Brook I, Frazier E H
Department of Pediatrics, Naval Hospital, Bethesda, Md, USA.
Arch Surg. 1996 Jan;131(1):95-7. doi: 10.1001/archsurg.1996.01430130097021.
To study the aerobic and anaerobic microbiologic characteristics of superficial suppurative thrombophlebitis.
Retrospective review of microbiologic and clinical data.
Navy Hospital in Bethesda, Md.
Sixty-one isolates, 36 aerobic and 25 anaerobic, were isolated from samples obtained from 42 patients. Aerobic bacteria only were found in 26 (62%) patients; anaerobic only, in 11 (26%); and mixed aerobic and anaerobic bacteria, in five (12%). The predominant aerobic bacteria were Staphylococcus aureus (n = 9), Escherichia coli (n = 7), Pseudomonas aeruginosa (n = 4), and Klebsiella sp (n = 3). The most frequently recovered anaerobic bacteria were Peptostreptococcus sp (n = 8), Propionibacterium acnes (n = 6), Bacteroides fragilis group (n = 5), Prevotella intermedia (n = 3), and Fusobacterium nucleatum (n = 3). Propionibacterium acnes and Peptostreptococcus sp were associated with cannula-related superficial suppurative thrombophlebitis; B fragilis and Enterobacteriaceae, with abdominal surgery or pathology; and S aureus and P aeruginosa and Citrobacter sp, with burns.
These data illustrate the importance of anaerobic bacteria in superficial suppurative thrombophlebitis.
研究浅表性化脓性血栓性静脉炎的需氧和厌氧微生物学特征。
对微生物学和临床数据进行回顾性分析。
马里兰州贝塞斯达的海军医院。
从42例患者的样本中分离出61株菌株，其中36株为需氧菌，25株为厌氧菌。仅发现需氧菌的患者有26例（62%）；仅发现厌氧菌的患者有11例（26%）；需氧菌和厌氧菌混合感染的患者有5例（12%）。主要的需氧菌为金黄色葡萄球菌（n = 9）、大肠埃希菌（n = 7）、铜绿假单胞菌（n = 4）和克雷伯菌属（n = 3）。最常分离出的厌氧菌为消化链球菌属（n = 8）、痤疮丙酸杆菌（n = 6）、脆弱拟杆菌群（n = 5）、中间普雷沃菌（n = 3）和具核梭杆菌（n = 3）。痤疮丙酸杆菌和消化链球菌属与套管相关的浅表性化脓性血栓性静脉炎有关；脆弱拟杆菌和肠杆菌科与腹部手术或病理情况有关；金黄色葡萄球菌、铜绿假单胞菌和柠檬酸杆菌属与烧伤有关。
这些数据说明了厌氧菌在浅表性化脓性血栓性静脉炎中的重要性。
