Análise do perfil de susceptibilidade antimicrobiana de microrganismos isolados de processos infecciosos bucais
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2003
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Universidade Estadual Paulista (Unesp)
Resumo
As doenças infecciosas representam uma das principais causas de perda precoce dos dentes, podendo levar a seqüelas graves. Os microrganismos normalmente envolvidos nessas patologias quase sempre pertencem a microbiota autóctone da cavidade bucal e, quase invariavelmente, são de baixa virulência. Assim, o objetivo desse estudo foi avaliar a susceptibilidade a antimicrobianos de bactérias anaeróbias obrigatórias e anaeróbias facultativas isoladas de processos infecciosos da cavidade bucal, procurando verificar a existência de padrões de susceptibilidade à fármacos nas diferentes espécies e gêneros microbianos. As amostras microbianas foram obtidas de 4 casos de osteomielite crônica da mandíbula, 3 lesões periapicais refratárias ao tratamento endodôntico, 30 infecções endodônticas, 7 casos de periodontite agressiva localizada e 2 casos de periodontite agressiva generalizada. O isolamento dos microbiano foi realizado em meios de cultura seletivos e a identificação dos isolados foi realizada de acordo com suas características morfológicas e bioquímico-fisiológicas. Os isolados, uma vez identificados, foram mantidos em nitrogênio líquido (- 196 oC). Nos testes de susceptibilidade, empregou-se o método de diluição em ágar e o meio de cultura empregado foi o ágar infuso de cérebro coração acrescido de extrato de levedura. Os resultados evidenciaram resistência natural dos anaeróbios facultativos ao metronidazol e níveis moderados de resistência às penicilinas, enquanto a cefoxitina, a associação de amoxicilina/ácido clavulânico e imipenem foram quase que universalmente eficazes. A lincomicina e a clindamicina também se mostraram eficazes, particularmente sobre os anaeróbios obrigatórios. O principal mecanismo de resistência aos b-lactâmicos foi a produção de compostos capazes de degradar essas drogas.
Infections diseases represent one of the major causes of early tooth loss, and they can lead to sequels. The microorganisms involved oftenly in these pathologies belong to oral microflora and almost all of them are of virulence potential. Thus, the objective of this study was to evaluate the susceptibility to antimicrobials of obligate and facultative anaerobes recovered from infections in head and neck area, trying to verify the existence of susceptibility patterns to those drugs the different species and microbial goods. Microbials samples were obtained of 4 cases of chronic osteomyelitis, 3 refractary periapical lesions, 30 endodontics infections, 7 cases of localized aggressive periodontitis, 2 cases of generalized aggressive periodontitis. The isolation microbial was accomplished in selective culture means and the identification of the isolated ones was accomplished in agreement with its morphologic and biochemical-physiologic characteristics. The isolates, after identification, were maintained in liquid nitrogen (- 196°C). The susceptibility tests, were carried out throught na agar dilution method and the culture medium employed was brain heart infusion agar supplemented with yeast extract. The results evidenced natural resistance of facultative anaerobes to metronidazole and moderate levels of resistance to penicillin, while cefoxitin, amoxycillin/clavulanic acid and imipenem were almost universally effective, particularly on obligate anaerobes. The main mechanisms of resistance to b-lactams was the production of compounds capable to destroy these drugs.
Infections diseases represent one of the major causes of early tooth loss, and they can lead to sequels. The microorganisms involved oftenly in these pathologies belong to oral microflora and almost all of them are of virulence potential. Thus, the objective of this study was to evaluate the susceptibility to antimicrobials of obligate and facultative anaerobes recovered from infections in head and neck area, trying to verify the existence of susceptibility patterns to those drugs the different species and microbial goods. Microbials samples were obtained of 4 cases of chronic osteomyelitis, 3 refractary periapical lesions, 30 endodontics infections, 7 cases of localized aggressive periodontitis, 2 cases of generalized aggressive periodontitis. The isolation microbial was accomplished in selective culture means and the identification of the isolated ones was accomplished in agreement with its morphologic and biochemical-physiologic characteristics. The isolates, after identification, were maintained in liquid nitrogen (- 196°C). The susceptibility tests, were carried out throught na agar dilution method and the culture medium employed was brain heart infusion agar supplemented with yeast extract. The results evidenced natural resistance of facultative anaerobes to metronidazole and moderate levels of resistance to penicillin, while cefoxitin, amoxycillin/clavulanic acid and imipenem were almost universally effective, particularly on obligate anaerobes. The main mechanisms of resistance to b-lactams was the production of compounds capable to destroy these drugs.
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Palavras-chave
Infecções, Agentes antiinfecciosos, Bacterias, Antimicrobianos, Infection, Bacteria
Como citar
PARO, Mariane Lima de Castro. Análise do perfil de susceptibilidade antimicrobiana de microrganismos isolados de processos infecciosos bucais. 2003. 170 f. Dissertação (mestrado) - Universidade Estadual Paulista, Faculdade de Odontologia de Araçatuba, 2003.