RESUMEN
Bacterial adhesion is a crucial factor in the pathogenicity of numerous bacterial species. This property plays such a great role in infections of foreign material that removal of the material is the only effective therapy. The electron microscopy studies performed by Christensen have demonstrated that infected foreign material harbors bacteria which are often coated with slime and therefore escape detection by conventional microbiological methods. in view of these properties, enzymatic or physical detachment of adherent bacteria was attempted. 231 specimens from a variety of materials (catheters, heart valves, drains, bone biopsies) which yielded negative results after 15 days culture in Schaedler medium were either exposed to trypsin or sonicated. Among catheter specimens, 44.7% yielded positive bacteriologic results; pathogens recovered included 8.3% micrococci, 5.1% nongroupable streptococci, 1.7% group D streptococci, 2.9% Enterobacteria, and 23.3% coagulase-negative staphylococci. Among the bone specimens, the improvement in yield was 64.7%; except in one case, the pathogens recovered were consistent with previously initiated treatments. This bacterial detachment method should be studied in a larger number of specimens to determine its diagnostic value as compared with conventional techniques.
Asunto(s)
Adhesión Bacteriana/efectos de los fármacos , Osteomielitis/diagnóstico , Sonicación , Infecciones Estafilocócicas/diagnóstico , Tripsina/farmacología , Bioprótesis , Catéteres de Permanencia/efectos adversos , Enfermedad Crónica , Infecciones por Bacterias Grampositivas/diagnóstico , Infecciones por Bacterias Grampositivas/microbiología , Prótesis Valvulares Cardíacas/efectos adversos , Humanos , Técnicas In Vitro , Osteomielitis/etiología , Osteomielitis/microbiología , Estudios Retrospectivos , Infecciones Estafilocócicas/etiología , Infecciones Estafilocócicas/microbiología , Staphylococcus epidermidis/aislamiento & purificaciónRESUMEN
Spinal and ventricular diffusion of ceftriaxone, measured by HPLC or microbiological assay, is inconsiderable in subjects with healthy meninges.