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腹部手术切口感染病原菌分布与耐药性调查
引用本文:范文,黄娥,段六生.腹部手术切口感染病原菌分布与耐药性调查[J].中华医院感染学杂志,2008,18(11).
作者姓名:范文  黄娥  段六生
作者单位:荆州市第一人民医院检验科,长江大学临床医学院,湖北,荆州,434000
摘    要:目的 探讨腹部手术切口感染病原菌的分布及耐药性.方法 采集伤口分泌物进行细菌培养,分离病原菌并进行鉴定;用琼脂扩散法(K-B法)做药物敏感试验,对病原菌耐药率进行分析.结果 病原菌以革兰阴性杆菌为主,占76.9%;其中分离率最高的为大肠埃希菌(24.9%)、铜绿假单胞菌(17.6%)、肺炎克雷伯菌(17.2%),耐甲氧西林金黄色葡萄球菌(MRSA)检出率为40.0%;产超广谱β-内酰胺酶(ESBLs)大肠埃希菌和肺炎克雷伯菌检出率为45.2%;以上病原菌均检测出较高的耐药率.结论 必须采取切实的防治对策,预防与控制腹部手术切口感染.

关 键 词:腹部  手术切口  感染  病原菌  耐药性

Distribution and Resistance of Pathogens from Abdominal Surgical Wound
FAN Wen,HUANG E,DUAN Liu-sheng.Distribution and Resistance of Pathogens from Abdominal Surgical Wound[J].Chinese Journal of Nosocomiology,2008,18(11).
Authors:FAN Wen  HUANG E  DUAN Liu-sheng
Institution:FAN Wen,HUANG E,DUAN Liu-sheng(The First Renming Hospital of Jingzhou,Clinical Medical College,Changjiang University,Jingzhou,Hubei 434000,China)
Abstract:OBJECTIVE To study the distribution and resistance of pathogens from infected surgical incision.METHODS The secretion from infected wounds was cultured in order to identify pathogens by routine methods.Resistance ratio to antibiotics was determined by disk diffusion method.RESULTS Most of the pathogens were Gram-negative bacilli accounting for 76.9%,among which the isolation rates of Escherichia coli(24.9%),Pseudomonas aeruginosa(17.6%) and Klebsiella pneumoniae(17.2%) were the highest.The isolation rates o...
Keywords:Abdomen  Surgical incision  Infection  Pathogens  Antibiotic resistance  
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