放射性粘膜炎细菌培养分析

目的 探讨在放射性粘膜炎中是否存在致病菌。方法 从2004年1月至2005年8月,鼻咽癌常规放射治疗中出现放射性粘膜炎,从其口咽部取分泌物进行细菌培养加药敏46例,根据细菌培养加药敏试验结果应用抗菌素及含漱液治疗。结果 5例0级放射性粘膜炎病例中培养出病原菌0例;41例存在放射性粘膜炎病例,培养出真菌8例,普通变形杆菌1例,葡萄球菌3例,共12例,阳性率为29.2%(12/41)。结论 放射性粘膜炎中部分病例存在致病菌感染,应根据药敏试验结果合理选用抗菌素。

The Analysis of Bacterial Culture in Radiation Mucositis

Objective To investigate pathogen dose existing or not in patients with radiation mucositis. Methods From Juanary 2004 to August 2005, from 46 patients with radiation mucositis some pharynx secretion were taken for culture. then they were treated with antibiotics selected by the cultured results and gargle. Results 5 patients with grade 0 of radiation mucositis were with no cultured pathogen, and the results of some other patients with radiation mucositis include 8 cases of epiphyte, 1 cases of p.vulgaris and 3 cases of Staphylococcus,The positive rate is 29.2%(12/41); Conclusion Some patients with radiation mucositis do exist pathogen ,and we must slect antibiotics by the bacterial cultured results.