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人工尿道关节 (AUS) 的生物膜的特征
Joon Yau Leong1, Jacob Ancira2,3, Jessica Bulafka1
1Department of Urology, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA, USA.
Translational andrology and urology
|June 12, 2023
概括
大多数被扩展的人工泌尿器 (AUS) 装置都显示出细菌殖民,主要是凝固性阴性葡萄球菌,即使在没有临床感染的情况下. 受感染的设备可能含有更具毒性的细菌或真菌.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 微生物学 微生物学
- 生物材料科学 生物材料科学
背景情况:
- 有限的数据存在于修复手术后人造泌尿关器 (AUS) 设备的细菌殖民.
- 了解AUS设备上的微生物存在对于管理设备相关并发症至关重要.
研究的目的:
- 通过使用标准培养方法,评估AUS设备的微生物组成.
- 确定殖民于AUS设备的常见细菌物种,并评估它们与临床结果的关联.
主要方法:
- 分析了23个已被解释的AUS设备.
- 从植入物,囊,周围的液体和生物膜中收集有氧和无氧培养抹纸.
- 标本的例行实验室培养评估.
- 使用ANOVA和逆向选择进行统计分析,以评估微生物丰富度和人口学变量之间的关联.
主要成果:
- 在87%的AUS设备中获得了阳性培养.
- 凝固酶阴性葡萄球菌是最常见的细菌 (80%).
- 受感染/侵蚀的植入物显示出更多的毒性有机体,如大肠杆菌和白 Candida.
结论:
- 大多数AUS装置都含有细菌,通常是阴性凝固体的葡萄球菌,即使没有临床感染.
- 受感染的设备可能存在高毒性微生物,包括真菌.
- 细菌殖民并不总是表明临床感染;需要使用先进技术进行进一步的研究.
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