摘要
目的探讨开放性骨折创口感染的预防和治疗措施。方法回顾性分析2005年1月～2008年12月,开放性骨折的清创时机、全身炎症反应综合征(SIRS)持续时间和抗菌药物应用与创口感染特点。结果267例中有279例次开放性骨折创口,感染49例次,感染率17.56%,创口感染随清创时机延后而增加,SIRS消失前后停用抗菌药物的创口感染率分别为25.58%和13.99%,铜绿假单胞菌(22.58%)、鲍氏不动杆菌(19.35%)、金黄色葡萄球菌(12.90%)、大肠埃希菌(9.68%)是创口感染常见病原菌。结论严格清创、及时送检、合理使用抗菌药物是预防和治疗开放性骨折感染的重要措施。
OBJECTIVE To survey the strategy of prevention and treatment of open fracture wound infection.METHODS The wound debridement,the systemic inflammatory response syndrome（SIRS）,the antibiotics application and the wound infection feature were retrospectively reviewed from Jan 2005 to Dec 2008.RESULTS The wound infection rate of 267 patients with 279 open fractures wound was 17.20%.The infection rate was increased with wound debridement postponed.The wound infection rate of before and after SIRS disappeared rate was 25.58% and 13.99%,respectively.The main pathoges were Pseudomonas aeruginosa（22.58%）,Acinetobacter baumannii（19.35%）,Staphylococcus aureus（12.90）,and Escherechia coli（9.68%）.CONCLUSIONS It is important that the wound debridement,the times sampling and detecting and the rational use of antibiotics in prevention and treatment of open fracture wound infection.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2010年第6期775-777,共3页
Chinese Journal of Nosocomiology
关键词
开放性骨折
创口感染
措施
Open fracture
Wound infections
Measure ment
