慢性鼻窦炎的细菌感染监测分析与护理干预  

Monitoring of bacterial infections in chronic rhinosinusitis patients and the nursing interventions

作　　者：李春玲[1] 李俊义[1] 

机构地区：[1]莱芜市人民医院医院感染管理科,山东莱芜271100

出　　处：《中华医院感染学杂志》2013年第12期2902-2903,共2页Chinese Journal of Nosocomiology

基　　金：国家自然科学基金(81170895)

摘　　要：目的研究慢性鼻窦炎的细菌分布及其对常用抗菌药物的敏感性,以达到指导临床术后用药的目的,并探索有效护理干预方法。方法将120例慢性鼻窦炎患者鼻内镜手术中取出的上颌窦或筛窦内分泌物行细菌培养和药物敏感试验并进行疗效观察、总结护理经验。结果共分离出83株病原菌,培养阳性率为69.18%,以金黄色葡萄球菌、表皮葡萄球菌、流感嗜血菌多见,分别占37.35%、20.48%、16.87%;分离菌株对头孢西丁的敏感度最高,为91.57%,其次为头孢哌酮、头孢唑林,分别为80.72%、65.06%,青霉素敏感率最低,为15.66%,治疗护理效果满意。结论慢性鼻窦炎患者的抗菌药物合理应用选择,应建立在病原菌检测及药敏试验的基础上,积极有效地护理干预,有利于患者的康复。OBJECTIVE To explore the distribution of bacteria isolated from purulent secreta of the chronic sinusitis patients and analyze the drug susceptibility to commonly used antibiotics so as to guide the clinical postoperative use of antibiotics and to explore effective nursing interventions. METHODS A total of 120 patients with chronic rhinosinusitis were enrolled in the study, then the bacterial culture was performed for the secreta obtained from the maxillary sinus or ethmoid sinuses, the drug susceptibility testing was performed, finally, the effect was observed, and the nursing experience was summarized. RESULTS Totally 83 strains of pathogens were isolated with the positive rate of bacterial culture of 69. 18~, among which the Staphylococcus aureus, Staphylococcus epidermidis, Haemophilus in fluenzae , Klebsiella pneumoniae , and Staphylococcus haemolyticus were dominant, accounting for 37.35%, 20.48%, and 16.87%, respectively. The antimicrobial susceptibility testing demonstrated that the isolated bacterial strains were most sensitive to cefoxitin （91.57%）, followed by cefopera- zone （80. 72%） and cephazoline （65. 06%）, and that the drug susceptibility rate to penicillin was the lowest （15.66%）; the effect of the nursing was satisfying. CONCLUSION For the patients with chronic sinusitis, it is necessary to reasonably use antibiotics based on the detection of pathogens and the drug susceptibility testing, and the effective nursing interventions are conducive to the rehabilitation of patients.

关 键 词：慢性鼻窦炎 鼻内镜手术 细菌培养 药物敏感性 护理 

分 类 号：R181.32[医药卫生—流行病学]