[采样点及好氧微生物培养对爬行动物呼吸道感染诊断的意义]。

M Pees, V Schmidt, J Schlomer, M E Krautwald-Junghanns
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摘要

呼吸系统疾病在圈养的爬行动物中扮演着重要的角色。微生物学检查被描述为诊断可能性的重要组成部分。因此,本研究的目的是收集标准化取样后拭子和气管灌洗液有氧培养(羊血、亮绿、沙伯劳德琼脂)结果的有用性数据。在莱比锡大学的鸟类和爬行动物诊所里,24.3%的蛇、16.5%的乌龟和1.6%的蜥蜴出现了呼吸道症状。总的来说,52%的检测样本被发现具有细菌学意义,31%的检测样本具有真菌学意义。与咽拭子相比,气管灌洗被证明更敏感。样品中最常见的细菌是铜绿假单胞菌、肺炎克雷伯菌和嗜麦芽窄养单胞菌。菌丝学培养以曲霉菌和酵母菌为主。在类人猿和蟒蛇中,被评估为具有病理意义的细菌学结果最多(75%)。在真菌学上,发现陆龟样本最常具有病理学意义(48%)。综上所述,在标准培养基上进行有氧培养(本研究中:含羊血的哥伦比亚琼脂、鲜绿琼脂、沙伯劳琼脂)可推荐作为出现呼吸道症状的爬行动物的初步诊断措施;应另外检查其他病原体(如病毒检查、支原体)。
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[Significance of the sampling points and the aerobic microbiological culture for the diagnosis of respiratory infections in reptiles].

Respiratory diseases play an important role in reptiles kept in captivity. Microbiological examinations are described as an essential part of the diagnostic possibilities. Therefore the aim of this study was to collect data on the usefulness of results obtained after aerobic culture (sheepblood, brilliantgreen, sabouraud's agar) of swabs and tracheal lavages following standardized sampling. Respiratory symptoms were found in 24.3% of the snakes, 16.5% of the tortoises/turtles and 1.6% of the lizards presented in the clinic for birds and reptiles at the university Leipzig. Altogether, 52% of the examined samples were found to be bacteriologically and 31% mycologically of pathologic significance. The tracheal lavage proved to be more sensitive in comparison to swabs taken from the pharynx. The bacteria most often found in the samples were Pseudomonas aeruginosa, Klebsiella pneumoniae and Stenotrophomonas maltophila. Mycologic culture revealed Aspergillus sp. and yeast most often. In boids and pythons, the highest number of bacteriologic results assessed to be of pathological significance were found (75%). Mycologically, samples from tortoises were found most often to have a result of pathological significance (48%). To summarize the aerobic cultivation on standard media (in this study: Columbia-Agar with sheep blood, brilliant-green-, Sabouraud-Agar) can be recommended as an initial diagnostic measure in reptiles presented with respiratory symptoms; further pathogens (eg, viral examination, Mycoplasma) should be checked additionally.

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