分子检测与常规培养在中重度皮肤软组织感染病原学诊断中的比较
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郑波

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R751

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国家科技支撑计划基金资助项目(2012EP001002)


Comparison of molecular detection and routine culture in pathogenic diagnosis of moderate and severe skin and soft tissue infection
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    摘要:

    目的探讨分子检测方法在中重度皮肤软组织感染(SSTI)病原诊断中的可行性。方法收集2016年1—10月北京大学第一医院整形烧伤外科收治的中重度SSTI病例,符合入组标准共50例,留取伤口深部组织,分别行常规培养及细菌涂片检查;提取各标本DNA,以9种常见细菌基因组保守区为靶序列,设计特异性引物行PCR膜杂交法检测细菌结果;将分子检测、常规培养及涂片的结果进行比较。结果常规培养38份阳性,分子检测结果28份阳性,细菌涂片仅8份阳性,培养结果在检测的9种细菌范围内,分子检测与常规培养检查结果的完全符合率为82.1%(32/39),分子检测结果为多种细菌,而培养结果为单一细菌者占7.7%(3/39);分子检测结果为阳性而培养结果为阴性者占5.1%(2/39)。结论分子检测技术可以对中重度SSTI常见致病菌进行检测及鉴定,并在复合细菌混合感染的病原检测中更具优势。

    Abstract:

    ObjectiveTo explore the feasibility of molecular detection technique in the pathogenic diagnosis of moderate and severe skin and soft tissue infection (SSTI).MethodsFifty moderate and severe SSTI cases in the department of burn reconstruction and plastic surgery in Peking University First Hospital between January and October 2016 were studied, deep tissue of wound were taken for bacterial culture and bacterial smear; DNA in each specimen was extracted, conserved regions of 9 common bacterial genomes were used as target sequences, specific primers were designed for performing polymerase chain reaction (PCR) membrane hybridization of bacteria; results of molecular detection, routine culture, and smear were compared.Results38 cases were positive for routine culture, 28 cases were positive for molecular detection, and only 8 cases of bacterial smear were positive, complete coincidence rate between molecular detection results and routine culture results of 9 detected bacteria was 82.1%(32/39), molecular detection results presented multiple species of bacteria, 7.7% (3/39) of bacterial culture result showed single bacteria.ConclusionMolecular detection technology can detect and identify common pathogenic bacteria causing moderate and severe SSTI, it has more advantage in the detection of pathogens of mixed bacterial infection.

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谢昆, 李湘燕, 朱赛楠,等.分子检测与常规培养在中重度皮肤软组织感染病原学诊断中的比较[J]. 中国感染控制杂志,2018,17(7):560-565. DOI:10.3969/j. issn.1671-9638.2018.07.002.
XIE Kun, LI Xiangyan, ZHU Sainan, et al. Comparison of molecular detection and routine culture in pathogenic diagnosis of moderate and severe skin and soft tissue infection[J]. Chin J Infect Control, 2018,17(7):560-565. DOI:10.3969/j. issn.1671-9638.2018.07.002.

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  • 收稿日期:2017-09-30
  • 最后修改日期:2017-11-02
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  • 在线发布日期: 2018-07-28
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