摘要
目的了解该地区社区获得性皮肤软组织感染的病原菌分布,以及主要致病菌对抗菌药物的敏感性特征。方法对57例门诊就诊的皮肤软组织感染患者的脓液或创面分泌物进行细菌培养和鉴定,对主要致病菌进行药物敏感性分析。结果从57例皮肤软组织感染患者的标本中检测出51株病原菌,葡萄球菌属是主要致病菌,该菌属仅对青霉素和红霉素表现有较高的耐药性,对常用抗生素的敏感性明显高于医院感染的葡萄球菌;未发现耐甲氧西林的金黄色葡萄球菌。结论该地区社区获得性皮肤软组织感染的主要病原菌为葡萄球菌,未发现耐甲氧西林的金黄色葡萄球菌流行。门诊治疗皮肤软组织感染的经验性用药可首选一代头孢菌素或喹诺酮类药物。
[Objective] To investigate pathogens causing skin soft-tissue infection and determine the major pathogens susceptibility to antimicrobial agents in the community. [Methods] The pus or wound secretion of 57 outpatients with skin and soft tissue infection was collected, bacteria culture was identified and the major pathogens susceptibility to antimicrobial agents was tested. [Results] 51 cases were positive in regard to bacteria culture of the samples from 57 patients. Staphylococcus was the majoy pathogenic bacterium, most of which were resistant to erythromycin and penicillin and which was more sensitive to most antimicrobial than hospital-acquired staphylococcus. MRSA was not be found. [Conclusion] Staphylococcus was the majoy pathogenic bacterium to skin soft-tissue infection in the community, the prevalence of MRSA was not been found. The first selection of antibiotics for treating skin and soft-tissue infections should be, according to the observations of this study, quinolones and the first generation of cephalosporin.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2007年第3期329-332,共4页
China Journal of Modern Medicine
关键词
社区获得性感染
皮肤软组织感染
葡萄球菌
敏感试验
community-associated infection
skin soft-tissue infection
staphylococcus
drug sensitive test
