>
网站首页期刊介绍通知公告编 委 会投稿须知电子期刊广告合作联系我们
最新消息:
15年来烧伤创面感染常见菌和抗生素敏感性的变化
作者:谭谦 马文熙 王磊 宁官森 周栩 宋珺辉 
单位:南京铁道医学院附属医院,烧伤整形科,江苏,南京,210009
关键词:烧伤 伤口感染 抗药性 微生物 微生物敏感性试验 药物耐受性 
分类号:R644, R63, R372
出版年·卷·期(页码):2000·19·第二期(118-121)
摘要:

目的:总结15年来烧伤创面细菌培养和药物敏感试验情况,以分析创面细菌菌株变化及抗生素敏感性变化规律.方法:345例烧伤病人,分别于入院后1周内及换药前不定期取创面分泌物或脓液标本,接种于血平皿,35 ℃培养24 h,纯培养后常规鉴定,并用K.B法进行体外药物敏感试验.结果:345例病人中分离出27种细菌,3种真菌,共538株.其中革兰阳性菌占49.3%(金黄色葡萄球菌173株,占32.2%),革兰阴性菌占48.1%[铜绿假单孢菌(绿脓杆菌)152株,占28.3%].结论:1.烧伤创面感染细菌以金黄色葡萄球菌和铜绿假单孢菌为主,金葡菌感染更占优势;2.耐药菌株增加,耐甲氧西林金黄色葡萄球菌(MRSA)感染成为不容忽视的问题;3.少见菌感染有增加的趋势;4.真菌感染是梅雨季节难以避免的问题;5.强调合理使用抗生素的重要性.

Objective  The purpose of this work was to analyze the changes in strains from infected burn wounds and the sensitivity to antibiotics by summing up germiculture of secretion from the wounds and drug sensitive test.Methods  The secretion or purulence from burn wounds of 345 patients hospitalized from 1984 to 1999 was taken within one week after admission and before changing dress.The secretion was inoculated and cultured at 35?℃ for 24 hours and identified routinely.And drug sensitive test by K  B method was performed at the same time. Results  538 strains from 345 infected burn patients included 27 species of bacteria and 3 species of fungi.The positive rates of Gram  positive and Gram  negative germ were   49.3  % and 48.1%,respectively.Of all isolated pathogens,there were 173 strains (32.2%)of   Staphylococcus aureus  ,and 152 strains (28.3%) of   Pseudomonas aeruginosa  .Conclusions  1.The dominant bacteria from the infected wounds are   Staphylococcus aureus   and   Pseudomonas aeruginosa  ,with the positive rate of the former being highest;2.The attention should be paid to the increased susceptibility of bacteria to antibiotics and the infection with methicillin  resistant staphy lococcus aureus(MRSA);3.The infection with some opportunistic pathogens and fungi was stressed;4.It is unavoidable for burn wounds to be effected by fungi  in plum rain season;5.It is necessary to use antibiotics reasonably.

参考文献:

[1] 方之扬, 吴中立, 高学书. 烧伤理论与实践, 1989
[2] 张俭, 邓津菊, 刘美贞. 烧伤创面感染细菌1116株分析, 1995
[3] 陈欣, 张亚莲, 孙永华. 我院耐甲氧西林金黄色葡萄球菌的耐药性及肠毒素分析, 1997
[4] 谭谦, 马文熙, 陈卫东. 聚乙烯吡咯烷酮碘溶液在烧伤创面的临床应用. 铁道医学1992(6) 

服务与反馈:
文章下载】【发表评论】【查看评论】【加入收藏
提示:您还未登录,请登录!点此登录
您是第 414484 位访问者


copyright ©《东南大学学报(医学版)》编辑部
联系电话:025-83272481 83272483
电子邮件:
bjb@pub.seu.edu.cn

苏ICP备09058364