【摘要】 作者分析了1988．1至1992．1间从烧伤肉芽创面分离到的231株细菌，发现G-杆菌占绝对多数，约占2／3；其中绿脓杆菌20．8％、金黄色葡萄球菌10．8％、表皮葡萄球菌9．6％、肺炎杆菌9．0％；优势菌种多元耐药严重，建议肉芽创面适宜的外用抗菌素为氟哌酸和丁胺卡那霉素等。对院内感染的初步调查，显示烧伤病区环境带菌率极高，烧伤肉芽创面的细菌是烧伤病区院内感染细菌的重要来源，而医务人员等的接触传播是烧伤院内感染的主要途径之一，设想有下列循环：烧伤肉芽创面细菌及其污染的敷料、器材等—医务人员及陪护等手的接触—烧伤创面等。并对消毒隔离等预防措施进行探讨。更多还原

【Abstract】 During the period from January 1988 to January 1992, 231 strains of bacteria in the granulation of burn wound (GBW) were isolated. Gram negative organ-isms were predominant, accounting for 66. 7% of the total. The predominant organisms were Pseudomonas aeruginosa, Staphylococcus aureus, Staphylococcus epidermidis and Klebsiella pneumoniae. Antibiotic sensitivity test revealed that predominating organisms were resistant to many commonly used antibiotics.The authors suggested that Amikacine and Nor-floxacine are suitable for local application in the gran-uIation wounds. A survey of nosocomial infection of burn (BNI) in our hospitaI showed that the incidence of BNT was very high. The bacteria in GBW was the main source of the organisms. Contact - infection caused by medicaI and nursing workers and patients was one of the major paths of BNI. The authors pre-Sumed there were such cycles: Bacteria in GBW come to the hands of medical and nursing workers and pa- tients and then return to burn wound again.更多还原