剖宫产术后手术切口感染病原菌的耐药性及防治措施

目的 了解医院妇产科剖宫产术后手术切口感染病原菌的分布及耐药性,为预防与控制手术切口感染提供依据,并制定防治措施.方法 病原菌培养和鉴定按照《全国临床检验操作规程》进行；药敏试验采用K-B法进行.结果共检出108株病原菌,其中大肠埃希菌占29.6％、铜绿假单胞菌占20.4％、金黄色葡萄球菌占18.5％；病原菌对常用抗菌药物均产生了较严重的耐药性,耐甲氧西林金黄色葡萄球菌(MRSA)检出率为45.0％；耐亚胺培南铜绿假单胞菌检出率为9.1％.结论 剖宫产术后手术切口感染病原菌的耐药性呈上升趋势,应采取措施遏制细菌耐药性增长.

Drug resistance of pathogens causing surgical incision infections after cesarean section and prevention measures

OBJECTIVE To understand the distribution and antimicrobial resistance of pathogens causing surgical incision infection after cesarean section so as to provide the reference for prevention and control and take prevention measures.METHODS Pathogenic bacteria were cultured and identified according to the National Guide to Clinical Laboratory Procedures.Drug susceptibility test was performed by K-B methods.RESULTS Among 108 strains of pathogens,Escherichia coli(29.6%),Pseudomonas aeruginosa(20.4%) and Staphylococcus aureus(18.5%) were the main pathogens.Pathogens had been more seriously resistant to common antibiotics;the detection rate of methicillin-resistant S.aureus(MRSA) was 45.0%;the detection rate of imipenem-resistant P.aeruginosa was 9.1%.CONCLUSION The antimicrobial resistance of pathogens causing incision infection is increasing,and effective measures should be taken to restrain the increasing tendency.