METHODS: The study was divided into two parts: sterile saline (Part A) and synovial fluid (Part B). Four common bacteria associated with equine synovial sepsis were used: Streptococcus pyogenes, Escherichia coli, Staphylococcus aureus and methicillin-resistant S. aureus (MRSA). Three collection tubes were used: STT, plain (no-additives) and brain and heart infusion (BHI) broth. Bacteria were cultured in horse blood agar plates for 48 h. Outcome variables were negative culture, positive culture and total number of colony-forming units (CFUs). Statistical analysis was performed using Mann-Whitney U test, and significance was set at p < 0.05.
RESULTS: The total number of agar plates read was 1557 (779 saline; 778 synovial fluid). Total negative cultures were 25/779 on saline and 3/778 on synovial fluid. In broth, maximum growth CFU was achieved after 8 h for both saline and synovial fluid for all bacteria. S. pyogenesand E. coli produced a significantly lower number of CFU when in SST compared to plain or broth after 4 h, whereas S. aureus (American Type Culture Collection [ATCC] and MRSA) only after 24 h.
CONCLUSIONS: Silica-containing tubes reduced bacterial proliferation, whereas the use of a BHI broth provided the highest bacterial load in the sample. The use of SST may have a negative effect on bacterial proliferation in samples obtained from clinical cases.
方法:研究分为两部分:无菌盐水(A部分)和滑液(B部分)。使用了与马滑膜败血症相关的四种常见细菌:化脓性链球菌,大肠杆菌,金黄色葡萄球菌和耐甲氧西林金黄色葡萄球菌(MRSA)。使用了三个收集管:STT,普通(无添加剂)和脑和心脏输液(BHI)肉汤。细菌在马血琼脂平板中培养48小时。结果变量为阴性培养物,阳性培养物和菌落形成单位总数(CFU)。使用Mann-WhitneyU检验进行统计分析,并且显著性设定为p<0.05。
结果:琼脂平板读数总数为1557(779生理盐水;778滑液)。总阴性培养物在盐水中为25/779,在滑液中为3/778。在肉汤中,所有细菌的生理盐水和滑液均在8小时后达到最大生长CFU。在SST中,产脓菌和大肠杆菌在4小时后与普通或肉汤相比,产生的CFU数量显着降低,而金黄色葡萄球菌(美国典型培养物保藏中心[ATCC]和MRSA)仅在24小时后。
结论:含二氧化硅管减少细菌增殖,而BHI肉汤的使用提供了样品中最高的细菌负荷。SST的使用可能对从临床病例获得的样品中的细菌增殖具有负面影响。