Freitag V, Friedrich O
Zentralbl Bakteriol A. 1981 Mar;249(1):63-75.
By means of bacteriocin typing epidemic studies were carried out with regard to 65 strains of Enterobacter cloacae, isolated from various specimens of 59 patients. Based on detailed preliminary investigations the presentation with bacteriocins in liquid cultures induced by Mitomycin C was found most preferable. Since constant and reproducible results are essential, standardization of culture media, incubation temperature, incubation time and inoculum size is required. By means of 13 bacteriocin-producing strains the isolates could be typed and categorized into 24 types according to their sensitivity to bacteriocins. A rather varied picture emanated from the distribution of the individual types with regard to the different medical fields so that cross-infection with a certain strain was negligible. Seeing that one bacteriocin type was found predominantly in the intensive care unit, it can be maintained that this strain originated from the ward itself. The importance of bacteriocin typing for the interpretation of certain up-to-date epidemic situations is obvious which typing has also been successfully employed with regard to investigations of Enterobacter cloacae infections. However, it is doubtful whether bacteriocin production and bacteriocin sensitivity sufficiently constant in order to obtain comparable results over a more extended period of time and in different areas.
通过细菌素分型法,对从59例患者的各种标本中分离出的65株阴沟肠杆菌进行了流行病学研究。基于详细的初步研究,发现用丝裂霉素C诱导液体培养物中产生细菌素的方法最为可取。由于恒定且可重复的结果至关重要,因此需要对培养基、培养温度、培养时间和接种量进行标准化。借助13株产细菌素的菌株,可根据分离株对细菌素的敏感性将其分型并归类为24种类型。就不同医学领域而言,各类型的分布呈现出相当多样化的情况,因此特定菌株的交叉感染可忽略不计。鉴于在重症监护病房中主要发现一种细菌素类型,可认为该菌株源自病房本身。细菌素分型对于解释某些当前流行情况的重要性显而易见,该分型法在阴沟肠杆菌感染调查中也已成功应用。然而,细菌素的产生和细菌素敏感性是否足够恒定,以便在更长时间和不同地区获得可比结果,这一点值得怀疑。