135例小儿腹腔细菌感染谱的分析  

Management of Intra-abdominal Infection in Children:a 135 Cases Report

作　　者：张弛[1] 王俊[1] 潘伟华[1] 余世耀[1] 励楚刚[1] 

机构地区：[1]上海交通大学医学院附属新华医院小儿外科,上海200092

出　　处：《中国临床医学》2006年第4期622-623,626,共3页Chinese Journal of Clinical Medicine

摘　　要：目的:分析儿童腹腔感染的细菌感染谱和治疗结果。方法:用纸片扩散法对分离的细菌进行药敏试验,并判断细菌耐药性,评价预后。结果:共分离得到致病菌158株,儿童腹腔感染以G菌为主,出现了超广谱β内酰胺酶(EASBLs)阳性菌,常用抗生素均出现耐药菌株。手术治疗仍是有效手段。结论:儿童腹腔感染的治疗需手术和抗生素治疗共同进行。抗生素治疗需注意耐药性。Objective：To study the patterns of bacteria in children with intra-abdominal infection, evaluate prognosis. Methods：The antibiotic sensitivity of bacteria isolated from patients with intra-abdominal infection was used to measure by diffusion test, and in resistance were analyzed according to NCCLS standard. Results：Totally, 158 pathogenic stains were collected. The predominant pathogenic bacteria in children with intra-abdominal infection were Gram-negative bacillus. The extended-spec- trum β-lactamases（ESBLs） appeared. The resistance of bacteria to the antibiotics was produced in various degrees. Conclusion： The management of intra-abdominal infection in children are combined with antibiotics and surgery.

关 键 词：腹腔感染 病原菌 儿童 

分 类 号：R645.2[医药卫生—外科学]