感染根管的厌氧菌培养结果分析

从64只感染根管中的58只根管分离到144株无芽胞厌氧菌,其中类杆菌54株,厌氧性链球菌23株,韦荣氏球菌17株,真杆菌11株,梭杆菌10株,放线菌8株,双岐杆菌2株,消化链球菌和消化球菌19株。40只根管为厌氧菌和兼性厌氧菌或需氧菌混合感染,18只根管和6只根管分别为单独厌氧菌和兼性厌氧菌感染。33只根尖周炎根管分别采集牙髓和根尖渗出物样本进行培养,实验结果表明牙髓样本中革兰氏阳性厌氧杆菌检出率较高,根尖渗出物中以产黑素类杆菌属的细菌检出率较高。根尖周炎和牙槽脓肿患者的感染根管中产黑素类杆菌属的细菌检出率明显高于蜂窝组织炎患者。     

临床厌氧菌的分离和鉴定

我们从口腔、胸部、腹部和盆腔等处采集了110份临床感染标本,以自制的输送培养基立即送实验室,在厌氧手套箱(霍尔玛厌氧系统1029型)或Gas-pak罐中,行厌氧菌的分离和培养,其中64份标本检出厌氧菌,阳性率为58％。临床标本中牙周炎标本厌氧菌检出率高达100％,牙髓炎标本为85％,阑尾脓肿和腹膜炎标本为83％,胆道标本为39％,脓胸标本为57％,盆腔标本为33％,早期单纯性阑尾炎和甲状腺囊肿合并感染的标本各5份,都未检出厌氧菌。从64份阳性分离的标本中共分离到厌氧菌370株,经鉴定分别属于11个菌属32个菌种(未定种的有74株),其中类杆菌最多占45.9％(类杆菌属中脆弱类杆菌占37.6％),次为梭杆菌属和消化链球菌属,各占15.1％。革兰氏阳性无芽胞厌氧菌占8％左右,而梭菌属为8.9％,其余是二氧化碳噬纤维菌属(2.9％)、韦荣氏球菌属(1.3％)、链球菌属和纤毛菌属(1.5％)等。在厌氧菌鉴定中,我们使用了微量生化直接酶测定技术和代谢产物的气相色谱分析技术,这些方法在厌氧菌鉴定中比常规方法敏感且有较大的价值。     

厌氧菌的两种简易培养方法——铁丝圈厌氧法与催化剂厌氧法

现在临床标本中的厌氧菌主要是革兰氏阴性杆菌、阳性球菌和阳性无芽孢杆菌等。为解决这些菌分离培养的难题,我们参考国外资料,发展出两种简单有效的厌氧培养法,现报告如下。一、铁丝圈厌氧法     

绝经前后细菌性阴道病厌氧菌群及耐药性分析

目的了解绝经前后细菌性阴道病患者标本中优势厌氧菌群,检测厌氧菌分离株对5-硝基咪唑类和林可霉素类抗生素的耐药性。方法采集165例未绝经和125例绝经阴道病患者以及84例未绝经和68例绝经正常妇女的阴道分泌物,测定其pH。采用选择性厌氧培养基分离类杆菌、梭杆菌、乳杆菌、优杆菌、消化链球菌和消化球菌,将分离的厌氧菌株鉴定至种。同时采用二倍平皿稀释法,测定塞克硝唑、替硝唑、甲硝唑、林可霉素和克林霉素对760株厌氧菌的最低抑菌浓度。结果100%细菌性阴道病患者、97.6%未绝经和98.5%绝经正常妇女的阴道分泌物中分离出厌氧菌。阴道炎患者标本中,类杆菌属、普氏菌属和紫质单胞菌属厌氧菌分离率高于相应对照组(P<0.05;P<0.01),其中以多毛类杆菌、腐败类杆菌、脆弱类杆菌、产黑普氏菌、不解糖紫质单胞菌为优势菌群;梭杆菌属、优杆菌属、消化球菌属和消化链球菌属厌氧菌分离率与相应对照组比较差异无显著性(P>0.05);乳杆菌属分离率明显低于相应对照组(P<0.01)。未绝经正常妇女和患者及绝经正常妇女和患者阴道分泌物pH分别为4.5±0.2、5.5±0.8、6.5±0.3和6.5±1.0。塞克硝唑、替硝唑和甲硝唑对355株革兰阴性厌氧菌M IC90值为1~8μg/m l,林可霉素和克林霉素则为4~16μg/m l;塞克硝唑、替硝唑和甲硝唑对405株革兰阳性厌氧菌M IC90值为8~32μg/m l,林可霉素和克林霉素则为4~16μg/m l。     

儿童乳牙根尖周炎感染根管厌氧细菌学分析

目的：报告50例5-8.5岁儿童根尖周炎患者感染根管73颗乳牙厌氧菌分离鉴定及体外药敏试验的结果,方法：采用K-B法。结果：89.04%(65/73)的患牙共检出厌氧菌150株,平均每例标本检出2.3株,常用抗厌氧菌药物替硝唑（TNZ）、甲硝唑（MNZ）对革兰阴性厌氧菌（产黑色素普氏菌,中间普氏菌,解脲拟杆菌,具核梭杆菌,牙龈二氧化碳噬纤维菌）有较好的抑菌作用;林可霉素对革兰阳性厌氧菌（厌氧消化链球菌,嗜酸乳杆菌）的作用则强于TNZ和MNZ,氯霉素（C）和乙旋螺旋霉素（AS）抗厌氧菌的作用则弱于前三者。结论：分析儿童乳牙根尖周炎感染根管菌群来决定抗菌药物的选择,在临床治疗上是必要的。     

成人牙周炎龈下套氧菌分离鉴定及药敏试验结果分析

分离并鉴定了329例成人牙周炎龈下优势厌氧菌群,并对不同病程中的菌群变迁、厌氧菌的药物敏感性进行了分析.成人牙周炎龈下标本中厌氧菌阳性检出率为97.9%,其中以牙龈紫质单胞菌检出率最高(38.5%),具核梭杆菌次之(18.9%).随着牙周病变程度的加重,牙龈紫质单胞菌、具核梭杆菌、产黑色素普氏菌、星群厌氧链球菌、厌氧消化链球菌的检出率增高(P＜0.05),小韦荣球菌的检出率下降(P＜0.01),表明前5种厌氧菌在AP发病过程中有重要作用,小韦荣球菌与之无关.替硝唑、甲硝唑和克林霉素对438株革兰氏阴性厌氧菌的MIC90分别为1～8,2～8和4～16 mg/L,对278株革兰氏阳性厌氧菌的MIC90分别为16～32,16～64和4～16 mg/L,表明替硝唑和甲硝唑体外抗革兰氏阴性厌氧菌效果优于克林霉素,抗革兰氏阳性厌氧菌作用不如克林霉素.     

简易厌氧培养皿及厌氧罐检测厌氧菌的对比观察

在厌氧菌检验中,培养器材的选择是厌氧菌分离培养成败的关键之一。本室采用简易厌氧培养皿和厌氧罐两种不同器材进行对比试验,报告如下。１材料与方法１１器材简易厌氧培养皿为两个磨砂面边缘的玻璃平皿,高２ｃｍ,直径８５ｃｍ;厌氧罐选用高１７ｃｍ、直径１４ｃ...     

口腔厌氧螺旋体培养条件的研究

口腔厌氧螺旋体的分离培养在国内尚属还未解决的问题,本研究对培养口腔厌氧螺旋体的培养基,培养条件及与梭形杆菌的共生关系进行了探索,制备出适宜于口腔各类厌氧螺旋体生长的“螺旋体大豆消化液选择培养基”(简称SSSM),使用本培养基从40例青少年牙周炎患者牙周袋分泌物标本分离出小齿密螺旋体19株,大齿密螺旋体4株,疏螺旋体4株,另分离出梭形杆菌21株,其结果显示出患者牙周袋及健康人龈沟标本中厌氧螺旋体及梭形杆菌培养阳性率二者之间有高度显著性差异(P<0.001),进一步揭示出牙周炎与口腔厌氧螺旋体之间关系密切。并对分离出的菌株做了常用抗菌素的药敏试验。     

间隙感染和冠周炎标本中厌氧菌的分离鉴定和体外药效学的研究

本文报告１７０例间隙感染和２１０例冠周炎标本中厌氧菌分离鉴定及体外药效学试验的结果。８９．４％间隙感染标本中检出的厌氧菌,以产黑色素类杆菌、具核梭杆菌和衣氏放线菌较为多见。８４．３％冠周炎标本中检出的厌氧菌,以消化链球菌、韦荣球菌和具核梭杆菌较为多见。纸片扩散法药敏试验和ＭＩＣ测定结果表明替硝唑和克林霉素抗厌氧菌作用明显较甲硝唑和乙酰螺旋霉素为强（ｘ~＞１０．７４,Ｐ＜０．０１）;替硝唑与克林霉素的抗菌谱有差异,时Ｇ~-厌氧菌,替硝唑抑菌活性明显优于克林霉素,对Ｇ~＋厌氧菌,替硝唑抑菌活性不如克林霉素（ｘ~２＞２５．１９,ｐ＜０．０１）。     

细菌自动培养仪厌氧培养的临床应用

目的 :探讨用细菌自动培养仪作厌氧培养的临床应用价值。方法 :选用 mini VITAL 全自动荧光血培养仪检测常见临床标本 5472份 (其中血液 4869瓶、胸腹水 2 40瓶、脓腔及组织穿刺液 175瓶、脑脊液12 2瓶、骨髓液 2 3瓶、胆汁及其引流液 2 1瓶、其他 2 2瓶 )厌氧培养结果 ,对其阳性检出率、检出细菌种类和时间、假阳性以及药敏结果进行综合分析和评估。结果 :设定收瓶时间为 5d,厌氧培养的阳性检出率为2 5.51% (其中胆汁 76.19% ,脓汁 57.14 % ,血液 2 5.2 8% ,胸腹水 14 .17% ,骨髓 13 .0 4% ,脑脊液 5.74% ) ;共检出各种感染菌 3 3属 77种 ,专性厌氧菌、微需氧菌和兼性厌氧菌的比例为 4.8∶ 1.0∶ 94.2 ;专性厌氧菌的平均检出时间为 (2 6.13± 2 0 .59) h;兼性厌氧菌的检出时间厌氧株比需氧株平均延长 -0 .54～ 4.7h;假阳性率 0 .16% ;药敏结果厌氧株的耐药率普遍较需氧株低。结论 :仪器厌氧培养简便、快速、安全、有效 ,是临床常见标本检测厌氧菌值得推荐使用的方法 ;与需氧培养配对应用可提高培养阳性检出率     

金定鸭盲肠内厌氧菌群的初步研究

本文应用不同的培养基和培养方法对金定鸭盲肠内厌氧菌进行了分离和初步鉴定,结果说明:采用不同厌氧方法对厌氧菌的分离计数具有一定的影响;金定鸭盲肠内厌氧菌群主要有革兰氏阳性无芽孢杆菌、革兰氏阴性无芽孢杆菌、厌氧球菌和梭菌,其中有一株厌氧菌对氧的存在极为敏感。本文中强调了严格遵守厌氧培养和操作条件的重要性。     

人精浆,厌氧菌培养液在HSV—2诱导宫颈癌中的作用

本实验应用HSV-Z诱导小鼠宫颈癌的动物模型,发现人精浆或厌氧菌培养液只引起宫颈上皮轻度增生,二者混合(SB)不仅可致宫颈癌(11.5％),而且使HSV-2诱癌率从23.1％提高到50％,同时发现SB具有抑制机体细胞免疫功能的作用,抑制ConA刺激的淋巴细胞转化及NK细胞的活性。上述结果提示SB具有促癌作用,因而也讨论了SB促癌的可能机制。     

老年人胃内菌群研究

目的研究人体胃内菌群,探讨老年与非老年人胃内菌群的差异。方法选择67例无严重胃肠道疾病的患者为研究对象。其中男性50例、女性17例。年龄≥60岁53例,〈60岁14例。胃镜下取胃组织及胃液,测胃液pH,并做胃组织需氧、厌氧细菌培养及真菌培养,计数胃组织细菌培养数量。16SrRNA法鉴定胃组织细菌种类。真菌的鉴定按微生物科常规菌种方法鉴定。结果老年人中胃内需氧细菌培养阳性为23例（48.93%）,12例（25.53%）胃内需氧菌培养〉1×10^5CFU/g;厌氧细菌培养阳性为22例（46.81%）,12例（25.53%）胃内厌氧菌培养〉1×10^5CFU/g。非老年人中需氧细菌培养阳性为4例（28.57%）,1例（7.14%）胃内需氧菌培养〉1×10^5CFU/g;厌氧细菌培养阳性为4例（28.57%）,1例（7.14%）胃内厌氧菌培养〉1×10^5CFU/g。但老年人与非老年人比较,细菌培养阳性率及细菌培养〉1×10^5CFU/g的比率差异无显著性。仅1例老年人胃组织分离出真菌,为白色念珠菌。胃内共分离出细菌69株,其中革兰阳性球菌31株（44.93%）,革兰阳性杆菌12株（17.39%）,革兰阴性球菌11株（15.94%）,革兰阴性杆菌15株（21.74%）。需氧菌13株（18.84%）,需氧兼性厌氧菌54株（78.26%）,专性厌氧菌2株（2.90%）。老年人胃内常见的细菌是：链球菌、大肠埃希菌、奈瑟菌;非老年人胃内常见的细菌是：链球菌和大肠埃希菌。多为口咽部和胃肠道常见菌群,部分为条件致病菌。结论约46%～48%的老年人胃内细菌培养阳性,约25%的老年人有胃内细菌过度生长（〉1×10^5CFU/g）。约28%的非老年人胃内细菌培养阳性,约7%的非老年人有胃内细菌过度生长。老年人胃内菌群分布与非老年人相似,为口咽部和胃肠道常见菌群,部分为条件致病菌。     

Anaerobic metabolism of cyclohexanol by denitrifying bacteria

Three strains of denitrifying bacteria were anaerobically enriched and isolated from oxic or anoxic habitats with cyclohexanol or cyclohexanone as sole electron donor and carbon source and with nitrate as electron acceptor. The bacteria were facultatively anaerobic, Gramnegative and metabolism was strictly oxidative with molecular oxygen, nitrate, or nitrite as terminal electron acceptor. Cyclohexanol and cyclohexanone were degraded both anaerobically and aerobically. Aromatic compounds were oxidized in the presence of molecular oxygen only. One of the bacterial strains was further characterized. During anaerobic cyclohexanol degradation approximately 40% of the substrate was oxidized to phenol, which accumulated as dead-endproduct in the growth medium; 60% of cyclohexanol was completely oxidized to CO₂ and assimilated, respectively. In addition to phenol formation, transient accumulation of cyclohexanone, 2-cyclohexenone and 1,3-cyclohexanedione was observed. Based on these findings we propose a pathway for anaerobic cyclohexanol degradation involving these intermediates.     

Digestion of Herring by Indigenous Bacteria in the Minke Whale Forestomach

Northeastern Atlantic minke whales (Balaenoptera acutorostrata) have a multichambered stomach system which includes a nonglandular forestomach resembling that of ruminants. Bacteria from the forestomachs of herring-eating whales were enumerated and isolated in an anaerobic rumen-like culture medium (M8W medium). The total viable population of anaerobic bacteria ranged from 73 × 10⁷ to 145 × 10⁸/ml of forestomach fluid (n = 4). Lactobacillus spp. (19.7%), Streptococcus spp. (35.9%), and Ruminococcus spp. (12.8%) were the most common of the bacterial strains (n = 117) isolated by use of M8W medium from the forestomach fluid population of two minke whales. Most of the isolates stained gram positive (93.2%), 62.4% were cocci, and all strains were strictly anaerobic. The population of lipolytic bacteria in one animal, enumerated by use of a selective lipid medium, constituted 89.7% of the viable population. The total viable population of anaerobic bacteria in freshly caught and homogenized herring (Clupea harengus) ranged from 56.7 to 95.0 cells per gram of homogenized prey (n = 3) when M8W medium was used. Pediococcus spp. (30.6%) and Aerococcus spp. (25.0%) were most common of the bacterial strains (n = 72) isolated from the homogenized herring. Most of the bacterial strains were gram positive (80.6%), and 70.8% were cocci. Unlike the forestomach bacterial population, as many as 61.1% of the strains from the herring were facultatively anaerobic. All bacterial strains isolated from the prey had phenotypic patterns different from those of strains isolated from the dominant bacterial population in the forestomach, indicating that the forestomach microbiota is indigenous. Scanning electron microscopic examinations revealed large numbers of bacteria, surrounded by a glycocalyx, attached to partly digested food particles in the forestomach. These data support the hypothesis that symbiotic microbial digestion occurs in the forestomach and that the bacteria are indigenous to minke whales.     

细菌性阴道病的优势菌群半定量培养分析

目的探讨临床适用的菌群培养方法,用于检测分析细菌性阴道病患者阴道优势菌群,以更好地指导临床诊治。方法采集32例细菌性阴道病（BV）患者的阴道分泌物标本,在不同气体环境中用非选择性、半定量方法做细菌培养,比较培养结果,分析患者阴道优势菌群。结果在厌氧环境中培养时菌落数量最多,检出的优势菌共15种,每份标本的优势细菌种类多数为2种（20/32）,少数为3种（3/32）;而在微需氧及需氧环境中检出的主要菌分别为8种及5种。结论非选择性半定量、厌氧培养的方法可有效、简便地了解BV阴道优势菌群的构成,可用于临床对BV菌群的检测分析研究。     

A comparison of two strains of the anaerobic ciliate Trimyema compressum

Two strains of the anaerobic ciliate Trimyema compressum, isolated from different habitats, were compared. The cytoplasm of the ciliates contained hydrogenosome-like microbodies and methanogenic bacteria; the latter were lost during continued cultivation. In addition both strains harbored a non-methanogenic endosymbiont, which was lost in strain K. The ciliates lacked cytochromes, cytochrome oxidase and catalase but contained superoxide dismutase. Hydrogenase activity could be demonstrated only in strain N. In monoxenic culture strain K needed sterols as growth factors. The cells of both strains reacted similarly with respect to oxygen tolerance (up to 0.5 mg O₂/l), inhibition of growth by cyanide and azide, and resistance to antimycin A. Only cells of strain N showed growth inhibition by chloramphenicol. It is concluded that Trimyema compressum is an anaerobic, microaerotolerant organism, its microbodies show more resemblance to hydrogenosomes than to mitochondria.     

米酒曲细菌多样性研究

目的分析米酒曲中微生物群落组成。方法采集7个地区的米酒曲样品,通过PCR-DGGE与传统可培养方法对米酒曲中的细菌多样性进行解析。结果基于PCR-DGGE法,米酒曲中细菌由Enterococcus、Streptococcus、Lactobacillus、Pediococcus和Weissella等乳酸菌类群组成。基于传统纯培养方法,在厌氧条件下共分离到细菌24株,使用MRS培养基分离得到14株乳酸菌,其中Enterococcus类群乳酸菌最多,其次是Weissella,而Pediococcus最少;在厌氧条件下,通过LB培养基得到10株菌,经鉴定属于Cronobacter、Enterobacter、Klebsiella类群。结论米酒曲中存在着丰富的乳酸菌类群,同时也有有害微生物的存在。     

Sulfonate-sulfur can be assimilated for fermentative growth

Abstract Bacterial assimilation of sulfonate-sulfur under anaerobic conditions has been demonstrated. Two different bacteria able to grow fermentatively using sulfonate-sulfur as sole sulfur source were isolated by enrichment culture; neither were able to utilize sulfonates as sole source of carbon and energy for growth. The isolate of Clostridium pasteurianum assimilated the sulfur of isethionate (2-hydroxyethanesulfonate), taurine (2-aminoethanesulfonate), or p -toluenesulfonate. A facultatively fermentative Klebsiella strain did not utilize the sulfur of any of these sulfonates, but assimilated cysteate-sulfur; in contrast, when growing by aerobic respiration, the range of sulfonates able to serve as sulfur source was greater. Both bacteria displayed a preferential utilization of sulfate-sulfur to that of the sulfonates tested. Thus, bacterial assimilation of sulfonate-sulfur during anaerobic growth has direct parallels with features until now recognized only for aerobic assimilatory processes.     

Anaerobic degradation of phenol by pure cultures of newly isolated denitrifying pseudomonads

From various oxic or anoxic habitats several strains of bacteria were isolated which in the absence of molecular oxygen oxidized phenol to CO₂ with nitrate as the terminal electron acceptor. All strains grew in defined mineral salts medium; two of them were further characterized. The bacteria were facultatively anaerobic Gramnegative rods; metabolism was strictly oxidative with molecular oxygen, nitrate, or nitrite as electron acceptor. The isolates were tentatively identified as pseudomonads. Besides phenol many other benzene derivatives like cresols or aromatic acids were anaerobically oxidized in the presence of nitrate. While benzoate or 4-hydroxybenzoate was degraded both anaerobically and aerobically, phenol was oxidized under anaerobic conditions only. Reduced alicyclic compounds were not degraded. Preliminary evidence is presented that the first reaction in anaerobic phenol oxidation is phenol carboxylation to 4-hydroxybenzoate.