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EN
The aim of the study was to analyse microbiologically samples obtained from 30 patients aged from 21 to 73 years treated for chronic sinusitis. Aerobic bacteria only were isolated in 16 patients (53%), and anaerobic organisms only in 5 patients (17%). Mixed aerobic and anaerobic isolates were recovered from 9 patients (30%). The isolated aerobic bacteria were as follows: streptococci from the species Streptococcus salivarius, Streptococcus anginosus, Streptococcus group C, Streptococcus sanguis, Staphylococcus aureus, Gram-negative rods from the genus Haemophilus and rods from the Enterobacteriaceae family, and strains of Moraxella catarrhalis. The isolated anaerobic microorganisms Gram-negative rods from the genus Prevotella, Bacteroides, Fusobacterium, Gram-positive cocci from the genus Peptostreptococcus. Other organisms from the genus Vailonella, Eubacterium and Actinomyces were isolated less frequently. In 15 patients only one isolate was recovered, in 15 patients isolated bacteria were mixed with other microorganisms.
PL
W pracy przedstawiono częstość izolacji poszczególnych gatunków bakterii z wymazów z gardła u 157 chorych z rozpoznaniem zapalenia gardła oraz z próbek ropnego wysięku z krypt migdałków u 10 chorych leczonych z powodu przewlekłego ropnego zapalenia migdałków podniebiennych. Paciorkowce ß-hemolizujące wyosobniono od 30% badanych. Najczęściej izolowano Streprtococcus pyogenes (12%) i paciorkowce grupy C (10,7%). Większość wyosobnionych bakterii należała do flory potencjalnie chorobotwórczej (70%). Bakterie beztlenowe wyosobnione z ropnego wysięku z krypt migdałków zaklasyfikowano do rodzaju Prevotella, Fusobacterium, Peptostreptococcus i Gemella.
EN
The aim of the study was a microbiological analysis of pharyngeal swabs obtained from 158 patients with the diagnosis of pharyngitis and purulent exudates from the tonsillar crypts of 10 patients treated for chronic purulent tonsillitis. Beta haemolytic streptocoocci groups A, B, C and G were isolated from 30% of the patients. The most frequently isolated were Streptococcus pyogenes - 12% of patients and Streptococcus group C - 10,7%. Other streptococci were isolated less frequently: Streptococcus group B - 44%, group G - 2,5%. The majority of isolated bacteria belonged to potential pathogenic flora (70% patients). Staphylococcus aureus (37%) and Haemophilus spp. (36%) were isolated most frequently. Other bacteria were isolated in the following sequence: Moraxella catarrhalis - 22%, Streptococcus pneumoniae - 17% and Gram- negative rods from the Enterobacteriaceae family - 6%. One case of Plaut-Vincent tonsillitis was diagnosed. Aerobic and anaerobic bacteria were isolated from purulent exudates from the tonsillar crypts of 10 patients treated for chronic purulent tonsillitis. The isolated anaerobic bacteria belonged to genus of Prevotella, Fusobacterium, Peptostreptococcus and Gemella.
EN
The aim of the study was to analyse microbiologically middle ear exudate obtained from 56 patients, aged 17 to 83 years, treated for chronic otitis media. Aerobic bacteria only were found 49 patients (87,5%). Mixed aerobic and anaerobic isolates were recovered from 7 patients (12,5%). The most common bacteria isolated from the middle ear exudate, in descending order frequency, were Staphylococcus aureus (45%), Pseudomonas aeruginosa (34%), Proteus mirabilis (16%) and Prevotella melaninogenica (9%). Other organisms were isolated less frequently. In 34 patients only one isolate was recovered, in 22 patients the isolated bacteria coexisted with other microorganisms.
EN
The incidence of extended-spectrum β-lactamases (ESBLs) was analyzed in Enterobacteriaceae population circulating in the Upper Silesian Child and Mother Health Center in Katowice (USC&MHC). Altogether 1164 clinical specimens, collected from children hospitalized in 8 different hospital units of USC&MHC were investigated. Five hundred and eighty-five clinical isolates of the family Enterobacteriaceae were identified in specimens collected from 403 patients. Two hundred and twenty-nine Enterobacteriaceae strains (39%) isolated from 162 patients were found to be putative ESBL producers as revealed by double-disc synergy (DDS) test. ESBL activity was the most prevalent in the population of Klebsiella pneumoniae (77%), followed by Klebsiella oxytoca (50%), Serratia marcescens (43%), Escherichia coli (30%), Enterobacter spp. (18%) and Proteus mirabilis (12%). ESBL producers demonstrated also wide resistance to the non-β-lactam antimicrobial co-trimoxazole (93%) and the aminoglycosides netilmicin (88%), gentamicin (84%) and amikacin (79%).
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