国际流行病学传染病学杂志
國際流行病學傳染病學雜誌
국제류행병학전염병학잡지
INTERNATIONAL JOURNAL OF EPIDEMIOLOGY AND INFECTIOUS DISEASE
2012年
1期
32-34
,共3页
沈群峰%赵风景%唐彩娟%董恒进
瀋群峰%趙風景%唐綵娟%董恆進
침군봉%조풍경%당채연%동항진
细菌%手外伤%微生物敏感性试验
細菌%手外傷%微生物敏感性試驗
세균%수외상%미생물민감성시험
Bacteria%Acute hand injuries%Microbial sensitivity tests
目的 了解急诊手外伤患者创面分离菌的菌群分布及细菌的耐药情况.方法 对2008年6月至2011年6月杭州整形医院收治的521例手外伤患者创面样本进行常规细菌培养及药敏试验.结果 521例样本中分离出细菌99株,其中革兰阳性球菌77株(77.8％),革兰阴性杆菌22株(22.2％).革兰阳性球菌中以金黄色葡萄球菌(37株)最多见,其次是表皮葡萄球菌(22株)；革兰阴性杆菌中以铜绿假单胞菌(13株)最多见,大肠埃希菌次之(5株).革兰阳性球菌对克林霉素的耐药率为26.0％,对苯唑西林的耐药率为39.0％,对万古霉素、呋喃妥因及利奈唑烷的耐药率为0；革兰阴性杆菌对环丙沙星的耐药率为9.1％,对头孢噻肟的耐药率为13.6％,对亚胺培南、美罗培南的耐药率为0.结论 急诊手外伤患者创面以革兰阳性球菌为主.革兰阳性球菌对万古霉素、呋喃妥因及利奈唑烷尚不耐药.革兰阴性杆菌对碳青霉烯类抗菌药物敏感性最好.
目的 瞭解急診手外傷患者創麵分離菌的菌群分佈及細菌的耐藥情況.方法 對2008年6月至2011年6月杭州整形醫院收治的521例手外傷患者創麵樣本進行常規細菌培養及藥敏試驗.結果 521例樣本中分離齣細菌99株,其中革蘭暘性毬菌77株(77.8％),革蘭陰性桿菌22株(22.2％).革蘭暘性毬菌中以金黃色葡萄毬菌(37株)最多見,其次是錶皮葡萄毬菌(22株)；革蘭陰性桿菌中以銅綠假單胞菌(13株)最多見,大腸埃希菌次之(5株).革蘭暘性毬菌對剋林黴素的耐藥率為26.0％,對苯唑西林的耐藥率為39.0％,對萬古黴素、呋喃妥因及利奈唑烷的耐藥率為0；革蘭陰性桿菌對環丙沙星的耐藥率為9.1％,對頭孢噻肟的耐藥率為13.6％,對亞胺培南、美囉培南的耐藥率為0.結論 急診手外傷患者創麵以革蘭暘性毬菌為主.革蘭暘性毬菌對萬古黴素、呋喃妥因及利奈唑烷尚不耐藥.革蘭陰性桿菌對碳青黴烯類抗菌藥物敏感性最好.
목적 료해급진수외상환자창면분리균적균군분포급세균적내약정황.방법 대2008년6월지2011년6월항주정형의원수치적521례수외상환자창면양본진행상규세균배양급약민시험.결과 521례양본중분리출세균99주,기중혁란양성구균77주(77.8％),혁란음성간균22주(22.2％).혁란양성구균중이금황색포도구균(37주)최다견,기차시표피포도구균(22주)；혁란음성간균중이동록가단포균(13주)최다견,대장애희균차지(5주).혁란양성구균대극림매소적내약솔위26.0％,대분서서림적내약솔위39.0％,대만고매소、부남타인급리내서완적내약솔위0；혁란음성간균대배병사성적내약솔위9.1％,대두포새우적내약솔위13.6％,대아알배남、미라배남적내약솔위0.결론 급진수외상환자창면이혁란양성구균위주.혁란양성구균대만고매소、부남타인급리내서완상불내약.혁란음성간균대탄청매희류항균약물민감성최호.
Objective To understand bacterium distribution and drug resistance of the acute hand injuries.Methods The samples from 521 hand injury patients who were received in Hangzhou Plastic Surgery Hospital between June 2008 and June 2011 were taken germiculture and antibiotic susceptibility.Results A total of 99 strains of bacteria were isolated from 521 samples.There were 77 strains of gram-positive cocci (77.8％) and 22 strains of gram-negative bacilli(22.2％ ).There were 37 strains of Staphylococcus aureus and 22 strains of Staphylococcus epidermidis in grampositive cocci.In gram-negative bacilli,the most common pathogen was Pseudomonas aeruginosa( 13 strains),the next was Escherichia coli(5 strains).The resistance rate of gram-positive cocci to clindamycin and oxacillin was 26.0％ and 39.0％ separately,and the resistance rate to vancomycin,nitrofurantoin and linezolid was 0.The resistance rate of gramnegative bacilli resistant to ciprofloxacin and cefotaxime were 9.1％ and 13.6％.The resistance rate to imipenem,meropenem resistance rate was 0.Conclusions The main bacterium infection of acute hand injury patients was grampositive cocci.The vancomycin,nitrofurantoia and linezdid are still effective to gram-positive cocci.The carbapenem antibiotics have the best susceptibility to gram-negative bacilli.
