摘要
目的了解山区县级医院外科手术感染病原菌的耐药状况,为临床医师抗感染治疗提供科学依据。方法采集外科感染的伤口分泌物进行细菌培养;培养与鉴定严格按照《全国临床检验操作规程》,采用常规方法进行;药敏试验采用K-B法,结果按美国临床实验室标准化研究所(CLSI)2008-2009年规则进行评价。结果 166株病原菌中分离率第1位的是铜绿假单胞菌,占25.9%;第2位是金黄色葡萄球菌,占23.5%;第3位是大肠埃希菌,占18.7%;外科感染病原菌对常用抗菌药物产生了一定的耐药性。结论山区县级医院也应采取有效的医院感染管理措施,预防与控制外科医院感染。
OBJECTIVE To study the drug resistance status of pathogens causing surgical site infection in mountain area hospital and provide the scientific evidence for clinical antinfective treatment. METHODS The secretion from infected wounds was cultured to identify pathogens by the routine methods according to National Guide to Clinical Laboratory Procedures. The drug sensitivity testing was performed by K-B methods. The sensitivity testing results were read in accordance to CLSI 2008-2009. RESULTS Among 166 pathogens in surgical infection, the top of the isolating rate was Pseudomonas aeruginosa （25.9 ~）, followed by S. aureus （23.5 %） and Escherichia coli （18.7%）. The drug sensitivity showed that pathogens in surgical injection were resistant to commonly used antibiotics to some degree. CONCLUSION The effective measures should be taken to prevent and control nosocomial infections in mountain area hospitals.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2011年第5期996-997,共2页
Chinese Journal of Nosocomiology
关键词
山区县级医院
外科
医院感染
病原菌
耐药性
Mountain area hospital
Surgery
Nosocomial infections
Pathogens
Drug resistance
