Barrett E, Lynam G, Trustey S
J Clin Pathol. 1978 Sep;31(9):859-65. doi: 10.1136/jcp.31.9.859.
Direct injection of clinically infected urines on porous-polymer columns was investigated to determine which microbial metabolites were consistently detectable, and whether their presence could be used as a reliable index of infection. Chromosorb 101 was found to be the most suitable porous polymer for the detection of microbial metabolites; greater sensitivity of detection was achieved by partial purification of the urine before injection. Acetic acid was the only compound found consistently and it enabled 10(6) microorganisms per ml to be detected in urine. However, as urinary tract infection is diagnosed by the presence of 10(5) organisms or more per ml, our method is insufficiently sensitive for the detection of bacteriuria. Escherichia coli, Enterobacter cloacae, Klebsiella spp, Proteus spp, Stapyhlococcus albus, and Streptocococcus faecalis were detectable by our method but Pseudomonas aeruginosa and Candida albicans were not.
研究了将临床感染尿液直接注射到多孔聚合物柱上,以确定哪些微生物代谢产物能够持续被检测到,以及它们的存在是否可以作为感染的可靠指标。发现Chromosorb 101是检测微生物代谢产物最合适的多孔聚合物;通过在注射前对尿液进行部分纯化,可实现更高的检测灵敏度。乙酸是唯一始终能检测到的化合物,它能够检测出每毫升尿液中10⁶个微生物。然而,由于每毫升尿液中存在10⁵个或更多生物体时可诊断为尿路感染,我们的方法对检测菌尿的灵敏度不足。我们的方法可以检测出大肠杆菌、阴沟肠杆菌、克雷伯菌属、变形杆菌属、白色葡萄球菌和粪肠球菌,但不能检测出铜绿假单胞菌和白色念珠菌。