Bactericidal activity against coagulase-negative staphylococci is impaired in infants receiving long-term parenteral nutrition.

作者: Yasuhiro Okada , Nigel J. Klein , Hendrik K. F. van Saene , Gary Webb , Helen Holzel

DOI: 10.1097/00000658-200002000-00018

关键词: ComplicationParenteral nutritionCoagulaseSkin floraMedicineBacteremiaImmunologySystemic inflammatory response syndromeStaphylococcusLiver function

摘要: Total parenteral nutrition (TPN) has contributed to the recent improvement in care of newborn infants. However, this form nutritional support is associated with complications, particularly infection. Five percent 37% infants receiving TPN become bacteremic, 1–3 most frequently coagulase-negative staphylococci. 4 Infection may result impairment liver function or systemic inflammatory response syndrome, necessitating removal central venous catheters. It therefore represents a major clinical problem infancy. It generally believed that infection staphylococci results from contamination indwelling catheters by bacteria skin flora during handling intravenous also been suggested itself impair host defense mechanisms and contribute occurrence In preliminary studies, predominantly adults, lipid component shown affect several immunologic parameters, including cytokine production, 5,6 bactericidal activity, 7 neutrophil function. 8 To date, data on human are limited. In study, we demonstrate long-term direct effect capacity eradicate vitro. We postulate contributes high incidence TPN-associated bacteremia

参考文章(32)
A G Coran, J R Wesley, Intravenous nutrition for the pediatric patient. Seminars in Pediatric Surgery. ,vol. 1, pp. 212- 230 ,(1992)
J C Alverdy, E Aoys, G S Moss, Total parenteral nutrition promotes bacterial translocation from the gut. Surgery. ,vol. 104, pp. 185- 190 ,(1988)
C A Gogos, F E Kalfarentzos, N C Zoumbos, Effect of different types of total parenteral nutrition on T-lymphocyte subpopulations and NK cells. The American Journal of Clinical Nutrition. ,vol. 51, pp. 119- 122 ,(1990) , 10.1093/AJCN/51.1.119
G E Schutze, M A Hall, C J Baker, M S Edwards, Role of neutrophil receptors in opsonophagocytosis of coagulase-negative staphylococci. Infection and Immunity. ,vol. 59, pp. 2573- 2578 ,(1991) , 10.1128/IAI.59.8.2573-2578.1991
Vera C. Pratt, Kelly A. Tappenden, Michael I. McBurney, Catherine J. Field, Short-Chain Fatty Acid-Supplemented Total Parenteral Nutrition Improves Nonspecific Immunity After Intestinal Resection in Rats Journal of Parenteral and Enteral Nutrition. ,vol. 20, pp. 264- 271 ,(1996) , 10.1177/0148607196020004264
Edward S. Ogata, Stephen Schulman, John Raffensperger, Susan Luck, Michael Rusnak, Caval catheterization in the intensive care nursery: a useful means for providing parenteral nutrition to the extremely low birth-weight infant. Journal of Pediatric Surgery. ,vol. 19, pp. 258- 262 ,(1984) , 10.1016/S0022-3468(84)80181-5
Yasuhiro Okada, Nigel Klein, H.K.F van Saene, Agostino Pierro, Small volumes of enteral feedings normalise immune function in infants receiving parenteral nutrition Journal of Pediatric Surgery. ,vol. 33, pp. 16- 19 ,(1998) , 10.1016/S0022-3468(98)90352-9
Agostino Pierro, Cholestatic jaundice in newborn infants receiving parenteral nutrition Seminars in Neonatology. ,vol. 1, pp. 231- 239 ,(1996) , 10.1016/S1084-2756(96)80041-8
Jian Shou, Jacqueline Lappin, Emery A. Minnard, John M. Daly, Total parenteral nutrition, bacterial translocation, and host immune function American Journal of Surgery. ,vol. 167, pp. 145- 150 ,(1994) , 10.1016/0002-9610(94)90065-5