摘要
本文将1980～1987年间创面培养菌1266株和血培养菌321株进行了比较。结果表明,革兰氏阴性秆菌明显多于革兰氏阳性杆菌;金黄色葡萄球菌和绿脓杆菌仍是主要菌种;变形杆菌比率有所下降;大肠杆菌和产气肠细菌的比率逐年增加,而对霉菌感染亦应重视。创面培养菌种比率与血培养菌种比率有大致平行关系。
1266 strains of bacteria and fungi from wound surface and 321 strains from blood specimens were compared from 1980 to 1987. The results showed that Gram-negative bacilli were obviously more than Grampositive cocci. Staphy. aureus and Ps. aeruginosa remained the most important agents of infective complications. E. coli and E. aerogenes increased', steadily and Proteus decreased gradually in burn infection. The ratios of various'species of bacteria from wound surface were roughly proportional to that from blood specimens. This paper suggests that prevention and treatment of infection caused by Staphy. aureus and Ps. aeruginosa are highly important, control of infection resulted from E. coli and E. aerogenes must be emtphasized, and A.cinetobaeter and Fungi infection must be further studied. The care of burned wounds is very important for prevention and treatment of septicemia. Factors resulting in change of germ flora are also discussed in this paper.
