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[院内变形杆菌尿路感染的机制]

[Mechanisms of intrahospital urinary infections with proteus].

作者信息

Kaplan A E

出版信息

Zh Mikrobiol Epidemiol Immunobiol. 1980(2):73-6.

PMID:6994416
Abstract

The study of 812 washings showed that Proteus is seldom detected in the environment of the patients with spinal traumas and infections of the urinary system. This can be attributed to the low resistance of Proteus to drying revealed by special experiments. The survival time was 1 day for Pr. vulgaris, 2 week for Pr. rettgeri, 5 and 7 months for E. coli and enterococcus, respectively. Dienes's test made with 90 Proteus strains revealed the common source of contamination in a half of the observations made, thus confirming the hospital origin of Proteus contamination of urine at a definite period of time (3-4 months) and establishing that an almost complete change of the strains occurred during 8 months of observation. In the author's opinion, the source of Proteus is the patients' urine; Proteus can spread therefrom as a result of the insufficiently thorough sanitary treatment of the hands of the medical personnel and the urogenital area of the patients.

摘要

对812份冲洗液的研究表明,在脊柱创伤和泌尿系统感染患者的环境中很少检测到变形杆菌。这可归因于通过特殊实验揭示的变形杆菌对干燥的低抵抗力。普通变形杆菌的存活时间为1天,雷氏变形杆菌为2周,大肠杆菌和肠球菌分别为5个月和7个月。对90株变形杆菌进行的迪内斯试验显示,在一半的观察结果中发现了共同的污染源,从而证实了在特定时间段(3 - 4个月)尿液中变形杆菌污染的医院来源,并确定在8个月的观察期内菌株几乎完全发生了变化。作者认为,变形杆菌的来源是患者的尿液;由于医务人员手部和患者泌尿生殖区域的卫生处理不够彻底,变形杆菌可能由此传播。

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