[阴沟肠杆菌菌株细菌素分型(作者译)]。

V Freitag, O Friedrich
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引用次数: 0

摘要

采用细菌素分型方法,对59例患者标本中分离的阴沟肠杆菌65株进行了流行病学研究。通过详细的初步研究,发现丝裂霉素C诱导的液体培养中细菌素的表现最为理想。由于恒定和可重复的结果是必不可少的,因此需要对培养基、孵育温度、孵育时间和接种量进行标准化。根据13株产菌素菌株对细菌素的敏感性,将分离菌株分型并分为24类。在不同的医学领域中,个体类型的分布呈现出相当不同的情况,因此某种菌株的交叉感染可以忽略不计。鉴于一种细菌素主要在重症监护病房中发现,可以认为这种菌株起源于病房本身。细菌素分型对于解释某些最新流行情况的重要性是显而易见的,这种分型也已成功地用于阴沟肠杆菌感染的调查。然而,细菌素的产生和细菌素的敏感性是否足够恒定,以便在更长的时间和不同的地区获得可比的结果,这是值得怀疑的。
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[Bacteriocin typing of Enterobacter cloacae strains (author's transl)].

By means of bacteriocin typing epidemic studies were carried out with regard to 65 strains of Enterobacter cloacae, isolated from various specimens of 59 patients. Based on detailed preliminary investigations the presentation with bacteriocins in liquid cultures induced by Mitomycin C was found most preferable. Since constant and reproducible results are essential, standardization of culture media, incubation temperature, incubation time and inoculum size is required. By means of 13 bacteriocin-producing strains the isolates could be typed and categorized into 24 types according to their sensitivity to bacteriocins. A rather varied picture emanated from the distribution of the individual types with regard to the different medical fields so that cross-infection with a certain strain was negligible. Seeing that one bacteriocin type was found predominantly in the intensive care unit, it can be maintained that this strain originated from the ward itself. The importance of bacteriocin typing for the interpretation of certain up-to-date epidemic situations is obvious which typing has also been successfully employed with regard to investigations of Enterobacter cloacae infections. However, it is doubtful whether bacteriocin production and bacteriocin sensitivity sufficiently constant in order to obtain comparable results over a more extended period of time and in different areas.

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