纳米-TiO2对变异链球菌和白色假丝酵母菌抗菌机制的研究

目的 采用原子力显微镜对应用抗菌剂纳米Ag-Ti02作用后的口腔两种常见致病菌的分子形貌进行观测,为研究其抑菌机制提供有力的直观影像科学依据和可靠、直观的实验方法.方法 选择两种菌种:白色假丝酵母菌、变形链球菌,采用液体稀释法将纳米Ag-TiO2与两种菌相互作用,分别使用光学显微镜、原子力显微镜观察两种菌的细胞微观形态变化.结果 抗菌剂与两种菌作用后,细菌形态均有不同程度的改变,甚至是死亡.结论 原子力显微镜能直观地显示白色假丝酵母菌,变形链球菌的分子结构,通过本实验在研究纳米Ag-TiO2抗菌剂对白色假丝酵母菌,变形链球菌的抑菌机理形态学改变方面做了进一步的完善.     

比较五种中草药牙膏对口腔常见菌的抗菌潜力

目的评价5种国产中草药牙膏对口腔常见菌的抗菌潜力。方法运用扩散法来评价5种国产中草药牙膏———美加净复合中草药牙膏(MAX)、洁银中药牙膏(JY)、田七特效中药牙膏(TQ)、中华中草药牙膏(ZH)、高露洁草本美白牙膏(Colgate H)对口腔常见菌:变形链球菌(S.mutants)、血链球菌(S.sanguis)、粘放线菌(A.viscosus)和白色念珠菌(C.albicans)的抗菌潜力。结果阴性对照组未见产生抗菌区域,而阳性对照组对4种口腔常见菌产生明显的抗菌区域。TQ对除了白色念珠菌(C.albicans)外的其他3种口腔常见菌都有明显的抗菌作用,其余4种牙膏在膏状和稀释状态下对所有4种常见菌均显示了明显和持续的抗菌作用。膏状状态下的抗菌区域比稀释状态下有显著的增大(P<0.05)。结论除TQ对C.albicans显示无效外,所有5种国产中草药牙膏对口腔内的常见菌均有明显的抗菌作用。     

血链球菌与疾病研究进展

血链球菌是早期定植在口腔内的细菌之一,也是口腔内的常驻菌.血链球菌作为牙周有益菌对大多数牙周可疑致病菌具有拮抗作用.其主要机制为产生过氧化氢和血链素.由于各种原因进入血液循环后可引起感染性心内膜炎,主要机制为血链球菌的表面抗原使血小板产生黏附、聚集,其在血小板表面的结合位点在血小板膜糖蛋白Ib附近.单核细胞在血链球菌的刺激下表达大量的组织因子,激活外源性凝血途径形成血栓.     

氟对正畸儿童牙面菌斑变形链球菌的影响

目的:观察和探讨2%氟化钠对正畸患者牙面菌斑内细菌总数及变形链球菌数的影响.方法:选择34例正畸儿童,分为两组,试验组涂布2%氟化钠;对照组不做处理.分别于戴用矫治器前,戴入后1月采集上颌牙唇颊面菌斑,测定菌斑中细菌总数及变形链球菌数.结果:对照组戴用后1月,细菌总数及变形链球菌数较戴用前明显增加(P＜0.01).对照组与试验组戴用后1月相比,试验组细菌总数及变形链球菌数明显少于对照组(P＜0.05).结论:戴用固定矫治器后,牙面菌斑内细菌总数及变形链球菌数较戴用前增加,应用2%氟化钠可明显抑制正畸患者口腔内变形链球菌数,减少龋坏发生.     

口腔链球菌摄取生物素与口内白色念珠菌生长的关系

为了探讨口腔细菌生态平衡机制,本文体外检测了４株口腔链球菌（Ｓ．ｓａｌｉｖａｒｉｕｓ,Ｓ．ｓａｎｇｕｉｓ,Ｓ．ｍｕｔａｎｓ和Ｓ．ｍｉｔｉｏｒ）和白色念珠菌生长对生物素的依赖性。结果显示白色念珠菌和口腔链球菌的生长绝对依赖生物素,前者最大半数生长需要生物素约１０ｐＭｏｌ／Ｌ,其最大生长率所需生物素约为１００ｐＭｏｌ／Ｌ;而后者最大半数生长需生物素为５２５ｐＭｏｌ／Ｌ。正常人血清和唾液中生物素的含量约为２１２２９４ｐＭｏｌ／Ｌ。生物素饥饿状态下的白色念珠菌和口腔链球菌,以及唾液离心沉淀物（绝大多数为细菌）摄取生物素具温度依赖性,而代谢抑制剂（叠氮化合物、氰化物和醋酸碘）和某些抗生素（杆菌肽、短杆菌肽、万古霉素和二性霉素）具选择性抑制效应,提示生物素的摄取和跨膜转运是一依赖能量的主动过程。用唾液沉淀物和口腔链球菌吸收培养基中的生物素或与白色念珠菌共同培养,显著抑制白色念珠菌的生长。本文首次提供实验证据显示口腔优势菌可能通过竞争生物素等营养成份,抑制白色念珠菌生长,以维持口腔微生物之生态平衡。     

儿科痰培养肺炎链球菌耐药性分析

目的了解厦门市妇幼保健院儿科患者下呼吸道感染肺炎链球菌的耐药情况。方法对厦门市妇幼保健院2007年9月至2009年12月从儿科分离的95株肺炎链球菌用K-B纸片法检测其对青霉素等5种抗菌药物的敏感度,对耐苯唑西林的菌株用E-test法检测青霉素和头孢曲松的MIC值。结果95株肺炎链球菌对红霉素、克林霉素高度耐药,耐药率分别为97.9%、96.8%,对左氧氟沙星几乎敏感,未检出耐万古霉素菌株。E-test法测试青霉素不敏感率为58.9%（56株）,头孢曲松敏感率为93.7%（89株）。ermB因介导的红霉素耐药菌株92株,占98.9%,mefE基因介导的红霉素耐药仅1株（1.1%）。结论厦门市妇幼保健院分离的肺炎链球菌耐药严重,PNSP检出率较高（58.9%）,对红霉素、克林霉素高度耐药,临床应尽量减少此类药物的经验性用药,依据药敏结果选择抗菌药物进行治疗。     

三种中药牙膏对口腔致病菌抑制作用的体外实验研究

目的 在体外通过实验观察3种中药牙膏对变形链球菌和白色念珠菌的抑菌作用,探讨中药牙膏对龋病及真菌感染的预防作用.方法 将两种细菌的国际标准株进行体外培养,取其第三代纯种培养物.采用纸片扩散法来评估中药牙膏的抑菌潜力.结果 实验组和对照组牙膏对2种细菌在体外均有明显的抑制其生长的作用,抑菌能力不尽相同(P＜0.05).结论 3种中药牙膏对变形链球菌和白色念珠菌生长可能有抑制作用.     

掺银二氧化钛空心球的制备及其抗菌性能研究

以硫酸钛、尿素为原料,碳球为模板,采用水热沉淀法制备了二氧化钛空心球,以聚乙烯吡咯烷酮(PVP)为分散剂、硼氢化钾还原硝酸银的方法得到银掺杂的二氧化钛空心球。采用X射线粉末衍射仪(XRD)、扫描电镜(SEM)、透射电镜(TEM)、能谱仪(EDS)和傅里叶变换红外光谱仪(FT-IR)等测试手段对所得的样品进行了表征。采用抑菌圈法对其抗菌性能进行了检测,实验结果表明,在自然光条件下,商品二氧化钛P25和二氧化钛空心球对大肠杆菌、金黄色葡萄球菌、白色念珠菌没有任何抗菌效果,而载银量9.4 mol%的二氧化钛在常温范围内对三个菌种都具有优良的抗菌性能,可用于抗菌塑料、抗菌食品包装和抗菌纺织制品等领域。     

114株肺炎链球菌的临床分布及药敏分析

目的波市妇女儿童医院肺炎链球菌的临床分布和耐药情况,为临床合理用药提供依据。方法对该院2009年6月1日至2011年3月31日期间分离的114株肺炎链球菌进行分析,菌株鉴定采用法国生物梅里埃公司的VITEK60分析仪,药敏试验采用K-B法,用参考菌株做质量控制。结果该院分离的肺炎链球菌主要来自儿童（84.21%）,标本来源主要是痰液（61.4%）,其次是血液（9.65%）,其他（28.95%）。肺炎链球菌的耐药率：林可霉素92.19%,红霉素90.12%,青霉素G85.53%,左旋氧氟沙星20.24%,氨苄西林16.67%,头孢唑啉8.7%,头孢曲松5.8%,头孢噻肟4.11%,万古霉素0%,氨苄西林/舒巴坦0%,哌拉西林/他唑巴坦0%。结论宁波市妇女儿童医院肺炎链球菌对某些药物的耐药率很高,有必要对其进行耐药率监测,指导临床合理选择抗菌药物。     

载银纳米抗菌复合骨填充材料体外抗菌性能研究

目的探讨新型载银纳米抗菌复合骨填充材料(TiO2-Ag-nHA/PA66)的体外抗菌性能。方法采用抑菌环试验及菌落总数测定法检测不同纳米抗菌复合骨填充材料(A1、A2、A3)对金黄色葡萄球菌及大肠埃希菌的体外抗菌效果;扫描电镜观察其对细菌的抗粘附作用。结果抑菌环试验显示,不同载银纳米抗菌复合骨填充材料对金黄色葡萄球菌和大肠埃希菌均形成明显的抑菌环,以作用24 h抑菌环直径最大,并随作用时间延长,抑菌环直径逐渐缩小。其中银含量为0.64%(质量比)的材料A3的抗菌作用最明显,持续时间最长,其对金黄色葡萄球菌和大肠埃希菌的抑菌作用持续时间分别达到33 d和24 d;菌落总数测定法显示细菌与材料A3接触24 h后,对金黄色葡萄球菌和大肠埃希菌的抗菌率分别为94.18%和85.96%;扫描电镜发现载银材料能够明显减少细菌在材料表面的粘附。结论载银纳米抗菌复合骨填充材料体外对金黄色葡萄球菌及大肠埃希菌有明显抗菌作用,为其应用于慢性骨髓炎术后骨缺损修复提供理论依据。     

Trimethylsilyl-sugar profiles of Streptococcus milleri and Streptococcus mitis

Seventy strains of 'viridans-group' streptococci were analysed gas chromatographically after preparation of trimethylsilyl ethers of their cellular sugars. The resulting profiles were evaluated as a possible aid to taxonomy. Glycerol, glucose, galactose, N-acetyl-glucosamine and N-acetylmuramic acid were found in all strains, in varying amounts. Rhamnose was the major neutral sugar in most strains, other than representatives of Streptococcus mitis, which invariably had ribose and usually anhydroribitol but no rhamnose. One strain of Strep. mitis possessed arabitol. Some strains of Strep. mitis and 'Strep. milleri' were alone in containing N-acetylgalactosamine. A combination of N-acetylgalactosamine and rhamnose in the absence of ribose was diagnostic for strains of 'Strep. milleri'.     

Resistance mechanism of chloramphenicol in Streptococcus haemolyticus, Streptococcus pneumoniae and Streptococcus faecalis.

The chloramphenicol resistance of Streptococcus haemolyticus, Streptococcus pneumoniae and Streptococcus faecalis isolated from clinical materials was proved to be due to an inactivating enzyme produced by these bacteria. The inactivated products of chloramphenicol were identified as 1-acetoxy, 3-acetoxy and 1,3-diacetoxy derivatives by thin-layer chromatography and infrared spectroscopy. The responsible enzyme was thus confirmed to be chloramphenicol acetyltransferase. The enzyme was inducible. It was partially purified by ammonium sulfate precipitation, DEAE-cellulose chromatography and gel filtration on Sephadex G-150. The enzymes obtained from S. haemolyticus, S. pneumoniae and S. faecalis have been compared with the conclusion that they are identical with respect to molecular weight (approximately 75,000-80,000), optimum pH and heat stability.     

Prophage-Cured Derivatives of Streptococcus lactis and Streptococcus cremoris

Prophage curing was achieved in Streptococcus lactis and Streptococcus cremoris, and the cured derivatives were shown to be indicators for their temperate bacteriophages. Relysogenization of these cured derivatives completed the first formal demonstration of the lysogenic state in lactic streptococci.     

Trimethylsilyl-sugar profiles of Streptococcus milleri and Streptococcus mitis

Seventy strains of 'viridans-group' streptococci were analysed gas chromatographically after preparation of trimethylsilyl ethers of their cellular sugars. The resulting profiles were evaluated as a possible aid to taxonomy. Glycerol, glucose, galactose, N-acetyl-glucosamine and N-acetylmuramic acid were found in all strains, in varying amounts. Rhamnose was the major neutral sugar in most strains, other than representatives of Streptococcus mitis , which invariably had ribose and usually anhydroribitol but no rhamnose. One strain of Strep, mitis possessed arabitol. Some strains of Strep. mitis and ' Strep. milleri ' were alone in containing N-acetylgalactosamine. A combination of N-acetylgalactosamine and rhamnose in the absence of ribose was diagnostic for strains of ' Strep. milleri '.