- 期刊
The Study of Anaerobic Bacterial Female Genital Tract Pathogen and the Isolation of Mobiluncus Species in Central Taiwan
對厭氧桿菌Mobiluncus在台灣中部地區分離情形和女性生殖道感染關係之研究
摘要
自1991年10月到1997年12月，由中部地區182個住院病人中共分離186株Mobiluncus，同時做各種生化測試、葛蘭氏染色及藥物試驗以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。此菌甚具挑剔性，不易分離，最初是由女性陰道分泌物分離出來。由本檢驗室分離出來的186株Mobiluncus，最多的是來自子宮頸（143），其次依序為陰道（10）、盲腸（9）、腹部（4）、耳部（3），胸膜液、腹水、肛門、臍部和輸尿管各2株，腰椎、腎、糖尿病足、會陰和胎盤各1株，其中157株（84%）來自女性生殖道。此菌所引起之各種感染中，94%為多種微生物之混合感染，只有6%為純感染，而病人最常出現之感染依序為骨盆腔炎症（53）、子宮頸炎（18）、子宮內膜炎（11）和輸卵管膿瘍（10）。由上述此菌所引起女性生殖道之各形感染和病症，可證實此菌質與女性生殖道之致病因有密切關係。
並列摘要
From October 1991 through December 1997, 186 strains of Mobiluncuswere isolated from the clinical specimens of 182 patients. In this investigation, the clinical characteristics, morphology, and antimicrobial susceptibility patterns of the isolates were studied using biochemical tests, gram-stain and disc diffusion test. These isolates were collected from various sites. Most were isolated from cervix (143), the rest were from the vagina (10), appendix (9), abdomen (4), ear (3), two each from vulva, pleural effusion, ascites, anus, umbilicus and ureter, one each from lumbar spine, kidney, diabetic foot, perineum and placenta. Mobiluncus caused different types of infections. Most infections and diseases were polymicrobial (94%), but in 12 patients (6%), the isolates were presented as monomicrobial infection. The bacteria were frequently associated with pelvic inflammatory disease (PID, 53), cervicitis (18), endometrioma (12), endometritis (11) and tubo-ovarian abscess (TOA, 10). We have proven Mobiluncus to be a common anaerobic pathogen which causes infection in female genital tract.