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创面感染病原菌分布及对常用抗菌药物敏感性分析

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目的:分析创面感染病原菌分布及对常用抗菌药物的敏感性,从而为创面感染的治疗选择更加安全高效的抗菌药物,保障治疗效果。方法:选择 2021 年 1 月—2022 年 12 月荆州市第三人民医院收治的 292 例创面感染患者纳入研究,应用Levin法采集患者的伤口分泌物,并将采集的标本转送至微生物室做分泌物培养+药敏试验,统计分析患者病原微生物分布及抗菌药物敏感性。结果:共培养出 236 株病原微生物,其中有 82 株革兰阳性菌,占总数 34。75%;150 株革兰阴性菌,占总数的 63。56%;念珠菌 4 株,占总数的 1。69%。药敏检测结果显示,金黄色葡萄球菌、表皮葡萄球菌对万古霉素、利奈唑胺、利福平的敏感性较高,对青霉素、红霉素、克林霉素的敏感性偏低。大肠埃希菌对亚胺培南、头孢吡肟、哌拉西林/他唑巴坦敏感性较高,对头孢曲松、左氧氟沙星、头孢他啶、庆大霉素的敏感性偏低;肺炎克雷伯菌对亚胺培南、头孢吡肟、阿米卡星敏感性较高,对头孢曲松、头孢他啶、庆大霉素的敏感性偏低;铜绿假单胞菌对亚胺培南、哌拉西林/他唑巴坦敏感性较高,对头孢曲松、头孢他啶、庆大霉素的敏感性偏低。结论:创面感染患者的病原菌种类较多,不同类型的抗生素对病原菌敏感性各不相同,临床应加强病原菌药敏试验,并根据具体情况可选择联合用药方式,以提升感染治疗效果。
Distribution of Pathogenic Bacteria in Wound Infection and Sensitivity Analysis to Common Antibacterial Drugs
Objective:To analyze the distribution of pathogens bacteria of wound infection and their sensitivity to common antibacterial drugs,therefore,more safe and efficient antibacterial drugs were selected for the treatment of wound infection to ensure the therapeutic effect.Method:A total of 292 patients with wound infection admitted to the Third People's Hospital of Jingzhou from January 2021 to December 2022 were included in the study.The wound secretions of patients were collected by Levin method,and the collected specimens were transferred to the microbiology room for secretions culture+drug sensitivity test,so as to statistically analyze the distribution of pathogenic microorganisms and antimicrobial susceptibility.Result:A total of 236 pathogenic microorganisms were cultured,of which 82 were Gram-positive,accounting for 34.75%,of which 150 Gram-negative strains,accounting for 63.56%of the total,and there were 4 strains of Candida,accounting for 1.69%of the total.The results of drug sensitivity test showed that Staphylococcus aureus and Staphylococcus epidermidis have the higher sensitivity to Vancomycin,Linezolid,and Rifampicin,while their sensitivity to Penicillin,Erythromycin,and Clindamycin was relatively low.Escherichia coli has the higher sensitivity to Imipenem,Cefepime,Piperacillin/Tazobactam,while its sensitivity to Ceftriaxone,Levofloxacin,Ceftazidime,and Gentamicin was relatively low.Klebsiella pneumoniae has the higher sensitivity to Imipenem,Cefepime,and Amikacin,while its sensitivity to Ceftriaxone,Ceftazidime,and Gentamicin was relatively low.Pseudomonas aeruginosa has the higher sensitivity to Imipenem,Piperacillin/Tazobactam,but lower sensitivity to Ceftriaxone,Ceftazidime,and Gentamicin.Conclusion:There are many kinds of pathogens in patients with wound infection,and different types of antibiotics have different sensitivity to pathogens.Clinical drug susceptibility tests of pathogens should be strengthened,and combined drug use can be selected according to specific conditions to improve the therapeutic effect of infection.

Wound infectionDistribution of pathogens bacteriaAntibacterial drugsSensitivity

黄洁、胡尧

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荆州市第三人民医院 湖北 荆州 434000

创面感染 病原菌分布 抗菌药物 敏感性

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(3)
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