1989 Nov-Dec;1(6):1419-26.
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Microbiological surveillance during selective decontamination of the digestive tract (SDD).消化道选择性去污(SDD)期间的微生物监测。
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The normal human anaerobic microflora.正常人类厌氧微生物群。
Scand J Infect Dis Suppl. 1982;35:9-15.
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Effect of various antibiotics on gastrointestinal colonization and dissemination by Candida albicans.多种抗生素对白色念珠菌在胃肠道定植及播散的影响。
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Suppression of the oropharyngeal and gastrointestinal microflora by ciprofloxacin: microbiological and clinical consequences.
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引用本文的文献

1
Comparison between two non-absorbable antibiotic regimens for decontamination of the oropharynx.两种不可吸收抗生素方案用于口咽部去污的比较。
Infection. 1984 Sep-Oct;12(5):349-54. doi: 10.1007/BF01651151.
2
The effect of selective decontamination of the digestive tract with the addition of systemic cefotaxime on the aerobic faecal flora of mice.添加全身性头孢噻肟对小鼠需氧粪便菌群进行消化道选择性去污的效果。
Epidemiol Infect. 1987 Jun;98(3):385-95. doi: 10.1017/s0950268800062154.
3
Microbial colonization of tumors in relation to the upper gastrointestinal tract in patients with gastric carcinoma.
胃癌患者肿瘤微生物定植与上消化道的关系。
Ann Surg. 1988 Mar;207(3):341-6. doi: 10.1097/00000658-198803000-00020.
4
Antimicrobial prophylaxis in neutropenic patients after bone marrow transplantation.
Infection. 1988;16(1):19-24. doi: 10.1007/BF01646924.
5
Investigation of the immune status of mice during and following selective decontamination of the digestive tract.消化道选择性去污期间及之后小鼠免疫状态的研究
Epidemiol Infect. 1989 Oct;103(2):323-32. doi: 10.1017/s0950268800030685.
6
Clinical use of selective decontamination: the concept.选择性去污的临床应用:概念
Intensive Care Med. 1990;16 Suppl 3:S212-6. doi: 10.1007/BF01709703.
7
Selective decontamination of the digestive tract. Theoretical and practical treatment recommendations.消化道选择性去污。理论与实践治疗建议。
Drugs. 1991 Oct;42(4):541-50. doi: 10.2165/00003495-199142040-00001.