1887

Abstract

Adult conventional rats were starved for 48 h with or without haemorrhage at 24 h, and translocation of caecal coliforms to mesenteric lymph nodes (MLNs) was measured. Translocation was detected in three of 11 rats without haemorrhage, in 6 of 11 starved and sham-operated rats and in 12 of 22 rats after haemorrhage. In contrast, only one of 13 non-instrumented and fed control rats showed translocation. Translocation was associated with more coliforms adhering to caecal epithelium in rats. Coliform isolates from caecum, caecal epithelium and MLNs were characterised and grouped into different biochemical phenotypes (BPTs) by a biochemical fingerprinting method. Of 291 BPTs detected in the caecum of all rats, 108 were also found on caecal epithelium; 36 BPTs were detected in MLNs, of which 17 were not detected either in the caecum or on the caecal epithelium of the corresponding rats. One isolate from each of these 36 BPTs was selected and compared to the others. Four common (C) BPTs (i.e., C1–C4) were identified among them. Strains of C1 formed the majority of isolates from the caecum (79%), caecal epithelium (71%) and MLNs (91%). In contrast, C2–C4 had a significantly lower incidence both in the caecum and on the caecal epithelium, but not in the MLNs. These findings indicate that not all caecal coliforms adhere to the epithelium during catabolic stress and that for translocation to occur, other bacterial properties besides adhesion are needed. It is also concluded that coliforms with a low incidence in the caecum can translocate with the same efficiency as those with a high incidence.

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1997-07-01
2024-04-26
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References

  1. Ing A. F. M., McLean A. P. H., Meakins J. L. Multiple-organism bacteremia in the surgical intensive care unit: a sign of intraperitoneal sepsis. Surgery 1981; 90:779–786
    [Google Scholar]
  2. Machiedo G. W., LoVerme P. J., McGovern P. J., Blackwood J. M. Patterns of mortality in a surgical intensive care unit. Surg Gynecol Obstet 1981; 152:757–759
    [Google Scholar]
  3. Wilmore D. W., Smith R. J., O’Dwyer S. T., Jacobs D. O., Zeigler T. R., Wang X.-D. The gut: a central organ after surgical stress. Surgery 1988; 104:917–923
    [Google Scholar]
  4. Fink M. P. Gastrointestinal mucosal injury in experimental models of shock, trauma, and sepsis. Crit Care Med 1991; 19:627–641
    [Google Scholar]
  5. Schimpft S. C., Aisner J., Wiemik P. H. Infection in acute nonlymphatic leukaemia: the alimentary canal as a major source of pathogens. In van der Waaij D., Verhoef J. (eds) New criteria for antimicrobial therapy: maintenance of digestive tract colonization resistance Amsterdam: Excerpta Medica; 197912–17
    [Google Scholar]
  6. Tancrede C. H., Andremont A. O. Bacterial translocation and gram-negative bacteremia in patients with hematological malignancies. J Infect Dis 1985; 152:99–103
    [Google Scholar]
  7. Berg R. D., Garlington A. W. Translocation of certain indigenous bacteria from the gastrointestinal tract to the mesenteric lymph nodes and other organs in gnotobiotic mouse model. Infect Immun 1979; 23:403–411
    [Google Scholar]
  8. Deitch E. A. Bacterial translocation of the gut flora. J Trauma 1990; 30: Suppl 1SI84–SI89
    [Google Scholar]
  9. Berg R. D., Wommack E., Deitch E. A. Immunosuppression and intestinal bacterial overgrowth synergistically promote bacterial translocation. Arch Surg 1988; 123:1359–1364
    [Google Scholar]
  10. Owens W. E., Berg R. D. Bacterial translocation from the gastrointestinal tracts of athymic (nu/nu) mice. Infect Immun 1980; 27:461–467
    [Google Scholar]
  11. Owens W. E., Berg R. D. Bacterial translocation from the gastrointestinal tracts of thymectomized mice. Curr Microbiol 1982; 7:169–174
    [Google Scholar]
  12. Li M., Specian R., Berg R. D., Deitch E. A. Effects of protein malnutrition and endotoxin on the intestinal mucosal barrier to the translocation of indigenous flora in mice. JPEN 1989; 13:572–578
    [Google Scholar]
  13. Morehouse J. L., Specian R. D., Stewart J. J., Berg R. D. Translocation of indigenous bacteria of mice from the gastrointestinal tract by oral recinoleic acid treatment. Gastroenterology 1986; 91:673–682
    [Google Scholar]
  14. Berg R. D. Promotion of the translocation of enteric bacteria from the gastrointestinal tracts of mice by oral treatment with penicillin, clindamycin, or metronidazole. Infect Immun 1981; 33:854–861
    [Google Scholar]
  15. Deitch E. A. Does the gut protect us or injure us when ill in the ICU?. In Cerra F. (ed) Perspectives in critical care St Louis: Quality Medical Publishers; 19881–32
    [Google Scholar]
  16. Steffen E. K., Berg R. D. Relationship between cecal population levels of indigenous bacteria and translocation to the mesenteric lymph nodes. Infect Immun 1983; 39:1252–1259
    [Google Scholar]
  17. Steffen E. K., Berg R. D., Deitch E. A. Comparison of translocation rates of various indigenous bacteria from the gastrointestinal tract to the mesenteric lymph node. J Infect Dis 1988; 157:1032–1038
    [Google Scholar]
  18. Wells C. L., Jechorek R. P., Maddaus M. A. The translocation of intestinal facultative and anaerobic bacteria in defined flora mice. Microb Ecol Health Dis 1988; 1:227–235
    [Google Scholar]
  19. Alverdy J. C., Spitz J., Hecht G., Ghandi S. Causes and consequence of bacterial adherence to mucosal epithelia during critical illness. New Horiz 1994; 2:264–272
    [Google Scholar]
  20. Spitz J. C., Hecht G., Taveras M., Aoys E., Alverdy J. The effect of dexamethasone administration on rat intestinal permeability: the role of bacterial adherence. Gastroenterology 1994; 106:35–41
    [Google Scholar]
  21. Bark T., Katouli M., Ljungqvist O., Möllby R., Svenberg T. Bacterial translocation after non-lethal hemorrhage in the rat. Circ Shock 1993; 41:60–65
    [Google Scholar]
  22. Katouli M., Bark T., Ljungqvist O., Svenberg T., Möllby R. Composition and diversity of intestinal coliform flora influence bacterial translocation in rats after hemorrhagic stress. Infect Immun 1994; 62:4768–4774
    [Google Scholar]
  23. Kühn I. Biochemical fingerprinting of Escherichia colv. a simple method for epidemiological investigations. J Microbiol Methods 1985; 3:159–170
    [Google Scholar]
  24. Kühn I., Allestam G., Stenström T. A., Möllby R. Biochemical fingerprinting of water coliform bacteria - a new method for measuring the phenotypic diversity and for comparing different bacterial populations. Appl Environ Microbiol 1991; 57:3171–3177
    [Google Scholar]
  25. Möllby R., Kühn I., Katouli M. Computerized biochemical fingerprinting - a new tool for typing of bacteria. Rev Med Microbiol 1993; 4:231–241
    [Google Scholar]
  26. Kühn I., Möllby R. The PhP RS system. A simple microplate method for studying coliform bacterial populations. J Microbiol Methods 1993; 17:255–260
    [Google Scholar]
  27. Katouli M., Lund A., Wallgren P., Kühn I., Söderlind O., Möllby R. Phenotypic characterization of the intestinal Escherichia coli of pigs during suckling, post-weaning, and fattening periods. Appl Environ Microbiol 1995; 61:778–783
    [Google Scholar]
  28. Sneath P. H. A., Sokal R. R. Numerical taxonomy: the principles and practice of numerical classification. San Francisco: WH Freeman; 1973
    [Google Scholar]
  29. Katouli M., Kühn I., Möllby R. Evaluation of the stability of biochemical phenotypes of Escherichia coli upon subculturing and storage. J Gen Microbiol 1990; 136:1681–1688
    [Google Scholar]
  30. Berg R. D., Deitch E. A., Specian R. D. Promotion of bacterial translocation from the GI tract of rats by hemorrhagic shock. Microecol Ther 1990; 20:27–30
    [Google Scholar]
  31. Deitch E. A., Ma W.-J., Ma L., Berg R. D., Specian R. D. Protein malnutrition predisposes to inflammatory-induced gut-origin septic states. Ann Surg 1990; 211:560–568
    [Google Scholar]
  32. Deitch E. A., Winterton J., Li M., Berg R. The gut as a portal of entry for bacteremia. Role of protein malnutrition. Ann Surg 1987; 205:681–692
    [Google Scholar]
  33. Rush B. F., Sori A. J., Murphy T. F., Smith S., Flanagan J. J., Machiedo G. W. Endotoxemia and bacteremia during hemorrhagic shock. The link between trauma and sepsis?. Ann Surg 1988; 207:549–554
    [Google Scholar]
  34. Border J. R., Hassett J., LaDuca J. The gut origin septic states in blunt multiple trauma (ISS = 40) in the ICU. Ann Surg 1987; 206:427–448
    [Google Scholar]
  35. Marshall J. C., Christou N. Y., Horn R., Meakins L. The microbiology of multiple organ failure. The proximal gastrointestinal tract as an occult reservoir of pathogens. Arch Surg 1988; 123:309–315
    [Google Scholar]
  36. van Goor H., Rosman C., Grond J., Kooi K., Wribbels G. H., Bleichrodt R. P. Translocation of bacteria and endotoxin in organ donors. Arch Surg 1994; 129:1063–1066
    [Google Scholar]
  37. Zafriri D., Oron Y., Eisentein B. L., Ofek I. Growth advantage and enhanced toxicity of Escherichia coli adherent to tissue culture cells due to restricted diffusion of products secreted by the cells. J Clin Invest 1987; 79:1210–1216
    [Google Scholar]
  38. Bark T., Katouli M., Svenberg T., Ljungqvist O. Food deprivation increases bacterial translocation after non-lethal haemorrhage in rats. Eur J Surg 1995; 161:67–71
    [Google Scholar]
  39. Alibegovic A., Ljungqvist O. Pretreatment with glucose infusion prevents fatal outcome after hemorrhage in food deprived rats. Circ Shock 1993; 39:1–6
    [Google Scholar]
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