急诊腹部手术切口感染的病原菌分布及耐药分析  

Distribution of pathogens causing emergency abdominal surgical incision infections and the analysis of antimicrobial resistance

作　　者：严富国[1] 杨红江[1] 

机构地区：[1]新昌县人民医院,浙江新昌312500

出　　处：《中国卫生检验杂志》2015年第17期2994-2996,共3页Chinese Journal of Health Laboratory Technology

摘　　要：目的分析急诊腹部手术切口感染的病原菌分布及耐药情况,为临床上预防和控制切口感染提供科学依据。方法回顾性分析本院2012年1月-2014年10月共208例急诊腹部手术切口感染患者的临床资料。结果 224份送检标本中有159份检出病原菌,阳性率为71.0%,共检出菌株168株(9份为2种病原菌混合感染);检出的主要病原菌居前4位分别为大肠埃希菌(26.2%)、金黄色葡萄球菌(22.6%)、铜绿假单胞菌(19.0%)、肺炎克雷伯菌(11.9%),其中产超广谱β-内酰胺酶(ESBLs)菌51株(44.7%),耐甲氧西林金黄色葡萄球菌(MRSA)12株(31.6%)。结论医务人员应采取积极措施,有效预防与控制腹部切口感染。Objective To study the distribution and antimicrobial resistance of pathogens causing emergency abdominal surgical incision infections,so as to provide scientific evidence for the clinical prevention and control of it. Methods The clinical data which came from a total of 208 patients with emergency abdominal surgical incision infections was analyed retrospectively in the hospital from January 2012 to October 2014. Results 168 strains of pathogens were tested from 159 specimens out of 224 sent specimens with the positive rate of 71. 0%,of which two kinds of pathogens were detected in 9 specimens. The top 4 species were Escherichia coli,Staphylococcus aureus,Pseudomonas aeruginosa and Klebsiella pneumoniae,accounting for 26. 2%,22. 6%,19. 0%,11. 9%,respectively,including 51 strains of ESBLs,accounting for 44. 7%,12 strains of MRSA,accounting for 31. 6% in Staphylococcus aureus. Conclusion Medical staff should take some active measures to prevent and control effectively abdominal surgical incision infections.

关 键 词：腹部手术 切口感染 病原菌 分布 耐药性 

分 类 号：R619.3[医药卫生—外科学]