摘要
目的了解普通外科病房的病原菌分布和耐药谱,指导临床合理应用抗生素。方法对2007-07～2009-07普通外科病房腹腔感染、切口感染及创面感染病原菌的菌群分布、耐药性进行分析。结果革兰阴性杆菌是引起腹腔感染、切口感染及创面感染的主要病原菌,占72.7%,以大肠杆菌占优势,占41.3%;其次为金黄色葡萄球菌和肠杆菌,分别占9.1%和7.7%。革兰氏阴性杆菌对美洛培南耐药率低,而对氨苄西林和庆大霉素耐药率高;革兰氏阳性菌对万古霉素耐药率低,而对克林霉素和复方新诺明耐药率较高。结论普通外科病房为医院感染性疾病多见科室,加强对感染性疾病的监控以及合理应用抗菌药物具有重要临床意义。
Objective To investigate the distribution and drug resistance spectrum of pathogens in general surgical wards so as to guide clinical rational administration. Methods The distribution and drug resistance of pathogens of abdominal infection, incision infection and wound infection in general surgical wards from July 2007 to July 2009 were retrospectively analyzed. Results Gram-negative bacilli were main pathogens in abdominal infection, incision infection and wound infection,accounted for 72.7% ;of which escherichia coli accounted for 41.3%. And next was staphylococcus aureus and enterobacter, accounted for 9. 1%, 7.7%, respectively. The resistance rate of gramnegative bacilli to mempenem was low,while the resistance rate to ampicillin and gentamicin was high. The resistance rate of gram-positive bacteria to vancomycin was low, while the resistance rate to clindamycin and compaund sinomin was high. Conclusion The hospital infection diseases are more common in general surgical wards, therefore, strengthening medical momtoring of infection diseases and rationally using antimicrobial agents have important clinical significance.
出处
《中国临床新医学》
2010年第2期186-188,共3页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
关键词
普通外科
病原菌
耐药性
General surgery
Pathogens
Drug resistance
