scholarly journals Numbers and types of anaerobic bacteria isolated from clinical specimens since 1960

1977 ◽  
Vol 5 (1) ◽  
pp. 20-25
Author(s):  
J W Holland ◽  
E O Hill ◽  
W A Altemeier

Between 1960 and 1974, 826 specimens, excluding stool, urine, sputum, and blood, yielded 689 (83%) positive cultures, of which 403 (58.5%) contained anaerobic bacteria. This represents 48.8% of the total specimens cultured. Isolates from 153 specimens obtained and stocked from 1965 to 1974 were reidentified by current criteria. Gram-negative bacilli, primarily bacteroides, were the most frequently isolated anaerobes, being found in 70% of 153 anaerobe-positive specimens and accounting for 42% of the total anaerobes isolated. Gram-positive cocci were second in occurrence, being found in 66% of 153 specimens and accounting for 40% of the total isolates. Bacteroides fragilis was by far the most frequently isolated species. Compairson of 14 years of cumulative data with data from current studies covering 1- to 2-year periods indicated that the anaerobes isolated from clinical material have not changed significantly in type or relative numbers.

1998 ◽  
Vol 42 (2) ◽  
pp. 419-424
Author(s):  
A. P. MacGowan ◽  
K. E. Bowker ◽  
M. Wootton ◽  
H. A. Holt ◽  
D. S. Reeves

ABSTRACT The in vitro activities of Y-688, a new 7-substituted fluoroquinolone derivative, against 317 nonduplicate anaerobic isolates were determined. Eighty-five percent of the Bacteroides fragilis group (n = 89) were inhibited by ≤2 mg of Y-688 per liter, while 78, 100, 89, and 98% of gram-negative bacilli (n = 135), gram-positive cocci (n = 59), and non-spore-forming (n = 58) and spore-forming (n = 51) gram-positive bacilli, respectively, were inhibited by ≤1 mg of Y-688 per liter.


2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Anna Kędzia ◽  
Andrzej W. Kędzia

Introduction. Abies whitebark (Abies sibirica L.) belonging to the family Pinaceae. The tree grown in Mongol, China and Siberian taiga. Produced the pichtae oil, which is obtained by hydrodistillation method. It contain: α-pinene, β-pinene, β-caryophyllene, bornyl acetate, camphene, mircene and cineole. The oil exhibiting expectorant, analgesic, anti-inflammatory, antialergic, liver restorative, adaptogenic and antioxidant properties. It has antimicrobial activity. Aim. The aim of the date was to determine the susceptibility of anaerobic bacteria isolated from patients to pichtae oil. Material and methods. The investigated 49 strains of bacteria isolated from patients from genus Bacteroides (7 strains), Parabacteroides (1), Prevotella (8), Porphyromonas (5), Tannerella (1), Fusobacterium (6), Finegoldia (4), Parvimonas (2), Peptostreptococcus (4), Actinomyces (4), Bifidobacterium (1), Propionibacterium (6), and 10 reference strains. The concentrations the oil were the following: 2.5, 5.0, 7.5, 10.0, 15.0 and 20.0 mg/ml. The pichtae oil was added to Brucella agar with 5% defibrynated sheep blood, menadione and hemin. Inoculum containing 106 CFU/ml was seeded with Steers replicator upon the agar with oil or without oil (strains growth control). The incubation was carried out in anaerobic jars containing 10% C02 , 10% H2 and 80% N2 , palladic catalyst and anaerobic indicator, at 37°C for 48 hrs. The MIC was defined as the lowest concentration of the pichtae oil that completely inhibited growth the anaerobic bacteria. Results. The results investigation indicated that from Gram-negative rods Tannerella forsythia (MIC = 5.0 mg/ml), Bacteroides fragilis and Bacteroides uniformis (MIC = 7.5 mg/ml) were the most susceptible to pichtae oil. The growth of Prevotella strains were inhibited by concentrations in ranges 5.0-15.0 mg/ml. The Prevotella bivia (MIC 10.0-15.0 mg/ml) and Prevotella buccalis (MIC = 15.0 mg/ml) were the most resistant. The tested oil was active on account genus of Fusobacterium strains in concentrations 5.0-10.0 mg/ml. The Gram-positive cocci were the more sensitive then rods. The growth was inhibited by concentrations in ranges ≤ 2.5-10.0 mg/ml. The oil was equally effective against Gram-positive rods (MIC ≤ 2.5-10.0 mg/ml). From this bacteria the more susceptible were the strains of Actinomyces (MIC ≤ 2.5-7.5 mg/ml) and the least a rods from genus of Bifidobacterium (MIC = 10.0 mg/ml). The date indicated, that the Gram-positive anaerobes were the more susceptible to pichtae oil than Gram-negative rods. Conclusions. From among the Gram-negative bacteria the more susceptible to pichtae oil were the rods from genus Tannerella forsythia, Bacteroides fragilis and Bacteroides uniformis. Gram-positive anaerobic cocci were the more susceptible then Gram-positive rods. The pichtae oil was the more active towards Gram-positive bacteria then Gram-negative anaerobic rods.


2019 ◽  
Vol 20 (2) ◽  
Author(s):  
Anna Kędzia ◽  
Elżbieta Hołderna-Kędzia

Introduction. Cypress (Cupressus sempervirens L.) belongs to the family Cupressaceae. It is evergreen, and grows in Mediterranean region. The Cypress leaves and young branches are utilized to produce the essential oil. Cypress oil contain a number of components, in it α-pinene, Δ3-carene, α-terpinyl acetate, cedrol, α-terpinolene, β-myrcene, limonene, α-terpineolene, terpinen-4-ol, β-pinene, δ-cadinene and sabinene. The oil is used in therapy different diseases. It to have antimicrobial activity. Aim. The aim of the date was evaluation the susceptibility of anaerobic bacteria to Cypress oil. Material and methods. The anaerobic bacteria were isolated from patients. The 62 microorganisms, in it 36 strains of Gram-negative rods, 14 Gram-positive cocci and 12 Gram-positive rods, and 7 reference strains were tested. Susceptibility (MIC) was determined by means of plate dilution technique in Brucella agar supplemented with 5% defibrynated sheep blood, menadione and hemin. The Cypress oil was dissolved in DMSO and distilled water to obtain final following concentrations: 2.5, 5.0, 7.5, 10.0, 15.0 and 20.0 mg/ml. Inoculum containing 106 CFU per 1 ml was seeded with Steers replicator upon the agar with oil or without the oil (strains growth control). The agar plates was incubated in anaerobic condition in anaerobic jar in 37°C for 48 hrs. The MIC was interpreted as the lowest concentration of Cypress oil inhibiting the growth of tested bacteria. Results. The results indicated that from among Gram-negative rods the most susceptible to Cypress oil was the strains from genus Tannerella forsythia (MIC < 2.5-5.0 mg/ml), Bacteroides uniformis (MIC = 5.0 mg/ml), Bacteroides vulgatus and Porphyromonas asaccharolytica (MIC 5.0-7.5 mg/ml) and Porphyromonas levii (MIC = 7.5 mg/ml). The strains from genera Fusobacterium and of Bacteroides fragilis were the susceptible to 2.5-≥ 20.0 mg/ml. The Cypress oil was least active towards Prevotella and Parabacteroides strains (MIC ≥ 20.0 mg/ml).The tested Gram-positive cocci were more susceptible. The growth of the strains were inhibited by concentrations in ranges ≤ 2.5-7.5 mg/ml. The oil was minor active towards Gram-positive rods (MIC ≤ 2.5-20.0 mg/ml). Among the strains the genus of Actinomyces odontolyticus (MIC = 5.0 mg/ml) and Actinomyces viscosus (MIC ≤ 2.5-7.5 mg/ml) were the most susceptible. The growth of rods of Bifidobacterium breve was inhibited by concentrations 10.0 mg/ml. The data indicates that the Gram-negative rods were the less susceptible than Gram-positive bacteria to cypress oil. Conclusions. Among Gram-negative rods the most susceptible were the strains Tannerella forsythia, Bacteroides uniformis, Bacteroides vulgatus, Porphyromonas asaccharolytica and Porphyromonas levii. The oil was more active against Gram-positive cocci. Gram-positive anaerobic bacteria demonstrate the more susceptible to Cypress oil then Gram-positive rods.


2003 ◽  
Vol 47 (11) ◽  
pp. 3667-3671 ◽  
Author(s):  
A. Liebetrau ◽  
A. C. Rodloff ◽  
J. Behra-Miellet ◽  
L. Dubreuil

ABSTRACT The antimicrobial activities of garenoxacin and eight other antibiotics against 641 anaerobic isolates were evaluated with the NCCLS agar dilution method. Overall, the MICs of garenoxacin for 50 and 90% of the strains tested (in micrograms per milliliter) were as follows: Bacteroides fragilis group, 0.5 and 2; Prevotella spp., 0.25 and 2; Fusobacterium spp., 0.25 and 0.5; Porphyromonas spp., 0.125 and 0.25; Bilophila wadsworthia, 0.5 and 1; Veillonella spp., 0.25 and 0.5; Clostridium spp., 0.25 and 1; Clostridium difficile, 2 and >64; Bifidobacterium spp., 1 and 2; Eggerthella lenta, 0.25 and 1; Propionibacterium spp., 0.5 and 0.5; gram-positive cocci, 0.125 and 0.25.


1999 ◽  
Vol 43 (8) ◽  
pp. 2027-2031 ◽  
Author(s):  
Kim L. Credito ◽  
Lois M. Ednie ◽  
Michael R. Jacobs ◽  
Peter C. Appelbaum

ABSTRACT Time-kill studies examined the activities of telithromycin (HMR 3647), erythromycin A, azithromycin, clarithromycin, roxithromycin, clindamycin, pristinamycin, amoxicillin-clavulanate, and metronidazole against 11 gram-positive and gram-negative anaerobic bacteria. Time-kill studies were carried out with the addition of Oxyrase in order to prevent the introduction of CO2. Macrolide-azalide-ketolide MICs were 0.004 to 32.0 μg/ml. Of the latter group, telithromycin had the lowest MICs, especially against non-Bacteroides fragilis group strains, followed by azithromycin, clarithromycin, erythromycin A, and roxithromycin. Clindamycin was active (MIC ≤ 2.0 μg/ml) against all anaerobes except Peptostreptococcus magnus and Bacteroides thetaiotaomicron, while pristinamycin MICs were 0.06 to 4.0 μg/ml. Amoxicillin-clavulanate had MICs of ≤1.0 μg/ml, while metronidazole was active (MICs, 0.03 to 2.0 μg/ml) against all exceptPropionibacterium acnes. After 48 h at twice the MIC, telithromycin was bactericidal (≥99.9% killing) against 6 strains, with 99% killing of 9 strains and 90% killing of 10 strains. After 24 h at twice the MIC, 90, 99, and 99.9% killing of nine, six, and three strains, respectively, occurred. Lower rates of killing were seen at earlier times. Similar kill kinetics relative to the MIC were seen with other macrolides. After 48 h at the MIC, clindamycin was bactericidal against 8 strains, with 99 and 90% killing of 9 and 10 strains, respectively. After 24 h, 90% killing of 10 strains occurred at the MIC. The kinetics of clindamycin were similar to those of pristinamycin. After 48 h at the MIC, amoxicillin-clavulanate showed 99.9% killing of seven strains, with 99% killing of eight strains and 90% killing of nine strains. At four times the MIC, metronidazole was bactericidal against 8 of 10 strains tested after 48 h and against all 10 strains after 24 h; after 12 h, 99% killing of all 10 strains occurred.


2018 ◽  
Vol 19 (4) ◽  
Author(s):  
Anna Kędzia ◽  
Andrzej W. Kędzia ◽  
Henry O. Meissner ◽  
Joanna Wiśniewska

Introduction. Sweet majoram (Origanum majorana L.), green plant from family Lamiaceae is common used in traditional medicine. Herba majoranae containing from 1 to 3.5% essential oil. The main components of the oil depend on the geographic origin of the plant and include: terpinen-4-ol, α-terpineol, terpinene, γ-terpinene, cis-sabinene hydrate, p-cymene, triterpenic acid, phenolic acid, flavonoids glycosides, tanins, diterpenoids and triterpenoids. The oil is used for treatment of lung diseases, spleen, kidneys, hepatitis, alimentary tract and headaches. It has antiemetic, anticancer, antioxidant and antimicrobial properties. Aim. The aim of the study was to determine the susceptibility of anaerobic bacteria isolated from oral cavity to majoram oil. Material and methods. A total of 57 anaerobic bacteria belonging to the genus of Porphyromonas (4 strains), Prevotella (9), Bacteroides (11), Parabacteroides (1), Tannerella (2), Fusobacterium (7), 11 strains of Gram-positive cocci, 12 strains of Gram-positive rods and 6 reference strains were tested. Investigation was carried out using the plate dilution technique in Brucella agar supplemented with 5% defibrynated sheep blood, menadione and hemine. Inoculum containing 106 CFU per spot was seeded with Steers replicator upon the agar with various oil concentrations as well as upon that no majoram oil (Semifarm, Elbląg). The concentrations oil were: 0.06, 0.12, 0.25, 0.5, 1.0 and 2.0 mg/ml. The plate were incubated in anaerobic conditions, in anaerobic jars for 48 hours in 37°C. Minimum inhibitory concentration (MIC) was interpreted as the lowest concentrations oil inhibiting the growth of strains of anaerobes. Results and discussion. The results of investigations indicated that the from Gram-negative bacteria belonging to the genus of Bacteroides uniformis, Tannerella forsythia and Bacteroides vulgatus were the most susceptible to the essential oil (MIC <0.06-0.5 mg/ml). But the 89% strains from genus of Prevotella was sensitive to 2.0 mg/ml and more. Tested oil was less active against the strains from genera of Fusobacterium. MIC of the strains were in ranges 1.0-> 2.0 mg/ml. The rods from the genera Prevotella bivia, Prevotella buccalis, Prevotella loescheii, Bacteroides fragilis, Parabacteroides distasonis and Fusobacterium nucleatum were the lowest sensitive (MIC > 2.0 mg/ml). The oil was very active vs. Gram-positive cocci. MIC for 50% this strains was in ranges < 0.06-0.25 mg/ml. But the Gram-positive rods were less sensitive. The growth of the strains were inhibited by concentrations in ranges 1.0-> 2.0 mg/ml (without Actinomyces viscosus – MIC 1.0 mg/ml). It appears that Gram-positive anaerobic bacteria were more susceptible to majoram oil than Gram-negative rods. Conclusions. The most susceptible to majoram oil from Gram-negative bacteria were rods of Bacteroides uniformis, Tannerella forsythia and Bacteroides vulgatus. The oil was very active against Gram-positive cocci and rods. The Gram-negative anaerobes were less susceptible to majoram oil than Gram-positive anaerobes.


2018 ◽  
Vol 19 (4) ◽  
Author(s):  
Anna Kędzia ◽  
Elżbieta Hołderna-Kędzia

Introduction. Juniper berries have been used in ancient in folk medicine for treatment infections, as a spice for meat, and preparation of gin and raki. Juniper (Juniperus communis L.) belongs to the Cupressaceae family. It is an evergreen tree or shrub and achieve from 2 to 10 m high. Its berries produced essential oil, which contain α-pinene, camphene, limonene, cadinene, terpinen-4-ol, myrcene, β-pinene, sabinene, flavonoids, resins, organic acids, and tannins. The oil is used for treatment various diseases. It demonstrate antimicrobial properties. Aim. The aim of the study was to investigate the susceptibility of anaerobic bacteria of oral cavity to juniper oil. Material and methods. The 56 of anaerobic bacteria isolated from patients, in it Gram-negative rods (31 strains), Gram-positive cocci (13) Gram-positive rods (12) and 8 reference strains were tested. Investigation was carried out using the plate dilution technique in Brucella agar supplemented with 5% defibrynated sheep blood, menadione and hemin. Inoculum containing 106 CFU per spot was seeded with Steers replicator upon the agar with oil or without the oil (strains growth control). Concentration of dated oil were: 2,0, 5,0, 7,5, 10,0, 15,0 and 20,0 mg/ml. The plate was incubated in anaerobic condition in anaerobic jar in 37°C for 48 hrs. The MIC was interpreted as the lowest concentration of juniper oil inhibiting the growth of tested bacteria. Results and discussion. The results of the experiments indicated, that rods from Gram-negative anaerobes, the strains belonging to the genera of Prevotella and Porphyromonas, were the most susceptible to essential oil. The MIC’s for the strains be within from 5,0 to 10,0 mg/ml. The lowest sensitive were the rods from genera Bacteroides, Parabacteroides and Tannerella (MIC > 20,0 mg/ml). From among Gram-positive cocci the most sensitive to oil were the strains from genus Finegoldia magna. The oil was active towards half of the strains in concentration < 2,5 mg/ml. The tested Gram-positive rods were the less sensitive (MIC 5,0-> 20,0 mg/ml). From this group, the strains Actinomyces viscosus demonstrated the sensitivity on 5,0 to 7,5 mg/ml. The most resistance were the rods Actinomyces odontolyticus and Propionibacterium granulosum (MIC > 20,0 mg/ml). Conclusions. The lowest susceptible to juniper oil from Gram-negative bacteria were genus of Bacteroides, Parabacteroides and Tannerella. The oil was the most active against strains of Prevotella and Porphyromonas. The cocci were the more susceptible than Gram-positive rods. The Gram-positive anaerobes showed high susceptibility to juniperus oil than Gram-negative rods.


2018 ◽  
Vol 19 (2) ◽  
Author(s):  
Anna Kędzia ◽  
Andrzej W. Kędzia ◽  
Joanna Wiśniewska ◽  
Marek Ciecierski

Introduction. Zingiber officinale from family Zingiberaceae is known as ginger. Its common names are African Ginger, Cocchin Ginger, Jamaican Ginger, Black Ginger, Gan jiang, Ingwer, Gegibre and Rice Ginger. It was used in traditional Chinese and Ayurvedic medicine to treat headaches, nausea and colds. In Mexican medicine have been used to treat gastrointestinal complaints. It is one of the frequently used spices in many countries of the world. It can be consumed as a fresh or dried to prepared tea, soft drinks and bread. The plant grown to 1 m high. The rhizome contain volatile oil. The major components of ginger are mono- and sesquiterpens, in it zingiberene and zingiberol. Futhermore oil contain borneol, cyneole, citral, camphene, β-phellandrene, zingerone, shogaol, geranyl acetate, geraniol, curcumene, terpineol, limonene, linalool, α-farnesene, neral and 6-gingerol. Research carried out on ginger indicated, that components to have antiinflammatory, antiplateled aggregation, antioxidant, antidiabetic, cholesterol-lowering, blood pressure-lowering and anticancer properties. Aim. The goal of this dates was to test the antimicrobial activity of ginger oil against anaerobes. Material and methods. The anaerobic bacterial strains were isolated from oral cavity. A total 53 strains isolated from patients and 6 reference strains were examined. The members of following genera were tested: Porphyromonas (4 strains), Prevotella (9), Bacteroides (8), Parabacteroides (1), Tannerella (2), Fusobacterium (7) and after 11 strains of Gram-positive cocci and Gram-positive rods and 6 reference strains from genus: Bacteroides fragilis ATCC 25285, Porphyromonas asaccharolytica ATCC 29743, Fusobacterium nucleatum ATCC 25586, Finegoldia magna ATCC 29328, Peptostreptococcus anaerobius ATCC 27337 and Propionibacterium acnes ATCC 11827. Susceptibility (MIC) was determined by the two-fold dilution technique in Brucella agar supplemented with 5% defibrynated sheep blood, menadione and hemin. The inoculum containing 106 CFU/per spot was seeded with Steers replicator upon the surface of agar with ginger oil (Semifarm, Gdańsk) or without the oil (the strains growth control). Concentrations of oil used were 20.0, 10.0, 7.5, 5.0, 2.5 and 1.2 mg/ml. Incubation the plates was performed in anaerobic conditions in anaerobic jar, at 37°C for 48 hrs. The MIC was defined as the lowest concentrations of ginger oil that completely inhibited the growth of tested anaerobes. Results. The results showed, that the most susceptible from Gram-anaerobic bacteria to ginger oil in ranges ≤ 1.26-5.0 mg/ml were the strains from genus of Tannerella forsythia and Bacteroides uniformis. The others of Gram-negative rods were susceptible to oil in ranges 10.0-≥ 20.0 mg/ml. The strains belonging to the genus of Prevotella bivia, Prevotella buccalis and Parabacteroides distasonis were the lowest sensitive to tested oil (MIC ≥ 20.0 mg/ml). The ginger oil was very active against Gram-positive cocci. MIC’s for all the tested strains were to the concentrations from 5.0 to 10.0 mg/ml. The oil characterized similarly of activity in case Gram-positive rods. The date showed, that 82% this strains were susceptible to concentration – 10.0 mg/ml. Conclusions. The results indicated that the ginger oil showed antibacterial activity against all tested anaerobic bacteria. The more susceptible to oil were the Gram-positive cocci and rods then Gram-negative anaerobic bacteria.


2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Anna Kędzia ◽  
Elżbieta Hołderna-Kędzia

Introduction. Spruce (Picea abies L.) is a member of family Pinaceae. It was known and used in ancient. The tree grown to 50 m height. Produced by conifers etheric oil possesses antibacterial, antifungal and antioxidant properties. The major compounds of the spruce oil are: pinene, cadinene and felandrene. It is obtained hydro distillation method. Aim. The aim of the date was to investigate activity of spruce oil against anaerobic bacteria. Material and methods. The 53 of anaerobic bacteria isolated from oral cavity and upper respiratory tract, in it 32 strains of Gram-negative rods, 12 Gram-positive rods and 9 Gram-positive cocci were tested. Moreover investigated 8 reference strains. Susceptibility (MIC) was determined by two-fold dilution technique in Brucella agar with 5% defibrynated sheep blood, menadione and hemin. The spruce oil was dissolved in DMSO and distillated water to obtained a final concentrations 2.5, 5.0, 7.5, 10.0, 15.0 and 20.0 mg/ml. The inoculums containing 106 CFU/ml was seeded with Steers replicator upon the surface of agar with oil or without tested essential oil (strains growth control). Incubation the agar plates was performed in anaerobic conditions in anaerobic jars containing 10% C02 , 10% H2 and 80% N2 , palladic catalyst and anaerobic indicator, at 37°C for 48 hrs. The MIC was established as the lowest concentration of the spruce oil that inhibiting the growth of tested anaerobes. Results. The results of these investigations indicated that the most susceptible to spruce oil from Gram-negative bacteria were the strains Prevotella intermedia (MIC 5.0-10.0 mg/ml) and Porphyromonas levii (MIC = 7.5 mg/ml). The growth of strains from genus Bacteroides fragilis was inhibited by concentration > 20.0 mg/ml, and Tannerella forsythia in ranges from 15.0 to > 20.0 mg/ml. The Gram-positive bacteria were more susceptible. The growth of 50% of this rods was inhibited in concentration 2.5-7.5 mg/ml. From Gram-positive rods from genus of Actinomyces odontolyticus were the most susceptible. The 75% of the rods were inhibited by spruce oil in concentrations 2.5-7.5 mg/ml. The least sensitive was the strain Actinomyces viscosus (MIC = 15.0 mg/ml). The tested oil was more active on account Gram-positive cocci. The growth was inhibited by concentrations in ranges 2.5-7.5 mg/ml. The Gram-positive cocci were more susceptible than Gram-positive rods. The data indicated that the spruce oil was more active towards Gram-positive rods than Gram-negative anaerobes. Conclusions. From the Gram-negative bacteria the Prevotella rods were the more susceptible to spruce oil. The oil was the less active towards Gram-negative rods from genus Tannerella forsythia. From Gram-positive anaerobic bacteria the Gram-positive cocci were the more susceptible to spruce oil then Gram-positive rods.


2013 ◽  
Vol 6 (1) ◽  
pp. 43-50
Author(s):  
Lyubomir Ts. Beshev ◽  
Valentina E. Edreva-Besheva ◽  
Mariya P. Sredkova ◽  
Dobromir D. Nguen

Summary The purpose of the study was to evaluate the frequency and etiology of late prosthetic vascular graft infections after reconstructions on aortoiliac segment. From 2001 to 2011,545 primary reconstructions were performed on 545 consecutive patients. We had 18 cases of late intracavitary graft infections in 14 of them. A total of 58 clinical specimens collected from patients before, during and after reoperation were analyzed. Pathogens were isolated using conventional methods for aerobic and anaerobic bacteria. The isolates were identified down to species level by conventional biochemical methods, VITEK 2 and mini API Systems (bioMereux, France). During an 11-year period after prosthetic grafting of the abdominal aorta and aortoiliac segment the incidence of late (more than 4 months after implantation) infection was 3.11%. The mean interval between the initial operation and development of infection was 39.2 months (range 4 to 84). Positive microbial cultures were found in 46 clinical specimens. A total of 66 microbial isolates were cultured, comprising 27 clinical strains. Gram-positive bacteria were predominant - 15 (55.55%) strains, followed by Gram-negative bacteria - 9 (3 3.33%), Candida albicans - 2 (7.4%) and Bacteroides fragilis - 1 (3.7%). In 7 cases, the infection was monobacterial, caused predominantly by Staphylococcus species. In the rest of the cases, the infections were polymicrobial, caused by association between two microbial species. Mortality rate was 35.71% (5 cases) - in 4 of them the infection was caused by association between two species of Gram-negative bacteria or between Gram-negative bacteria and Candida albicans. The incidence of late intracavitary vascular graft infection was low. The average period for development of this complication was about 3 years after reconstruction. Among the causative agents, Gram-positive microorganisms had a predominant role but infections caused by Gram-negative bacteria, especially when they were in association, had a worse outcome.


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