3 556次临床标本的细菌培养结果和耐药分析

目的了解玉溪市临床分离菌的菌群分布和耐药情况以指导合理用药。方法对玉溪市人民医院2003年1月～12月从血液、体液、尿液、咽拭子、口痰、阴拭子和粪便中分离的1039株感染菌作回顾性分析。结果G^-杆菌比例居多,条件致病菌和酵母样真菌检出机会显著增高;药敏结果显示多数临床细菌对常用抗生素的耐药趋势在不断上升;大肠埃希菌、沙门菌和克雷伯菌等G^-杆菌对喹诺酮类药物的耐药率在50％～97．7％,亚胺培南则对阴性杆菌有较高的敏感覆盖率;耐甲氧西林葡萄球菌(MRS)对环丙沙星、诺氟沙星、氯洁霉素、四环素、红霉素、庆大霉素、复方新诺明和头孢唑啉的耐药率均在50％以上,链球菌对多数肛内酰胺类青霉素、氨基糖甙类、大环内酯类、四环素类以及磺胺类药物呈高度耐药。结论临床抗生素使用中的耐药问题十分严峻,应定期监测区域内细菌的耐药变化,指导临床合理用药。     

临床分离4544株革兰阴性杆菌的耐药分布与变迁

目的了解玉溪市革兰阴性杆菌的耐药分布与变迁,为临床用药提供依据。方法对玉溪市人民医院1999—2004年临床各科送检的各类标本中培养分离出的4544株革兰阴性杆菌作回顾性分析。结果9种（属）细菌对25种药物的药敏结果耐药率〉50％者72种次（40．9％）,〈20％者44种次（25．0％）。总的耐药情况为不动杆菌和阴沟肠杆菌最高,铜绿假单胞菌和大肠埃希菌次之,甲型副伤寒沙门菌和福氏志贺菌最低。亚胺培南对多种细菌有较高的敏感覆盖率。有4种细菌对10种抗菌药物耐药率的上升具有临床意义（P〈0.01或P〈0．05）,其中以甲型副伤寒沙门菌对氟喹诺酮类上升最为显著。结论临床分离革兰阴性杆菌的耐药形势十分严峻,应定期监测区域内细菌的耐药变化．指导临床合坪用药。     

需氧菌阴道炎、细菌性阴道病阴道菌群分析

用阴道分泌物直接涂片、革兰染色、选择性培养分离和细菌预成酶谱分析等微生物学方法和生物化学方法,分析了正常女性、AV、BV患者的阴道菌群。正常女性阴道中以乳酸杆菌为主,产H2O2乳酸杆菌的检出率89%,AV的致病菌主要是革兰阳性率需氧菌、检出率可达80%,其中金黄色葡萄球菌,粪肠球菌和埃希氏大肠菌较为常见,B族链球菌的检出率较低;BV的致病菌主要是厌氧菌,以革兰阴性厌氧菌的检出率最高,加德纳菌的检出率不足40%。48例BV患者中有8例合并AV感染,31例AV患者中有6例合并BV感染。细菌谱分析发现,AV患者易感染消化链球菌、普雷沃菌等厌氧菌和加德纳菌,BV患者易感染粪肠球菌、大肠埃希菌等需氧菌。     

社区老年人上呼吸道定植菌调查及药敏分析

调查社区老年人上呼吸道的定植菌情况,能够了解引起社区老年人呼吸道感染的危险因素,分析主要定植菌的药敏结果,指导社区老年人呼吸道感染的经验治疗。取社区老年人咽喉部拭子进行细菌分离培养及鉴定,调查呼吸道定植菌情况,并对主要定植菌进行药敏试验,细菌鉴定应用法国生物梅里埃公司的细菌鉴定仪VITEK2和API系统,药敏试验采用K-B纸片琼脂扩散法,结果统计应用WHONET5.4软件。对706例社区老年人上呼吸道标本进行分离培养,有274份标本生长了致病菌或条件致病菌,其中248份标本有一种细菌生长,26份标本生长2种细菌,总体阳性率为38.8%。共分离9种细菌,居首位的细菌是肺炎克雷伯菌151株,占21.4%,其次为副流感嗜血杆菌74株,占10.5%,第3位的是β-溶血链球菌31株,占4.4%。75株肺炎克雷伯菌的药敏结果显示全部为敏感株,从药敏表型分析具有较高的同源性。老年人群上呼吸道定植菌以革兰阴性杆菌尤其以肺炎克雷伯杆菌为主,并对常用抗菌药物有高度敏感性,一旦发生定植菌感染应选择合适的抗菌药物并给予恰当的治疗方案,防止细菌产生耐药性。     

云南干巴菌子实体内可培养微生物

【背景】微生物在菌根真菌的孢子萌发、菌丝体生长、菌根形成以及子实体发育等过程中起到一定作用。【目的】对采自云南省昆明市嵩明县和楚雄彝族自治州禄丰县的8个干巴菌子实体内的微生物进行分离培养鉴定,为后期研究微生物与干巴菌之间的相互作用奠定基础。【方法】采用传统平板分离法从干巴菌子实体内分离获得微生物群落,t检验分析不同地区采集的干巴菌子实体内微生物菌落总数的差异,16S r RNA基因和ITS序列进行系统发育树构建和微生物多样性分析。【结果】采自嵩明县和禄丰县的8个干巴菌子实体内共分离获得282株可培养的细菌,两个地区的细菌菌落总数无显著差异(P=0.22)。所有细菌分属2门12属15种。其中80%的细菌属于变形菌门,且以γ-变形菌为优势菌群,假单胞菌属(Pseudomonas)为优势菌属。其余20%的细菌属于拟杆菌门。从干巴菌子实体中分离获得114株真菌,两个地区的真菌菌落总数无显著差异(P=0.65)。所有真菌分属2门10属10种。其中62%的真菌属于子囊菌门(Ascomycota),并以分离自禄丰县干巴菌子实体内的Lophiostoma为优势属。38%的真菌属于担子菌门(Basidiomycota),并以Asterotremella为优势属。【结论】两个不同地区采集的干巴菌子实体内细菌和真菌在菌落总数上无显著差异。所有细菌都以γ-变形菌为优势菌群,假单胞菌属为优势菌属。嵩明干巴菌子实体内真菌以担子菌门为优势菌群,Asterotremella为优势属。而禄丰干巴菌子实体内真菌则以子囊菌门为优势菌群,Lophiostoma为优势属。     

642株自胆道分离病原菌的病原学分析

目的调查引起胆道感染的主要致病细菌群分布及耐药性状况。方法用WHONET统计软件回顾性分析2000年1月至2004年12月5年问引起胆道感染的致病细菌的特点。结果5年问共分离出642株细菌,阳性率为20．1％;其中革兰阴性杆菌354株,革兰阳性球菌288株。分离率最高的革兰阴、阳性细菌分别为：肺炎克雷伯菌、铜绿假单胞菌、粪肠球菌、凝固酶阴性葡萄球菌和屎肠球菌。药敏统计结果显示各主要致病革兰阴性杆菌对亚胺培南、美罗培南、头孢哌酮／舒巴坦和头孢吡肟总的敏感率最高。各主要革兰阳性球菌对万古霉素、替考拉宁的总的敏感率最高。结论引起胆道感染的致病细菌发生明显的变迁．革兰阳性球菌的构成比有逐渐升高的趋势,胆道手术应合理进行预防性用药,以有效控制胆道感染。     

家蚕肠道产蛋白酶细菌的分离筛选与分子鉴定

目的肠道细菌对家蚕具有重要的生理作用,探明家蚕肠道产蛋白酶细菌菌群对家蚕肠道细菌的高效开发与利用具有十分重要的意义。方法从菁松×皓月品种4龄家蚕肠液中分离与纯化肠道细菌,获得一株产高活力蛋白酶细菌,对该菌菌落进行形态学鉴定及菌体的显微镜检并结合16S rDNA方法进行了鉴定。结果该菌为革兰阴性杆菌,属于嗜麦芽寡养单胞菌(Stenotrophom onas maltophilia)。结论该产蛋白酶细菌产酶能力较高,可进一步开发研究并用作微生态制剂。     

滇西北兰坪金顶铅锌矿矿区可培养细菌多样性初步研究

目的对兰坪金顶铅锌矿矿区样品中的可培养细菌进行分离并对其多样性进行研究。方法采集云南兰坪金顶铅锌矿矿区土样和矿石样,采用固体肉汤培养基、卯黄培养基及PYGV培养基分离该矿区环境中的可培养细菌,利用16SrRNA基因序列分析构建系统发育树,并统计不同种属细菌的数量,初步评估细菌多样性。结果兰坪金顶铅锌矿矿区环境细菌的主要种群包括放线菌门、变形菌门和厚壁菌门的不同菌属：微球菌属、节杆菌属、假单胞菌属、短波单胞菌属、芽孢杆菌属、类芽孢杆菌属、考克菌属、葡萄球菌属、芽孢八叠球菌及Skermanella属的菌株,其中抗逆性较强的优势菌群为放线菌门的细菌。结论本研究初步证实兰坪金顶铅锌矿矿区可培养细菌种类丰富。     

云南省富宁磁铁矿矿区可培养细菌多样性初步研究

目的对云南富宁磁铁矿矿区样品中可培养细菌进行分离并对其多样性进行了初步研究。方法采集云南富宁磁铁矿矿区土样和矿石样,采用固体肉汤培养基、卵黄培养基及PYGV培养基分离该矿区环境中的可培养细菌,利用16SrRNA基因序列分析构建系统发育树,并统计不同种属细菌的数量,初步评估细菌多样性。结果富宁磁铁矿矿区环境细菌的主要种群包括厚壁菌门、放线菌门和变形菌门的不同菌属：芽孢杆菌属、葡萄球菌属、节杆菌属和假单胞菌属的菌株,其中抗逆性较强的优势菌群为厚壁菌门的芽孢杆菌。结论本研究初步表明富宁磁铁矿矿区可培养细菌种类具有一定的多样性。     

肺结核继发下呼吸道感染的病原菌及耐药趋势分析

目的探讨肺结核继发下呼吸道感染的病原菌和药敏情况,为临床合理选用抗生素提供参考。方法对2007年至2009年间肺结核继发下呼吸道感染患者的痰标本进行培养分离及药敏检测,并做回顾性分析。结果分离的细菌以革兰阴性杆菌为主,排在前3位的细菌分别为肺炎克雷伯菌、铜绿假单胞菌和醋酸钙鲍曼不动杆菌,检出率分别为12.55%、12.00%和10.90%;检出的革兰阴性杆菌大部分呈多重耐药,且到2009年耐药率均超过30%。结论临床医师应加强对结核病合并细菌感染的警惕性,合理应用抗结核药物,加强抗生素的规范应用以减少并发症,有利于结核病控制及减少死亡。     

Genetic parameters for somatic cell score according to udder infection status in Valle del Belice dairy sheep and impact of imperfect diagnosis of infection

Background

Somatic cell score (SCS) has been promoted as a selection criterion to improve mastitis resistance. However, SCS from healthy and infected animals may be considered as separate traits. Moreover, imperfect sensitivity and specificity could influence animals'' classification and impact on estimated variance components. This study was aimed at: (1) estimating the heritability of bacteria negative SCS, bacteria positive SCS, and infection status, (2) estimating phenotypic and genetic correlations between bacteria negative and bacteria positive SCS, and the genetic correlation between bacteria negative SCS and infection status, and (3) evaluating the impact of imperfect diagnosis of infection on variance component estimates.

Methods

Data on SCS and udder infection status for 1,120 ewes were collected from four Valle del Belice flocks. The pedigree file included 1,603 animals. The SCS dataset was split according to whether animals were infected or not at the time of sampling. A repeatability test-day animal model was used to estimate genetic parameters for SCS traits and the heritability of infection status. The genetic correlation between bacteria negative SCS and infection status was estimated using an MCMC threshold model, implemented by Gibbs Sampling.

Results

The heritability was 0.10 for bacteria negative SCS, 0.03 for bacteria positive SCS, and 0.09 for infection status, on the liability scale. The genetic correlation between bacteria negative and bacteria positive SCS was 0.62, suggesting that they may be genetically different traits. The genetic correlation between bacteria negative SCS and infection status was 0.51. We demonstrate that imperfect diagnosis of infection leads to underestimation of differences between bacteria negative and bacteria positive SCS, and we derive formulae to predict impacts on estimated genetic parameters.

Conclusions

The results suggest that bacteria negative and bacteria positive SCS are genetically different traits. A positive genetic correlation between bacteria negative SCS and liability to infection was found, suggesting that the approach of selecting animals for decreased SCS should help to reduce mastitis prevalence. However, the results show that imperfect diagnosis of infection has an impact on estimated genetic parameters, which may reduce the efficiency of selection strategies aiming at distinguishing between bacteria negative and bacteria positive SCS.     

慢性支气管炎患者下呼吸道感染病原菌分布及耐药性分析

目的:研究老年慢性支气管炎患者合并下呼吸道感染病原菌分布以及耐药性。方法:选取2009年1月到2013年12月我院收治的老年慢性支气管炎患者合并下呼吸道感染患者261例,采集所有患者的痰液,然后进行病原菌鉴定和药敏试验。结果:261例患者中,144例革兰阴性杆菌感染(55.2%),51例革兰阳性杆菌感染(19.5%),66例真菌感染(25.3%),其中混合感染者36例(13.8%)。革兰阴性杆菌以肺炎克雷伯菌最多(18.4%),革兰阳性杆菌以金黄色葡萄球菌最多(9.2%)。革兰阴性杆菌对亚胺培南的耐药性最低,其次是头孢哌酮和阿米卡星,对氨苄西林耐药率最高。金黄色葡萄球菌和表皮葡萄球菌对青霉素的耐药率均为100.0%,均对万古霉素敏感,其次是对环丙沙星敏感。结论:老年慢性支气管炎患者合并下呼吸道感染以革兰阴性杆菌感染为主,真菌和混合感染也占一定的比例,应该引起注意。     

The structure of infection threads,bacteria and bacteroids in pea and clover root nodules

Summary The bacteria and infection threads of the pea root nodule were examined by light and electron microscopy. The bacteria in the infection thread are enclosed in a microcapsule. This capsule disappears when the bacterium is released into the host cytoplasm. The membrane envelope which surrounds the bacteria in the host cell is shown to be derived from the plant cell membrane. The infection of the host cell is by means of a process akin to pinocytosis and the bacteria are confined to vacuoles in the host cytoplasm. As each membrane envelope contains only one bacterium, the envelopes must divide with the bacteria. The bacteria increase 40fold in volume from the infection thread to the stage of the mature bacteroid. The mature infected host cell contains few organelles. The mitochondria become confined to the periphery of the cell. Differences of membrane structure in gram negative bacteria found by other workers have been attributed to fixation artifacts.     

DNA微阵列技术在细菌感染后宿主反应研究中的应用

感染性疾病是病原微生物和宿主紧密相互作用的结果。深入理解宿主对病原微生物感染发生反应的分子基础是预防感染性疾病发生和组织损伤的必要条件。本文通过介绍体内、体外2种感染模型中宿主对细胞内和细胞外致病菌感染后的基因表达谱变化,简述了DNA微阵列技术在病原菌一宿主相互作用中宿主反应研究中的应用。     

Antigenic role of the endosymbionts of filarial nematodes: IgG response against the Wolbachia surface protein in cats infected with Dirofilaria immitis

Filarial nematodes harbour intracellular endosymbiotic bacteria, which have been assigned to the genus Wolbachia. These bacteria appear to play an important role in the pathogenesis of filarial diseases through their lipopolysaccharides. In view of the presence of Wolbachia endosymbionts in the body of filarial nematodes, one might also expect that proteins from these bacteria play an antigenic role in humans and animals affected by filariases. To test this hypothesis, we produced in recombinant form the surface protein WSP and a portion of the cell-cycle protein FTSZ from the Wolbachia of Dirofilaria immitis. Western immunoblot assays were then performed using cat sera to test the immunogenicity of these proteins. Sera were collected from owners' cats, which were either sero-negative or sero-positive for D. immitis and from cats before and after experimental infection with D. immitis. FTSZ was recognized in Western blots by sera from both positive and negative cats and from both uninfected and experimentally infected cats. WSP was recognized only by sera from positive cats and from cats experimentally infected with D. immitis; this protein was not recognized by sera from negative cats and from cats before experimental infection with D. immitis. The results of Western blot assays on WSP thus support the hypothesis that infection with filarial nematodes induces the production of antibodies against Wolbachia proteins.     

Limitations in the use of Drosophila melanogaster as a model host for gram-positive bacterial infection

AIMS: To examine sensitivities of various Drosophila melanogaster strains towards human pathogenic and nonpathogenic gram-positive bacteria. METHODS AND RESULTS: The D. melanogaster Oregon R strain was infected by injecting the thorax with a needle containing Escherichia coli (negative control), Listeria monocytogenes, Staphylococcus aureus (both food-borne pathogens), Listeria innocua, Bacillus subtilis, Carnobacterium maltaromaticum, Lactobacillus plantarum or Pediococcus acidilactici (all nonpathogenic bacteria). Listeria monocytogenes and S. aureus killed the host rapidly compared with the negative control. Infection with L. innocua, B. subtilis or C. maltaromaticum also resulted in a high fly mortality, whereas Lact. plantarum and P. acidilactici resulted in a slightly increased mortality. Four additional D. melanogaster lines, three of which had been selected for heat, cold and desiccation resistance respectively, were subjected to infection by L. monocytogenes, S. aureus and E. coli. Mortality rates were comparable with that of the Oregon R strain. CONCLUSIONS: Use of the injection method shows the limitation of D. melanogaster as a model host for gram-positive bacteria as opportunistic infection by nonpathogenic gram-positive bacteria results in partial or high mortality. In addition, lines of fruit flies resistant to various stress exposures did not show an increased resistance to infection by gram-positive pathogens under the conditions tested. SIGNIFICANCE AND IMPACT OF THE STUDY: This study demonstrates the inadequacy of D. melanogaster infected by the injection method in order to distinguish between virulent and nonvirulent gram-positive bacteria.     

Uropygial gland volume and malaria infection are related to survival in migratory house martins

Pathogens such as bacteria, fungi and malaria and related haemosporidians provoke negative effects on the fitness of their hosts. Animals have developed a range of defensive mechanisms to resist or eliminate these parasitic infections and their negative fitness costs. The uropygial gland secretion has been proposed to act as defensive barrier of skin and plumage in the fight against bacteria and fungi, and may prevent birds from acquiring haemosporidian infections. Thus, the secretion of uropygial glands of birds may favour survival of individuals. However, whether uropygial gland secretion influence survival remains unknown. Here we explore if the size of the uropygial gland and malaria infection influence survival of house martins Delichon urbica. We showed, for the first time, that the volume of the uropygial gland positively predicted survival prospects of malaria infected house martins. Malaria infected birds had the lowest probability of survival, with the effect of gland size on survival prospects depending on infection: infected house martins with larger uropygial glands were better able to survive to the next breeding season, while infected birds with small uropygial glands were not. These results highlight the importance of uropygial gland secretion in the life history of wild birds.     

Mycobacterium tuberculosis infects dendritic cells with high frequency and impairs their function in vivo

Mycobacterium tuberculosis (Mtb) is thought to reside in macrophages, although infected dendritic cells (DCs) have been observed. Thus, although cellular associations have been made, global characterization of the cells harboring Mtb is lacking. We have performed temporal and quantitative characterization of the cells harboring Mtb following aerosol infection of mice by using GFP-expressing bacteria and flow cytometry. We discovered that Mtb infects phagocytic cells of diverse phenotypes, that the predominant infected cell populations change with time, and that myeloid DCs are the major cell population infected with Mtb in the lungs and lymph nodes. We also found that the bacteria in the lung-draining lymph node are transported there from the lungs by a CCL19/21-dependent mechanism and that the transport of bacteria to the lymph node is a transient phenomenon despite chronic infection. In addition, we found that the lymph node cell subsets that are most efficacious in stimulating Mtb-specific, TCR-transgenic CD4(+) T lymphocytes are not infected with the bacteria and are scarce or absent from the lungs of infected mice. Finally, we found that the lung cell populations that are infected with Mtb at high frequency are relatively ineffective at stimulating Ag-specific CD4(+) T lymphocytes, and we have obtained evidence that live Mtb can inhibit MHC class II Ag presentation without a decrease in the surface expression of MHC class II. These results indicate that Mtb targets DC migration and Ag presentation in vivo to promote persistent infection.     

Regulation of granulopoiesis and distribution of granulocytes in early phase of bacterial infection

Studies have been carried out to determine the effect of bacterial infection on CSF production, CFU-C activation, and bacterial clearance by mature granulocytes in mice infected with Escherichia coli. These studies have shown that immediately after bacterial infection (5 minutes), serum colony-stimulating factor (CSF) levels and bone marrow colony-forming units in culture (CFU-C) levels are elevated. This is followed by oscillator rises in both of these parameters and the appearance of granulocytes in the infected site. With clearance of bacteria, CSF and CFU-C levels return to normal. These studies have indicated further that bacterial infection is a major stimulus for granulocyte production through the CSF-CFU-C system and that clearance of bacteria by mature granulocytes may serve as a negative feedback regulatory arm.     

The effect of serum-factor induced resistance to somatic antibodies on the virulence of Haemophilus influenzae type b

Studies on the pathogenesis of Haemophilus influenzae b infection have used bacteria grown in vitro which are relatively serum-sensitive (using serum devoid of anticapsular antibody) compared to organisms taken from infected hosts. We compared the virulence of relatively serum-sensitive and serum-factor induced serum-resistant H. influenzae b by inoculating rats with organisms having one or the other phenotype. The serum-resistant phenotype was more virulent following intraperitoneal or intravenous inoculation; however, there was no difference in the incidence of colonization or bacteraemia following intranasal inoculation. Furthermore, organisms colonizing the pharynx of rats had the serum-resistant phenotype. Thus, different phenotypes of the same strain of H. influenzae b differed in virulence following parenteral, but not intranasal, inoculation of bacteria. This could be explained by a change from serum-sensitive to serum-resistant phenotype shortly after entering the nasopharynx. The phenotype of micro-organisms grown in vitro may differ from organisms in infected individuals and these differences may be of critical importance in studies of immunity to infection and the pathogenesis of infection.