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[使用2种新型和8种已知营养培养基从脑脊液和其他体液中培养苛养菌和非苛养菌的比较研究]

[Comparative study with 2 new and 8 known nutrient media for cultivation of fastidious and nonfastidious microbial agents from cerebrospinal fluid and other body fluids].

作者信息

Abdou M A, Stöckel H

出版信息

Zentralbl Bakteriol Mikrobiol Hyg A Med Mikrobiol Infekt Parasitol. 1982 May;252(1):116-28.

PMID:6981897
Abstract

Rapid physical, biochemical and immunological methods may be useful in the detection of microbial agents in cerebrospinal fluid and in other body fluids. However, these methods are no substitution for the cultivation of the microbial agents. Microorganisms which are most frequently responsible for meningitis are fastidious in their growth requirements. Their detection with the help of conventional blood culture media which are not supplemented with blood or its components, leads to a high quota of false-negative results. Taking this problem into consideration, the authors developed the following two new media: "MOPS Electrolyte Broth A" for culturing obligate aerobic and facultative anerobic microorganisms, and "MOPS Electrolyte Broth AN" for culturing facultative anaerobic and obligate anaerobic bacteria. Performance tests have been carried out with the two above mentioned media and eight commercially manufactured blood culture media in original bottles. Twenty representative test strains including the most important and fastidious microbial agents of meningitis have been considered in this study. The inoculum size was about 10(2) CFU per culture bottle. The two new media, which were not supplemented with blood or body fluids, proved to be more effective than the conventional blood culture media supplemented with 10% fresh human blood for culturing the considered spectrum of microorganisms.

摘要

快速的物理、生化和免疫学方法可能有助于检测脑脊液及其他体液中的微生物病原体。然而,这些方法无法替代微生物病原体的培养。最常引起脑膜炎的微生物对生长条件要求苛刻。使用未添加血液或其成分的传统血培养培养基来检测这些微生物,会导致较高比例的假阴性结果。考虑到这一问题,作者开发了以下两种新培养基:用于培养需氧菌和兼性厌氧菌的“MOPS 电解质肉汤 A”,以及用于培养兼性厌氧菌和厌氧菌的“MOPS 电解质肉汤 AN”。已使用上述两种培养基和八个原装瓶的市售血培养培养基进行了性能测试。本研究考虑了 20 种代表性测试菌株,包括脑膜炎最重要且生长要求苛刻的微生物病原体。每个培养瓶的接种量约为 10(2) CFU。这两种未添加血液或体液的新培养基,在培养所考虑的微生物谱方面,被证明比添加了 10%新鲜人血的传统血培养培养基更有效。

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