摘要
目的 调查肾移植受者移植前后的菌群变化及其与临床感染的相关性，为临床护理提供依据。方法 随机选取１６９例尸体肾移植受者，检同其肾移植术前后体内菌群变化，观察术后切口感染率及各种细菌、真菌感染的发生率。结果（１）术前菌群按检出频率由高到低为：草绿色链球菌，卡他双球菌，大肠艾希杆菌，变形杆菌，肺炎克雷伯杆菌，嗜血流感杆菌、枸橼酸杆菌，铜绿假单胞杆菌、金黄色葡萄球菌、肺炎双球菌、白色念珠菌；（２）术后肺部感染菌群出现频率由高到低为：肺炎克雷伯杆菌、嗜血流感杆菌、大肠艾希杆菌、枸橼酸杆菌、阴沟杆菌、金黄色葡萄球菌、肺炎双球菌、肺炎链球菌、粪链球菌、肠球菌，真菌为念珠菌属、青霉菌、隐球菌及曲霉菌。结论 肾移植受者移植前后的菌谱组成有其特点，应根据此特点选择合适的抗生素及正确的护理措施，预防术后感染的发生。
Objective To investigate change of microbial flora before and after renal transplantation and the correlation between this change and clinical infection so as to provide evidence for clinical nursing. Methods 169 patients undergoing renal transplantation were selected randomly to ob-serve change of microbial flora before and after renal transplantation. Results (1)Before renal transplantation, the microbial flora in order of prevalence was: streptococcus viridans Branhamella catarrhalis,escherichia coli,proteus vulgaris,mirabilis,et al. (2)The post-operation population dur-ing infection (according to frequency) was Klelsiella pneumoniae, haemophilus influenzae, es-cherichia coli,citrobacter secies,bacillus cloacae,et al. Conclusion The spectrum of microbial flora before and after renal transplantation is characteristic and selection of antibiotics should be based on the characteristic spectrum with appropriate nursing measures so as to prevent occurrence of postoperative infection.
出处
《解放军护理杂志》
2001年第5期22-24,共3页
Nursing Journal of Chinese People's Liberation Army
