RESUMO
Examinations of 230 patients with local pyogenic infection and those of 117 patients with sepsis revealed that asporogenic anaerobes on pure culture were isolated in 17.8% with local pyosis and in 10.2% of patients with sepsis. Anaerobes along with aerobic microbes were found 15.6% of patients with local infection and in 10.2% of patients with sepsis. The involvement of obligate anaerobes in the development of pyogenic infection was displayed by the lower phagocytic activity of neutrophils, the impaired differentiation of lymphocytes, the great increased peripheral blood levels of O-cells, and diminished serum complementary, lysozyme, and overall bactericidal activities and IgM levels.
Assuntos
Bactérias Anaeróbias , Infecções Bacterianas/imunologia , Infecções Bacterianas/microbiologia , Sepse/microbiologia , Bactérias Anaeróbias/isolamento & purificação , Infecções Bacterianas/cirurgia , Atividade Bactericida do Sangue , Proteínas do Sistema Complemento/imunologia , Humanos , Imunoglobulina M/análise , Linfócitos/imunologia , Fagocitose , Sepse/imunologia , Sepse/cirurgia , SupuraçãoAssuntos
Infecções por Escherichia coli/imunologia , Infecções Estafilocócicas/imunologia , Infecção da Ferida Cirúrgica/imunologia , Atividade Bactericida do Sangue , Proteínas do Sistema Complemento/análise , Humanos , Imunoglobulinas/análise , Contagem de Leucócitos , Muramidase/sangue , Especificidade da Espécie , Infecção da Ferida Cirúrgica/microbiologiaRESUMO
The examination of 47 patients with acute purulent lactation mastitis and 14 patients with the resulting sepsis has shown a decreased level of nonspecific resistance factors. Generalization of the purulent process is characterized by disturbed humoral and cellular links of immunity. The dynamic research of immunity factors can give an estimation of the effectiveness of the chosen treatment and prognosis of possible complications. The general bactericidal activity of blood may be considered one of the most informative indices showing the direction of the process.
Assuntos
Transtornos da Lactação/diagnóstico , Mastite/diagnóstico , Doença Aguda , Adolescente , Adulto , Formação de Anticorpos , Feminino , Humanos , Oxigenoterapia Hiperbárica , Imunidade Celular , Imunidade Inata , Transtornos da Lactação/terapia , Mastite/terapia , Período Pós-Parto , Gravidez , PrognósticoRESUMO
HBO was used in the complex of curative measures in 57 patients with complicated course of acute purulent mastitis. Its positive effect upon the external ventilation, general hemodynamics, reduced intoxication, correction of the secondary immune insufficiency and healing of the wounds was shown.
Assuntos
Oxigenoterapia Hiperbárica , Mastite/terapia , Doença Aguda , Mama/patologia , Terapia Combinada , Feminino , Gangrena , Humanos , Mastite/complicações , Necrose , GravidezRESUMO
The comparison of the results obtained in the study of blood samples taken from 37 septic patients and 60 healthy persons has revealed that general purulent infection is accompanied by a drop in the percentage and absolute content of T-lymphocytes in the peripheral blood, by a rise in the level off D-lymphocytes, by a considerable increase in the number of O-cells. At the same time the patients with general purulent infection show a change in the functional activity of the B-system of lymphocytes, which is manifested by a decrease in the amount of IgM and IgG, an increase in the titers of antibodies to staphylococci, strain 209p. These data suggest that in general purulent infection profound disturbances occur in the immune system of the body.
Assuntos
Linfócitos , Sepse/sangue , Anticorpos Antibacterianos/análise , Linfócitos B , Escherichia coli/imunologia , Humanos , Imunoglobulinas/análise , Contagem de Leucócitos , Staphylococcus aureus/imunologia , Linfócitos TRESUMO
The results of surveying 140 patients with severe purulent and septic infections of staphylococcal etiology, when compared with the distribution of the blood groups (as classified according to the ABO system) in 180 healthy donors, revealed that generalized purulent infections occurred most frequently in patients with blood groups A (II) and AB (IV), and more seldom in patients with blood groups O (I) and B (III). The average content of lysozyme, complement and normal antibodies to E. coli, as well as the average level of general bactericidal activity in the blood sera of the patients were considerably lower than in the blood sera of healthy donors; at the same time content of lysozyme, complement and normal antibodies in the blood sera of patients having different groups of blood did not reflect the degree of their predisposition or resistance to staphylococcal infections. The general bactericidal activity of the blood serum was found to correlate with the degree of predisposition or resistance to purulent septic infections of staphylococcal etiology to a greater extent than other characteristics.