摘要
目的调查骨科患者感染细菌菌群分布情况,为治疗骨科感染性疾病提供参考。方法收集2005年6月～2007年6月在本科住院患者感染伤口取500份分泌物标本行细菌培养,总结分析感染菌株分布情况。结果送检的500份标本中,培养出细菌248株,其中G＋占43.5%,以金黄色葡萄球菌居首位（占12.9%）;G-杆菌占52.0%,其中铜绿假单孢菌居首（占10.5%）。感染细菌所占比例由高到低排列分别为：金黄色葡萄球菌12.9%,G-肠球菌12.5%,铜绿假单孢菌10.5%,凝固酶阴性葡萄球菌和阴沟肠杆菌各占9.3%,鲍曼氏不动杆菌8.5%,大肠埃希菌6.9%。结论骨科感染病原菌以G-菌占多数,且有上升趋势,临床应严格监测感染细菌菌群变化,合理使用抗生素。
Objective to investigate the pathogenic bacteria in orthopedics infection patients, in order to guide treatment of infection disease further. Methods 500 secretions and pus samples from orthopedic inpatient were cultured aerobically. Results 248 pathogenic strains were detected,and 43.5 % of them were Gram-positive bacteria, among which staphylococcus aureus account for 12.9%,Enterococcus faecalis account for 12.5%;52.0% are Gram-negative bacteria,among which pseudomonas aeruginosa take 10. 5% ,the infection rates from high to low were staphylococcus（ 12.9% ）, Enterococcus faecalis （ 12.5% ）, verdigris pseudomonas （ 10.5% ）, plasma-coagulase negative staphylococcus （ 9.3% ）, escherichia coli （ 9.3 % ） and bowman＇s amotile bacillus （ 8.5%）. Conclusion Gram-negative bacilli dominate the pathogenic bacteria in orthopedics patients and it tends to increase; Incidence of infections by Gram-positive cocci is lower. The changes of pathogenic bacteria could be pay much attention to in clinical, so as to cure infection disease in orthopedics.
出处
《实用临床医学（江西）》
CAS
2008年第2期40-41,44,共3页
Practical Clinical Medicine
关键词
骨科
感染
病原菌
orthopedic
infection
pathogenic bacterium
