2015—2019年某医院烧伤病房危重烧伤创面微生物培养分析  

Analysis of wounds microbial culture in severe burn patients from 2015 to 2019

作　　者：郑杨[1] 胡泉[1] 迟云飞 李峰[1] 尹会男[1] 张勤学 陈鑫[1] Zheng Yang;Hu Quan;Chi Yunfei;Li Feng;Yin Huinan;Zhang Qinxue;Chen Xin(Burns Institute,Fourth Medical Center of PLA General Hospital,Beijing 100037,China)

机构地区：[1]解放军总医院第四医学中心烧伤整形医学部,北京100037

出　　处：《中国医刊》2021年第6期616-619,共4页Chinese Journal of Medicine

基　　金：解放军总医院大数据项目(2019MBD-054)。

摘　　要：目的研究2015—2019年解放军总医院第四医学中心烧伤整形医学部危重烧伤患者创面微生物年份变化趋势,以指导危重烧伤患者的抗感染治疗。方法收集2015年1月至2019年12月解放军总医院第四医学中心收治的烧伤面积≥50%体表总面积的83例危重烧伤患者临床资料,统计创面微生物培养情况。结果 83例患者共分离出微生物2235株,其中革兰氏阴性菌占71.94%(1608株),以铜绿假单胞菌、肺炎克雷伯菌及鲍曼不动杆菌为主要优势菌。铜绿假单胞菌、肺炎克雷伯菌、鲍曼不动杆菌、金黄色葡萄球菌检出菌株数分别居第1~4位。铜绿假单胞菌为烧伤病房的常见病原菌,肺炎克雷伯菌检出率呈急剧上升趋势,鲍曼不动杆菌检出率呈逐渐下降趋势,金黄色葡萄球菌检出率趋于下降,真菌检出率有所上升。结论 2015—2019年烧伤病房危重烧伤患者创面微生物中以铜绿假单胞菌及肺炎克雷伯菌为主,需要重点防治。Objective To investigate annual changes of wounds microbial culture in severe burn patients.Method Aretrospective analysis was conducted to 2235 sputum pathogenisolates results from severe burn,which submitted by burnde partment between 2015 and 2019 year.Result Gram-negative(G-)bacillioccupied for 71.94%.Pseudomonas aeruginosa,Acinetobacter baumannii,Klebsiella pneumoniae and Staphylococcus aureus were the main microbes.Pseudomonas aeruginosa was still a common pathogen in burn care unit.While the detection rate of Klebsiella pneumoniae increased sharply,and the Acinetobacter baumannii decreased.The detection rate of Staphylococcus aureus decreased too.The fungus detection rate has increased.Conclusion In recent 5 years,pseudomonas aeruginosa and Klebsiella pneumoniae are still the most importantwound microorganisms in severe burn patients,which need to be focused on prevention and treatment.

关 键 词：烧伤 感染 细菌培养 

分 类 号：R644[医药卫生—外科学] R446.5[医药卫生—临床医学]