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- Peptostreptococcus Magnus Infections at Two Hospitals in Central Taiwan
- The Study of Anaerobic Bacterial Female Genital Tract Pathogen and the Isolation of Mobiluncus Species in Central Taiwan
- Prevotella Bivia--Isolated from Female Genital Tract and Other Clinical Specimens: A Report from Two Hospital of Central Taiwan
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題名 | Prevotella Bivia--Isolated from Female Genital Tract and Other Clinical Specimens: A Report from Two Hospital of Central Taiwan=對厭氧菌-Prevotella bivia在臺灣中部地區兩所醫院分離情形和女性生殖道感染關係之研究 |
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作者姓名(中文) | 周翠鶯; 王任賢; 張文正; 張秩嘉; | 書刊名 | 中國醫藥科學雜誌 |
卷期 | 1:3 2000.09[民89.09] |
頁次 | 頁221-227 |
分類號 | 413.6 |
關鍵詞 | 女性生殖道致病菌; Female genital tract pathogen; Prevotella bivia; |
語文 | 英文(English) |
中文摘要 | Prevotella bivia為一株無論由建康或有感染之女性生殖道中最長分離之 厭氧菌之一。為了完 成在台灣地區的首篇報告,自西元 1992年到 1999年, 由 中部地區兩所醫院372個病人中共分 離372株Prevotella bivia, 同時做各種生 化測試,葛蘭氏染色,藥物試驗以分析測知其各種臨床特性,型態和藥物試驗之 結果並統計分析檢体之來源和所引起之各種感染以及共生之其他細菌種類。其中 95% 為共生現象,5% 為純培養。 本院分離最多的部位為子宮頸、陰道等。而出現最多之感染則為骨盆腔炎、 陰道炎等。而在18株純培養中,卻有10株來自女性生殖道感染,一般純培養都 有其臨床上之特別意義。同時在92 位孕婦中有76% 經歷過早產、陰道出血、 早期破水、骨盆腔炎和絨毛膜炎等之現象。由以上結果,可證實此菌實對女性生 殖道為一重要致病菌,同時對孕婦亦為一有危險性之因素。 |
英文摘要 | Prevotella bivia was one of the most common isolates from female genital tract of both healthy and disease women. For the report of P. bivia well be finished in Taiwan area. From 1992 through 1999, we isolated 372 strains of P. bivia from the clinical specimens of 372 patients. In this investigation, their clinical characteristics, morphology, and antimicrobial susceptibility patterns were studied by biochemical tests, Gram-stain and disc diffusion test, respectively. Most of the isolates were from cervix, and vagina. P. bivia caused different types of infections, of which 354 (95 %) were polymicrobial and 18 (5%) were recovered in pure cultures. The patients were frequently related to pelvic inflammatory disease (PID) and vaginitis. Ten of the 18 pure cultures were from female genital tract infections. Among the 92 pregnancy women, 76% experienced preterm labor, vaginal bleeding, premature rupture of the membrances, PID or chorioamnionitis. The sensitivity of antibiotics were 100% sensitive to metronidazole and imipenem. In conclusion, P. bivia is an anaerobic pathogen that causes infections of female genital tract and is a risk factor of the preterm labor, chorioamnionitis or PID to pregnancy women. |
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