摘要
目的观察小儿外科术后伤口感染的原因、细菌的分布及对抗菌药物的耐药性,旨在为临床工作提供支持。方法收集41例外科术后感染的患儿,留取伤口分泌物,进行细菌培养及药物敏感试验。结果 41例伤口分泌物中分离出病原菌89株,排在前4位的依次为金黄色葡萄球菌、大肠埃希菌、表皮葡萄球菌、不动杆菌属,分别占34.83%、22.47%、13.48%、11.23%;金黄色葡萄球菌及表皮葡萄球菌对万古霉素敏感率均为100.00%,金黄色葡萄球菌对头孢曲松、庆大霉素敏感率分别为32.26%、22.58%,表皮葡萄球菌对阿米卡星、庆大霉素敏感率分别为75.00%、66.67%;大肠埃希菌对亚胺培南、头孢哌酮、妥布霉素的敏感率分别为95.00%、70.00%、60.00%,不动杆菌属对亚胺培南、庆大霉素、妥布霉素的敏感率分别为80.00%、70.00%、60.00%。结论小儿术中及术后应严格无菌操作,严防术后患儿的伤口感染;对切口感染的患儿,及时进行分泌物细菌培养及耐药性的检测,对指导临床合理用药具有重要意义。
OBJECTIVE To study the reason, pathogenic bacteria and drug resistance in children with wound infection, to accumulate clinical experience. METHODS A total of 41 children were observed in observation group. We extracted the secretion of wound infection, by bacterial culture and drug resistance expreience. RESULTS The 89 pathogen bacteria were sparated in observation group. The major order were Staphylococcus aureus, Esche- richia coli, Staphylococcus epidermidis, Acinetobacter. The major sensitive drugs of S. aureus are vancomycin, ceftriaxone and gentamicin. The major sensitive drugs of S. epiderrnidis were vancomycin, amidacin and gentamicin. The major sensitive drugs of E. coli were imipenem, cefoperazone and tobramycin. The major sensitive drugs of acinetobacter were imipenem, gentamicin and tobramycin. ~ CONCLUSIONS The aseptic operation is importent to surgery treatment. To infected wound, the detection of pathogenic bacteria and drug resistance are worthy of being recommended in pro-treatment.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2011年第24期5310-5312,共3页
Chinese Journal of Nosocomiology
关键词
手术
伤口感染
分泌物
细菌培养
耐药
Surgery
Wound infection
Secretion
Bacterial culture
Drug resistance
