A natural history study of experimentalStuphylococcus epidermidisendophthalmitis
作者:
MaxwellDonald P.,
BrentB. David,
OrillacR.,
BaberWilson B.,
MayeuxPatricia A.,
期刊:
Current Eye Research
(Taylor Available online 1993)
卷期:
Volume 12,
issue 10
页码: 907-912
ISSN:0271-3683
年代: 1993
DOI:10.3109/02713689309020397
出版商: Taylor&Francis
数据来源: Taylor
摘要:
The purpose of this study was to find a“threshold”quantity of organisms (i.e. inoculum) to produce clinical endophthalmitis and determine the natural course of intravitreal bacterial counts following inoculation in a rabbit model ofStaphylococcus epidermidisendophthalmitis.S. epidermidisendophthalmitis was induced experimentally in 18 New Zealand white rabbits. Eyes were injected with 2.0×103(Group I: n=3), 2.0×104(Group II n=3), 3.0×105(Group III: n=3), 3.0×106(Group IV: n=3), 3.0×107(Group V n=3), or 3.0×108(Group VI: n=3) organisms. Serial quantitative bacterial cultures (colony counts) were performed on the vitreous every eight hours for 9 days. All eyes in Groups I and II became culture negative by 24-64 hours post-inoculation (PI). All eyes in Groups III-VI remained culture positive [approximately 600-4000 colony forming units (CFU) per cm3] at 48 to 72 hours PI and were stable for the remainder of the nine day study period. Previous work suggests that the host's inflammatory response is more important than had been recognized. Previous rabbit models of infectious endophthalmitis are known to become culture negative (“autosterilized”) despite continued intraocular inflammation. This rabbit model demonstrates a“threshold”of infection where the host's immune response is overwhelmed and“autosterilization”does not occur. When inoculated with 3.0×105or greaterS. epidermidisorganisms of this strain, continued active bacterial replication can now be studied in the rabbit.
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