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267株烧伤感染细菌的调查分析
引用本文:张春新,周岳平.267株烧伤感染细菌的调查分析[J].岭南急诊医学杂志,2004,9(4):262-264.
作者姓名:张春新  周岳平
作者单位:广东省东莞市虎门医院烧伤科,523902
摘    要:目的:回顾性分析1995年1月至2003年12月间本院烧伤科细菌分布和菌种耐药情况,以指导临床合理用药。方法:收集烧伤病人创面分泌物、血液、痰液及静脉导管末端行普通细菌培养,统计细菌分布情况及常用药物的敏感性。结果:9年来共检出19种267株细菌.其中铜绿假单胞菌和金黄葡萄球菌占83.14%,并有逐渐增加的趋势。铜绿假单胞菌以亚胺培南、头孢哌酮/舒巴坦和多粘菌素B最敏感;氨曲南亦较敏感,且敏感性呈逐渐上升趋势。金黄色葡萄球菌以万古霉素最敏感.呋喃妥因、利福平次之,青霉素类和大部分头孢菌素则高度耐药。结论:目前烧伤感染仍以铜绿假单胞菌和金黄色葡萄球菌为主.防治该两种细菌感染是抗烧伤感染的主要任务。

关 键 词:烧伤  感染细菌  调查分析  细菌培养  药物敏感性

The Analysis of 267 Bacteria from Burn Infection
ZHANG CHUN-XING,ZHOU YUE-PINGDEPARTMENT OF THE BURN SURGERY,HUMEN HOSPITAL,DONGGUAN CITY,GUANGDONG PROVINCE.The Analysis of 267 Bacteria from Burn Infection[J].Lingnan Journal of Emergency Medicine,2004,9(4):262-264.
Authors:ZHANG CHUN-XING  ZHOU YUE-PINGDEPARTMENT OF THE BURN SURGERY  HUMEN HOSPITAL  DONGGUAN CITY  GUANGDONG PROVINCE
Institution:ZHANG CHUN-XING,ZHOU YUE-PINGDEPARTMENT OF THE BURN SURGERY,HUMEN HOSPITAL,DONGGUAN CITY,GUANGDONG PROVINCE,523902
Abstract:OBJECTIVE:TO SURVEY THE CHANGES OF BACTERIAL FLORA BURN AND ANTIBIOTIC RESISTANCE OF THE ISOLATED BACTERIA. IN ORDER TO GUIDE THE CHOICE OF ANTIBIOTICS IN PRACTICE. METHODS:TO COLLECT THE SECRETION FROM BURN WOUNDS AND BLOOD AND SPUTUM AND INTRAVENOUS INJECTIVE PIPES WERE SENT TO CULTURE. RESULTS:267 STRAINS OF BACTERIA WERE ISOLATED. THE POSITIVE RATE OF P. AERUGINOSA AND S. AUREUS OCCUPIED THE FIRST POSITION(83.14%). P. AERUGINOSA WERE THE MOST SENSITIVE TO IMIPENEM, CEFOPERAZONE/SULBACTAM AND POLYMYCIN B, FOLLOWED BY AZTRENAM. S. AUREUS WERE THE MOST SENSITIVE TO VANCOMYCIN. FOLLOWED BY FURADANTIN AND RIFAMPICINUM. ALL OF PENICILLINS AND CEPHAL OSPORINS WERE RESISTANT. CONCLUSION: IT IS THE MOST IMPORTANT FOR BURN PATIENT TO TREAT THE INFECTION OF P. AERUGINOSA AND S. AUREUS.
Keywords:BURN  BACTERIA  SENSITIVE
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