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[热损伤后肠道源性细菌与伤口感染的关系]

[Relationship between gut origin bacteria and wound infection after thermal injury].

作者信息

Fu W L, Xiao G X, Yu P W

机构信息

Institute of Burns Research, Southwestern Hospital, Third Military Medical College, Chongqing.

出版信息

Zhonghua Wai Ke Za Zhi. 1994 Oct;32(10):615-8.

PMID:7750422
Abstract

The pUC19 plasmid vector trace with restriction map analysis and fluorescence labelling bacteria method were applied to study the relationship between the gut origin bacteria and wound infection. According to the characteristic of pUC19 plasmid, a special animal model was designed. 110 Wistar rats received 30% TBSA full thickness burns. On hours 6, 12, 24, 48 and day 12 postburn, injured animal were killed. Subeschar tissue homogenates were examined under fluorescence microscope, and bacterial culture, isolation of plasmids and restriction map analysis were also carried out. The results show that during early stage of burns, 32.5% of fluorescence labelling bacteria and 10.81% of pUC19 plasmid vectors could be detected from the subeschar specimens. 12 day postburn, the detectable rage of pUC19 plasmid vector increased to 62.5%. Beside the factor of early colonization, the contaminative route form gut perineum and then wounds should be considered.

摘要

采用pUC19质粒载体微量限制性图谱分析法及荧光标记细菌法研究肠道源性细菌与创面感染的关系。根据pUC19质粒的特性,设计了一种特殊的动物模型。110只Wistar大鼠接受30%体表面积的全层烧伤。在烧伤后6、12、24、48小时及12天,处死伤鼠。在荧光显微镜下检查焦痂下组织匀浆,并进行细菌培养、质粒分离及限制性图谱分析。结果显示,在烧伤早期,从焦痂下标本中可检测到32.5%的荧光标记细菌和10.81%的pUC19质粒载体。烧伤后12天,pUC19质粒载体的可检测率增至62.5%。除早期定植因素外,应考虑肠道经会阴再至创面的污染途径。

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