Liesenfeld O, Schneider T, Schmidt W, Sandforth J, Weinke T, Zeitz M, Riecken E O, Ullrich R
Institute of Medical Microbiology and Infectious Diseases Immunology, Free University of Berlin, Germany.
J Clin Microbiol. 1995 Mar;33(3):745-7. doi: 10.1128/jcm.33.3.745-747.1995.
The diagnostic yields of stool cultures and biopsy specimens for the detection of enteric bacterial pathogens in 213 human immunodeficiency virus-infected patients were compared. Forty-five percent (19 of 42) of the pathogens were detected exclusively by stool culture, 2% (1 of 42) of the isolates were detected exclusively by culture of biopsy specimens, and 53% (22 of 42) were detected by both methods. Repeated stool cultures remain the most important means of diagnosing enteric bacterial pathogens, which were encountered in 20% (40 of 213) of all patients. The additional culture of biopsy specimens should be reserved for patients with suspected mycobacteriosis.
对213例人类免疫缺陷病毒感染患者的粪便培养物和活检标本进行检测，以比较检测肠道细菌病原体的诊断率。45%（42例中的19例）的病原体仅通过粪便培养检测到，2%（42例中的1例）的分离株仅通过活检标本培养检测到，53%（42例中的22例）通过两种方法均检测到。重复粪便培养仍然是诊断肠道细菌病原体的最重要手段，在所有患者中有20%（213例中的40例）出现了此类病原体。活检标本的额外培养应仅用于疑似分枝杆菌病的患者。
