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[血友病患者化脓性炎症并发症病原体的特征]

[The characteristics of the causative agents of suppurative-inflammatory complications in hemophiliacs].

作者信息

Fedorovskaia E A, Nemirovskaia L N, Skachkova N K

机构信息

Kyiv Research Institute of Hematology and Blood Transfusion, Ministry of Public Health of Ukraine.

出版信息

Mikrobiol Z. 1998 Jul-Aug;60(4):88-92.

PMID:9859645
Abstract

Morphological-cultural and physiological-biochemical properties of 24 strains of microorganisms agents of pyo-inflammatory complications of different localization in patients with hemophilia have been studied. Microorganisms strains presented by the following species: Staphylococcus aureus, S. epidermidis, S. saprophyticus, Proteus vulgaris, P. morganii, Hafnia alvei, Serratia marcescens, have been identified. It was found out that in monoculture staphylococci prove to be the leading etiological agent (60.9%), gram-negative enterobacteria (52.2%) and bacterial associations (8.7%) occur more rarely. Special attention was paid to the study of resistance of antibiotics, circulation and pathogenicity factors that had a direct effect on the main disease severity. It was ascertained that high activity of enzymes and presence of pathogenicity factors were the peculiarities of microorganisms isolated from pyo-septic sites in patients with hemophilia. All the strains possessed multiple resistance to antibiotics.

摘要

对血友病患者不同部位脓性炎症并发症的24株微生物病原体的形态学-培养特性和生理-生化特性进行了研究。已鉴定出以下菌种的微生物菌株:金黄色葡萄球菌、表皮葡萄球菌、腐生葡萄球菌、普通变形杆菌、摩根氏菌、蜂房哈夫尼亚菌、粘质沙雷氏菌。结果发现,在单一培养中,葡萄球菌是主要病原体(60.9%),革兰氏阴性肠杆菌(52.2%)和细菌联合体(8.7%)较少见。特别关注了对抗生素耐药性、循环和致病性因素的研究,这些因素对主要疾病的严重程度有直接影响。已确定酶的高活性和致病性因素的存在是从血友病患者脓毒症部位分离出的微生物的特点。所有菌株均对多种抗生素耐药。

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