二硫苏糖醇对假体周围感染细菌检出的影响
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河南省人民医院

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Role of Dithiothreitol in bacterial detection in Prosthetic Joint Infection patients
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1.Henan Provincal People'2.'3.s Hospital

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    摘要:

    [目的] 探讨二硫苏糖醇(Dithiothreitol,DTT)是否可提高关节置换术后假体周围感染(Prosthetic Joint Infection,PJI)患者病原微生物的检出率。 [方法] 采用前瞻性研究方法比较我科2020年3月1日-2021年10月30日收治的46例慢性PJI患者术中留取的病变组织经过三种处理方式(直接组:滑膜直接送血培养;盐水组:使用生理盐水浸泡滑膜15分钟后取浸泡液送血培养;DTT组:使用1mg/ml浓度的DTT液体浸泡滑膜15分钟后取浸泡液送血培养)后病原微生物的检出率及三组处理方式在留取标本前2周内存在抗生素治疗的PJI患者病原微生物的检出率。 [结果] 共46例患者纳入研究。DTT组病原微生物检出率为69.57%(32/46)显著高于直接组的43.48%(20/46)及盐水组的36.96%(17/46),差异具有统计学意义(P<0.05)。在符合纳入标准的28例留取标本前2周内存在抗生素治疗的患者中,DTT组病原微生物检出率为57.00%(16/28)高于直接组的36.00%(10/28)及盐水组的28.57%(8/28),但差异不具有统计学意义(p>0.05)。 [结论] 使用DTT浸泡病变组织可提高PJI患者病原微生物的检出阳性率。

    Abstract:

    [Objective] Explore the role of Dithiothreitol in bacterial detection in Prosthetic Joint Infection (PJI) patients. [Methods] In a prospective study, three different treatments (A: no additional treatment; B: periprosthetic tissues were treated with isotonic saline for 15 minutes; C: periprosthetic tissues were treated with 1mg/ml DTT for 15 minutes) were performed to periprosthetic tissues from 46 patients presented with chronic PJI in our hospital and cultured for bacterial detection. Bacterial detection rate were compared among the three different treatments in these 46 patients and those who undertook antibiotics treatment 2-4 weeks prior to samples collected in our department. [Results]When compared among the 46 patients, bacterial detection rate in treatment C is 69.57%(32/46)much higher than in A 43.48%(20/46)and B 36.96%(17/46), and the difference is significant. However, when compared among 28 patients who undertook antibiotics treatment 2-4 weeks prior to samples collected, although bacterial detection rate in treatment C is 57.00%(16/28)higher than in A 36.00%(10/28)and B 28.57%(8/28), the difference is not significant. [Conclusion] DTT can improve the bacterial detection rate in chronic PJI patients.

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  • 收稿日期:2021-12-09
  • 最后修改日期:2022-03-31
  • 录用日期:2022-07-19
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