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外科手术切口感染病原菌耐药性调查

Investigation on antimicrobial resistance of pathogens from surgical operative incision

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【作者】 田丽红申建维

【Author】 TIAN Lihong SHEN Jianwei(Department of Clinical Laboratory,Second Employees’Hospital of Wuhan Steel Corporation,Wuhan,430085,China)

【机构】 武汉钢铁(集团)公司第二职工医院检验科

【摘要】 目的:探讨外科手术切口感染病原菌的种类及耐药性,为临床医师合理用药提供实验依据。方法:采集切口分泌物进行细菌培养,细菌培养鉴定严格按照《全国临床检验操作规程》进行;药敏试验采用CLSI推荐的KB法。结果:分离率较高的病原菌为大肠埃希菌(26.0%)、金黄色葡萄球菌(22.3%)、铜绿假单胞菌(18.6%)、肺炎克雷伯菌(16.3%)等。以上病原菌均检测出较高的耐药率,甲氧西林耐药的金黄色葡萄球菌(MRSA)检出率为52.1%(25/48)。结论:外科手术切口感染病原菌的耐药性已十分严重,应注意预防与控制手术切口感染。

【Abstract】 Objective:To approach the species and antimicrobial resistance of pathogens from surgical operative incision and provide an experimental evidence for clinically reasonable use of antibiotics.Method:The secretion from the operative incision was collected.Bacterial culture and identification were performed according to National Guide to Clinical Laboratory Procedure.Susceptibililty testing was performed by KB method recommended by CLSI.Result:The pathogens with higher isolating rate included Escherichia coli(26.0%),staphylococcus aureus(22.3%),Pseudomonas aeruginosa(18.6%),Klebsiella pneumoniae(16.3%) and etc.Higher resistance rates were detected in all above isolates.The isolating rate of meticillin-resistant staphylococcus aureus(MRSA) was 52.1%(25/48).Conclusion:The antimicrobial resistance of pathogens from surgical operative incision was very serious.Preventive measures should be taken to prevent and control surgical incision infection.

  • 【文献出处】 临床血液学杂志 ,Journal of Clinical Hematology , 编辑部邮箱 ,2011年02期
  • 【分类号】R446.5
  • 【被引频次】4
  • 【下载频次】129
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