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胫腓骨开放性骨折外固定架相关感染的临床研究
引用本文:侯占江,杨硕. 胫腓骨开放性骨折外固定架相关感染的临床研究[J]. 中华医院感染学杂志, 2011, 21(14): 2921-2923
作者姓名:侯占江  杨硕
作者单位:哈尔滨医科大学附属第一医院急诊创伤外科,黑龙江,哈尔滨,150001
摘    要:
目的探讨胫腓骨开放性骨折外固定架针眼相关感染的病原菌种类及其对常用抗菌药物耐药谱,为临床和医院感染管理提供资料。方法回顾性调查77例胫腓骨开放性骨折外固定架固定后针眼相关感染患者,术后感染病原菌的分布及耐药性。结果培养出病原菌52株,病原菌分布依次为大肠埃希菌、褪色沙雷菌、凝固酶阴性葡萄球菌、金黄色葡萄球菌;产ESBLs13株,占62.21%,耐甲氧西林金黄色葡萄球菌3株,占45.53%,耐甲氧西林凝固酶阴性葡萄球菌2株,占53.09%,万古霉素和亚胺培南仍具有较好的抗菌作用。结论胫腓骨开放性骨折,外固定架针眼相关感染问题值得高度重视,对耐药菌株应严密监测与控制。

关 键 词:外固定架切口  感染  病原菌  耐药

Clinical study on external fixation-associated infections of open fractures of tibia and fibula
HOU Zhan-jiang,YANG Shuo. Clinical study on external fixation-associated infections of open fractures of tibia and fibula[J]. Chinese Journal of Nosocomiology, 2011, 21(14): 2921-2923
Authors:HOU Zhan-jiang  YANG Shuo
Affiliation:HOU Zhan-jiang,YANG Shuo(First Affiliated Hospital of Harbin Medical University,Harbin,Heilongjiang 150001,China)
Abstract:
OBJECTIVE To discuss external fixation needle eye-related infection of open fractures of tibia and fibula in the composition of pathogens and their antimicrobial resistance patterns,so as to provide bases for nosocomial infections in clinics.METHODS The open fractures of tibia and fibula in 77 cases after external fixation eye of a needle-related infection in patients infected with the pathogen distribution and antibiotic resistance were investigated retrospectively.RESULTS Totally 52 strains of pathogenic ...
Keywords:External fixation-related incision  Infection  Pathogen  Drug resistance  
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