耐甲氧西林金黄色葡萄球菌(MRSA)和甲氧西林敏感金黄色葡萄球菌(MSSA)引起大鼠皮肤坏死和菌血症

Giorgio Silva de Santana, E. C. Dip, F. Aguiar-Alves
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引用次数: 2

摘要

在手术过程中插入受污染的血管导管是一个可能促进导管上生物膜形成的因素,可能导致菌血症。使用实验模型来评估有机变化,可以更好地了解多器官的感染过程。本研究的目的是在比较MRSA和MSSA感染结果时,基于诱导感染和皮下导管定植细菌遗传差异来研究甲氧西林耐药性的影响。15只Wistar大鼠进行MRSA和MSSA菌悬液皮下感染,分为3组:生理盐水对照组,MRSA和MSSA菌悬液1 × 105 CFU/mL感染。在感染前手术将皮下聚乙烯导管插入动物皮肤。72小时后,取下皮下植入物、心脏、脾脏和肾脏并进行评估。这些动物表现出典型的自愈性菌血症。导管和器官呈现与接种后相同的金黄色葡萄球菌分离物基因型,并形成明显的生物膜。我们的研究结果显示MRSA和MSSA菌血症都可以在感染72小时内损害多个器官。
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Methicillin resistant Staphylococcus aureus (MRSA) and Methicillin susceptible Staphylococcus aureus (MSSA) cause dermonecrosis and bacteremia in rats
Inserting a contamitaned vascular catheter during the surgical procedure is a factor that might promote biofilm formation on the catheter, possibly leading to bacteremia. The use of experimental models to evaluate organic changes allows a better understanding of infectious processes of multiple organs. The aim of this study was to investigate the influence of methicillin resistance based on bacterial genetic differences in induced infection and subcutaneous catheter colonization, when comparing MRSA and MSSA infections outcomes. Subcutaneous infections with MRSA and MSSA bacterial suspension were performed in 15 Wistar rats divided into three groups as following: saline solution control group, MRSA and MSSA suspension at a 1 x 105 CFU/mL for infection. Subcutaneous polyestilene catheters were surgically inserted into the skin of the animals before the infection. After 72 hours, subcutaneous implants, heart, spleen and kidneys were harvested and evaluated. The animals presented a typical auto resolutive case of bacteremia. The catheters and organs presented the same S. aureus isolate genotype as inoculated with evident biofilm formation. Our results showed both MRSA and MSSA bacteremia can compromise multiple organs within 72 hours of infection.
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