Anaerobic bacteria are a type of bacteria that can only survive in anaerobic or microaerobic environments. These bacteria are usually part of the normal flora on human skin and mucosal surfaces, but when they enter other parts of the body or overgrow under adverse conditions, they can cause infections. These infections can sometimes cause serious health problems and even be life-threatening.
Anaerobic bacteria usually do not grow on conventional media, so when an infection occurs, their presence is often overlooked, leading to delays in diagnosis and treatment.
Anaerobes can be divided into two categories: obligate anaerobes and facultative anaerobes. The former will be inhibited when oxygen exceeds 0.5%, while the latter can grow in an aerobic or anaerobic environment. This adaptability allows anaerobic bacteria to survive in a variety of environments, and they are a major cause of numerous infections.
Clinically important anaerobic bacteria mainly come from the following categories: Gram-negative bacilli including six genera (such as Bacteroides, Prevotella and Fusobacterium) and Gram-positive cocci (such as Peptostreptococcus spp.). These bacteria often arise in the context of multiple infections, especially if specimens are collected and transported improperly, making their detection very difficult.
Due to the slow growth rate of anaerobic bacteria, diagnosis is often delayed, which is very detrimental to timely treatment. Especially for mixed infections, accurate pathogen detection is crucial. Different infection sites also have different recovery rates for anaerobic bacteria. These bacteria are commonly found in infections in the brain, central nervous system, respiratory tract, and abdominal cavity.
"Many anaerobic bacteria cause infections in the spinal cord and brain. The most common sources include chronic infections of the peripheral ears, sinuses, and speech system."
The clinical symptoms of anaerobic infections are diverse and vary depending on the type of infection and the site of infection. Infections in the central nervous system, such as brain abscesses, often originate from nearby infections such as ears or teeth, and can cause headaches, fever, and neurological deficits. Infections in the respiratory and digestive systems are equally common, and the presence of anaerobic bacteria may lead to conditions such as pneumonia or peritonitis.
Many anaerobic infections are multi-species and, therefore, these infections often require a comprehensive course of antibiotics to cover all possible pathogens. Treatment must take into account the increasing resistance of anaerobic bacteria, which poses a challenge to control of the infection.
"Effective antibiotic selection for mixed anaerobic infections usually needs to be guided by pathogenic testing."
In summary, anaerobic bacteria are capable of causing serious infections in a variety of settings, especially when early diagnosis and appropriate treatment are delayed. The existence of these bacteria is often ignored, but it lurks and threatens the health of patients. Faced with such challenges, do we have enough understanding and preparation to deal with the risks posed by anaerobic infections?