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王欢, 刘新, 张佩. 呼吸机导管内细菌生物被膜抗吞噬作用[J]. 中国公共卫生, 2012, 28(5): 644-646. DOI: 10.11847/zgggws2012-28-05-33
引用本文: 王欢, 刘新, 张佩. 呼吸机导管内细菌生物被膜抗吞噬作用[J]. 中国公共卫生, 2012, 28(5): 644-646. DOI: 10.11847/zgggws2012-28-05-33
WANG Huan, LIU Xin, ZHANG Pei. Anti-phagocytosis effect of bacterial biofilm in invasive catherter[J]. Chinese Journal of Public Health, 2012, 28(5): 644-646. DOI: 10.11847/zgggws2012-28-05-33
Citation: WANG Huan, LIU Xin, ZHANG Pei. Anti-phagocytosis effect of bacterial biofilm in invasive catherter[J]. Chinese Journal of Public Health, 2012, 28(5): 644-646. DOI: 10.11847/zgggws2012-28-05-33

呼吸机导管内细菌生物被膜抗吞噬作用

Anti-phagocytosis effect of bacterial biofilm in invasive catherter

  • 摘要: 目的 探讨侵入性导管内细菌生物被膜抗吞噬作用.方法 于2010年7月-2011年12月收集新生儿ICU病房危重新生儿病例呼吸机导管标本32份,对导管内壁细菌分离鉴定,选择生物膜模式菌株模拟导管中液体流动状态重建细菌生物被膜,观察细菌生物被膜形态结构及吞噬细胞与细菌生物被膜的相互作用,分析导管细菌生物被膜形成与导管伴生感染的关系.结果 32例导管标本经细菌分离培养和ATB生化鉴定,显示鲍曼不动杆菌14株,铜绿假单胞菌9株,葡萄球菌6株,真菌3株;14例鉴定的鲍曼不动杆菌标本中有8株产生生物被膜菌株;患者侵入性导管容易被细菌粘附形成生物被膜,扫描电镜可用于观察细菌生物被膜形成情况,生物被膜具有明显抗吞噬作用.结论 生物被膜抗吞噬作用是感染难治的重要因素.

     

    Abstract: Objective To investigate the anti-phagocytosis effects of bacterial biofilm in invasive catheter.Methods From July 2010 through December 2011,32 samples of critical ventilator catheter specimens were collected from neonatal intensive care unit(NICU).The bacteria in inner membrane of the catheter were isolated and selected to simulate the biofilm in the catheter of the NICU under clinic usage.We observed the bio-membrane morphology and interactions between phagocytic cells and bacterial biofilm,and analyzed the relationship of catheter bio-membrane formation and catheter related infection.Results Totally 14 strains of Acinetobacter baumanii,a strains of Pseudomonas aerugionosa,6 strains of Staphylococcus,and 3 strains of fungus were isolated from the 32 samples.Eight strains of Acinetobacter baumanii could form bacterial biofilm.The bio-membrane was easily formed in invasive ductal by the adherence of bacteria,and scanning electron microscopy could be used for the observation of bacterial bio-membrane formation.The bio-membrane had anti-phagocytosis function.Conclusion The anti-phagocytosis effect of bacterial biofilm is an important factor for refractory infection.

     

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