摘要
目的探讨普通外科常见院内感染菌及其耐药性。方法回顾性分析我院普通外科2004年1月～2005年2月住院的48例病人133份标本的细菌培养及药敏资料。结果最常见的院内感染菌依次是假丝酵母菌、金黄色葡萄球菌、绿脓杆菌、葡萄球菌、肠道杆菌、肺炎克雷伯菌等,均为肠道内正常居留菌。感染部位以肺部感染最多见,其次为腹腔、胸（腹）水以及血液等。这些细菌多对一线抗生素耐药,二线抗生素耐药率39.3%,三线抗生素耐药少见,未见万古霉素耐药菌。结论普通外科感染多发生于危重及肿瘤晚期病人,感染菌多为肠道正常居留菌,耐药率高。
Objective To investigate the bacteria and their drug resistance in nosocomial infection in general surgery. Methods The data of 133 samples of bacterial culture and their drug sensitiveness of 48 hospitalized patients,from January 2004 to February 2005,with nosocomial infection were analyzed retrospectively. Results The most common bacteria were Candida albicans,Staphylococcus aureus,Pseudomonas aeruginosa,Staphylococcus epidermidis,Escherichia coli,Klebsiella pneumoniae.They are all normal intestinal inhabitants.The most usually affected part was the lung,followed by peritoneal cavity,pleural fluid,ascites,and blood.Most of them were first-line-antibiotics resistant,39.3% of them were second-line-antibiotics resistant and those resistant to third-line antibiotics were rare.Resistance to vancomycin was not found. Conclusion Nosocomial infection in general surgery is usually encountered in seriously ill and advanced cancer patients.The bacteria are mostly normal intestinal inhabitants with high resistance to antibiotics.
出处
《齐鲁医学杂志》
2007年第5期412-413,416,共3页
Medical Journal of Qilu
关键词
交叉感染
细菌感染
数据收集
外科
医院
cross infection
bacterial infections
data collection
surgery
hospital
