【摘要】 目的 :探讨骨科择期手术术中细菌污染情况及预防性抗生素的选择和使用。方法 :手术结束前于切口内组织及术野皮肤取样进行细菌培养及药敏试验。术后使用青霉素钾和奈特预防性用药 3～ 5 d。结果 :本组术中细菌污染率为14 .2 9% ,术后基本无发热 ,伤口均甲级愈合。分析术中细菌污染与伤口类型密切相关。结论 :骨科择期手术术中细菌污染不容忽视 ,术后采用β-内酰胺类和氨基糖苷类配伍预防感染可行。更多还原

【Abstract】 Objective:To study the bacteria contamination during orthopedic selective operations and the usage of preventive antibioties.Methods:The samples gotten from skin and wound at the end of the operations were sent to conduct bacteria culturing.Penicillin and netilmicin were used as preventive antibiotics for 3~5 days postoperation.Results:The bacteria contamination rate during operation was 14 29%.Seldom was the fever found,and the wound healed by the first intention.Further study showed that the bacteria contamination was closely related to the wound situation.Conclusions:The bacteria contamination during orthopedic selective operations should be paid attention.And it proved effective that penicillin and netilmicin were used as preventive antibiotics.更多还原