| 手足创伤患者感染病原菌分布及耐药性分析 |
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| 引用本文： | 郑永昌,肖中华,童丹红,钱临芬.手足创伤患者感染病原菌分布及耐药性分析[J].中华医院感染学杂志,2010,20(4). |
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| 作者姓名： | 郑永昌 肖中华 童丹红 钱临芬 |
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| 作者单位： | 1. 台州市博爱医院检验科,浙江,台州,318050
2. 台州市博爱医院院感科,浙江,台州,318050 |
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| 摘 要： | 目的 分析手足创伤患者感染的病原菌及其耐药性,为临床合理选用抗菌药物提供依据.方法 对2005～2008年手足创伤感染标本分离出的病原菌,采用纸片扩散法(K-B法)进行药敏试验,对病原菌耐药率进行分析.结果 分离出242株病原菌,革兰阴性杆菌163株,占67.4 0%,主要为铜绿假单胞菌、大肠埃希菌、阴沟肠杆菌、肺炎克雷伯菌和鲍氏不动杆菌;革兰阳性球菌79株,占32.6%,主要为金黄色葡萄球菌和肠球菌属;大肠埃希菌和肺炎克雷伯菌的超广谱β-内酰胺酶(ESBLs)检出率分别为53.8%和40.9%,耐甲氧西林金黄色葡萄球菌(MRSA)检出率为24.1%.结论 手足创伤患者感染的病原菌以革兰阴性杆菌为主,检出率最高的是金黄色葡萄球菌,主要致病菌常为多药耐药,应加强病原菌的监测,指导临床合理用药,减少耐药菌株的产生.
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| 关 键 词： | 创伤 感染 病原菌 耐药性 |
Distribution of Pathogens in Patients with Hand and Foot Trauma: Drug Resistance Analysis |
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| ZHENG Yong-chang,XIAO Zhong-hua,TONG Dan-hong,QIAN Lin-fen.Distribution of Pathogens in Patients with Hand and Foot Trauma: Drug Resistance Analysis[J].Chinese Journal of Nosocomiology,2010,20(4). |
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| Authors: | ZHENG Yong-chang XIAO Zhong-hua TONG Dan-hong QIAN Lin-fen |
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| Institution: | ZHENG Yong-chang,XIAO Zhong-hua,TONG Dan-hong,QIAN Lin-fen(Taizhou Bo Ai Hospital,Taizhou,Zhejiang 318050,China) |
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| Abstract: | OBJECTIVE To analyze the drug resistance of pathogens in patients with hand and foot trauma,in avder to provide a basis for clinical rational use of antimicrobial agents.METHODS From 2005 to 2008,pathogens were isolated from specimens of trauma of hand-foot-infecion,using disk diffusion method(K-B method) to carry out drug sensitivity test,the rate of pathogen resistance analysis.RESULTS Among 242 pathogens isolated,Gram-negative bacilli accounting for 67.4%,mainly Pseudomonas aeruginosa,Escherichia coli,En... |
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| Keywords: | Trauma Infection Pathogens Drug Resistance |
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