Lawrence P F, Tietjen G W, Gingrich S, King T C
Ann Surg. 1977 Nov;186(5):559-63. doi: 10.1097/00000658-197711000-00002.
When appropriate culture techniques are employed, Bacteroides bacteremia is found more frequently than might be expected and usually follows contamination from the gastrointestinal or genitourinary tracts. Survival is closely related to the extent of organ impiarment preceding the bacteremia. Proper therapy is based on early recognition of the source of bacteremia and adequate surgical drainage. Antibiotics do not appear to improve survival, particularly when used without drainage. Further studies are needed to identify patients with impaired host resistance who are particularly susceptible to these organisms.
当采用适当的培养技术时,发现拟杆菌血症比预期更为常见,且通常继发于胃肠道或泌尿生殖道的污染。生存率与菌血症发生前器官损害的程度密切相关。恰当的治疗基于对菌血症来源的早期识别和充分的手术引流。抗生素似乎并不能提高生存率,尤其是在未进行引流的情况下使用时。需要进一步研究以确定宿主抵抗力受损且特别易感染这些微生物的患者。