大面积烧伤病人细菌感染及耐药性分析  

An Analysis of Bacterium Distribution and Resistance to Antibiotics in Severely Burned Patients

作　　者：陈建[1] 刘旭盛[1] 张雅萍[1] 黄跃生[1] 彭毅志[1] 彭代智[1] 颜洪[1] 黄贤惠[1] 

机构地区：[1]第三军医大学附属西南医院烧伤研究所

出　　处：《中国医师杂志》2003年第10期1356-1358,共3页Journal of Chinese Physician

摘　　要：目的　了解近年来我所烧伤感染常见细菌及其耐药性的变化。方法　收集病人各阶段创面分泌物进行细菌培养 ,药敏采用纸片扩散法 ,并与 1985～ 1988年段资料进行横向比较。结果　在烧伤感染常见菌中 ,G-杆菌仍多于G+ 球菌 ,G-杆菌中绿脓杆菌仍居首位 ,金黄色葡萄球菌仍是检出率最高的G+ 球菌。所分离出的各种菌株对常用抗生素的耐药性均逐年增加。结论　由于耐药性逐年增强 ,临床工作中一定要重视细菌学调查工作 ,采取综合措施 ,尽量延缓细菌耐药性的出现 。Objective To investigate the bacterial distribution and resistance to antibiotics of severely burned patients in our institute.Methods The bacteria culture of secretions from burn wounds was performed and bacterial susceptibility testing was carried out using Kirby-Bauer method.The correlation data were compared with those of years 1985～1998. Results gramnegative bacteria were still more than grampositive ones. Pseudomonas aeruginosa took the first place in gramnegative bacteria and staphylococcus aureus was the most often dectected grampositive bacteria. Almost all isolated bacteria had an increasing drug resistance to frequently used antibiotics. Conclusions More efforts should be put on to the regular bacteriological surveys and antibiotics usage to postpone the occurrence of drug resistance of bacteria and lengthen the effective period of antibiotics.

关 键 词：烧伤 细菌 耐药性 

分 类 号：R644[医药卫生—外科学]