Aerobic and anaerobic microbiology of suppurative sialadenitis
Aerobic and anaerobic microbiology of suppurative sialadenitis
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DOI：
10.1099/0022-1317-51-6-526
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发表时间：
2002-06-01
影响因子：
3
通讯作者：
Brook, I
中科院分区：
文献类型：
--
作者：
Brook, I
对急性化脓性涎腺炎的脓液吸出物进行了需氧菌和厌氧菌的研究。47例标本中，腮腺32例，下颌下腺9例，舌下腺6例，均有细菌生长。从腮腺感染中分离出55株分离株，25株需氧菌和30株厌氧菌：13份（41%）标本中仅检出厌氧菌，11份（34%）标本中仅检出需氧菌或兼性菌，8份（25%）标本中检出需氧菌和厌氧菌混合菌。在来自下颌下腺感染的17株分离株中，8株需氧菌和9株厌氧菌：3份（33%）标本中仅检出厌氧菌，4份（44%）标本中仅检出需氧菌或兼性菌，2份（22%）标本中检出需氧菌和厌氧菌混合菌。10株分离株（需氧菌5株，厌氧菌5株）来自舌下腺感染，其中仅检出厌氧菌2株（33%），仅检出需氧菌或兼性菌2株（33%），需氧菌和厌氧菌混合2株（33%）。主要需氧菌为金黄色葡萄球菌和流感嗜血杆菌，而主要厌氧菌为革兰氏阴性杆菌（包括色素普雷沃氏菌和卟啉单胞菌属，和梭杆菌属（Fusobacterium spp.）和消化链霉菌属（Peptostreptum spp.）这项研究强调了多种微生物的性质和重要性，厌氧菌在急性化脓性涎腺炎。
Aspirates of pus from acute suppurative sialadenitis were investigated for the presence of aerobic and anaerobic bacteria. A total of 47 specimens, 32 from parotid, 9 from submandibular and 6 from sublingual glands yielded bacterial growth. Fifty five isolates, 25 aerobic and 30 anaerobic, were isolated from parotid infection: anaerobic bacteria only were detected in 13 (41%) specimens, aerobic or facultative bacteria only in 11 (34%) and mixed aerobic and anaerobic bacteria in 8 (25%). Of a total of 17 isolates, 8 aerobic and 9 anaerobic, from submandibular gland infection: anaerobic bacteria only were detected in 3 (33%) specimens, aerobic or facultative bacteria only in 4 (44%) and mixed aerobic and anaerobic bacteria in 2 (22%). Ten isolates, 5 aerobic and 5 anaerobic, were from sublingual gland infection: anaerobic bacteria only were detected in 2 (33%) specimens, aerobic or facultative bacteria only in 2 (33%) and mixed aerobic and anaerobic bacteria in 2 (33%). The predominant aerobes were Staphylococcus aureus and Haemophilus influenzae while the predominant anaerobes were gram-negative bacilli (including pigmented Prevotella and Porphyromonas spp., and Fusobacterium spp.) and Peptostreptococcus spp. The study highlights the polymicrobial nature and importance of anaerobic bacteria in acute suppurative sialadenitis.