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供体角膜表面细菌污染的预防

Prevention of surface bacterial contamination of donor corneas.

作者信息

Goldman K N, Centifanto Y, Kaufman H E, Slappey T E

出版信息

Arch Ophthalmol. 1978 Dec;96(12):2277-80. doi: 10.1001/archopht.1978.03910060573023.

DOI:10.1001/archopht.1978.03910060573023
PMID:82437
Abstract

A simple method has been developed to reduce contamination in postmortem donor human eyes in anticipation of corneal transplantation. In vivo investigation of albino rabbits demonstrates that vigorous saline solution irrigation is extremely effective in decreasing the surface bacterial counts of the postmortem eye. In vitro and in vivo studies show that Neosporin kills bacteria at room temperature and further show that a tenfold increase in the thimerosal concentration of the Neosporin will kill fungus. Postmortem eyes contaminated by pathogenic organisms can be effectively cleaned by a combination of saline solution irrigation and the new Neosporin-thimerosal solution. No substantial damage of the donor tissue was noted by scanning electron microscopy. Human eyes cultured before this procedure were all contaminated, but after cleansing and immersion, no bacterial or fungal growth occurred.

摘要

已经开发出一种简单的方法来减少用于角膜移植的死后供体人眼的污染。对白化兔的体内研究表明,强力生理盐水冲洗在降低死后眼睛表面细菌数量方面极为有效。体外和体内研究表明,新霉素在室温下能杀死细菌,并且进一步表明新霉素中硫柳汞浓度增加十倍将杀死真菌。被致病生物污染的死后眼睛可以通过生理盐水冲洗和新的新霉素 - 硫柳汞溶液联合有效地清洁。扫描电子显微镜未发现供体组织有实质性损伤。在此操作之前培养的人眼均被污染,但在清洁和浸泡后,未出现细菌或真菌生长。

相似文献

1
Prevention of surface bacterial contamination of donor corneas.供体角膜表面细菌污染的预防
Arch Ophthalmol. 1978 Dec;96(12):2277-80. doi: 10.1001/archopht.1978.03910060573023.
2
Bacterial contamination of corneal donor tissue.角膜供体组织的细菌污染
Ophthalmic Surg. 1980 Apr;11(4):250-2.
3
The efficacy of postenucleation saline wash and the effect of different antimicrobial agents on microbial contamination of donor eyes.眼球摘除术后生理盐水冲洗的效果及不同抗菌剂对供体眼微生物污染的影响。
Ophthalmic Res. 2006;38(5):287-93. doi: 10.1159/000095772. Epub 2006 Sep 15.
4
An evaluation of saline irrigation and comparison of povidone-iodine and antibiotic in the surface decontamination of donor eyes.
Arch Ophthalmol. 1991 Jun;109(6):869-72. doi: 10.1001/archopht.1991.01080060133041.
5
Prophylactic use of neosporin for donor eyes.
Am J Ophthalmol. 1958 Sep;46(3 Pt 1):351-3. doi: 10.1016/0002-9394(58)90260-5.
6
Microbial decontamination of human donor eyes with povidone-iodine: penetration, toxicity, and effectiveness.聚维酮碘对人类供体眼进行微生物净化:渗透、毒性及有效性
Br J Ophthalmol. 1999 Sep;83(9):1019-26. doi: 10.1136/bjo.83.9.1019.
7
Resistance of Pseudomonas aeruginosa to modern eye-banking technique.
Ann Ophthalmol. 1980 Apr;12(4):429-32.
8
Trimethoprim-polymyxin B ophthalmic solution in the treatment of presumptive bacterial conjunctivitis--a multicentre trial of its efficacy versus neomycin-polymyxin B-gramicidin and chloramphenicol ophthalmic solutions.甲氧苄啶-多粘菌素B眼药水治疗疑似细菌性结膜炎——与新霉素-多粘菌素B-短杆菌肽及氯霉素眼药水疗效对比的多中心试验
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Clinical evaluation of trimethoprim-containing ophthalmic solutions in humans.
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10
Effect of topical antibiotic solutions on corneal epithelial wound healing.
Arch Ophthalmol. 1983 Apr;101(4):644-7. doi: 10.1001/archopht.1983.01040010644025.

引用本文的文献

1
Microbial decontamination of human donor eyes with povidone-iodine: penetration, toxicity, and effectiveness.聚维酮碘对人类供体眼进行微生物净化:渗透、毒性及有效性
Br J Ophthalmol. 1999 Sep;83(9):1019-26. doi: 10.1136/bjo.83.9.1019.
2
Prolonged donor cornea preservation in organ culture: long-term clinical evaluation.器官培养中供体角膜的长期保存:长期临床评估
Trans Am Ophthalmol Soc. 1980;78:567-628.
3
Effectiveness of a decontamination method for donor corneas.一种供体角膜去污方法的有效性。
Br J Ophthalmol. 1988 Mar;72(3):225-7. doi: 10.1136/bjo.72.3.225.