CAJ | 학술논문

目的：调查口腔颌面部间隙感染中厌氧菌培养与药敏试验的必要性。方法采集2010年7月至2013年9月门诊、住院口腔颌面部间隙感染患者的脓汁标本256份，进行厌氧菌的培养及体外药敏试验。结果256份标本中184份厌氧菌培养阳性，248株厌氧菌，阳性率为71．9％；以普雷沃菌、拟杆菌属、梭杆菌属、消化性链球菌居多。在药敏试验中，以甲硝唑的敏感性最高，克林霉素次之。结论口腔颌面部感染，进行厌氧菌培养鉴定与药敏试验很有必要，在培养结果报告之前抗厌氧菌治疗应首选甲硝唑、克林霉素。
목적：조사구강합면부간극감염중염양균배양여약민시험적필요성。방법채집2010년7월지2013년9월문진、주원구강합면부간극감염환자적농즙표본256빈，진행염양균적배양급체외약민시험。결과256빈표본중184빈염양균배양양성，248주염양균，양성솔위71．9％；이보뢰옥균、의간균속、사간균속、소화성련구균거다。재약민시험중，이갑초서적민감성최고，극림매소차지。결론구강합면부감염，진행염양균배양감정여약민시험흔유필요，재배양결과보고지전항염양균치료응수선갑초서、극림매소。
Objective To study the clinical value of anaerobic culture and antibiotic susceptibility tests on di-agnosis and treatment of maxillofacial space infection.Methods Analysis on the distribution and antibiotic suscepti-bility tests of pathogenic bacteria separated from 256 clinical abscess samples from Jul.2010 to Sep.2013.Results A total of 184 anaerobic bacteria samples were recovered from 256 abscess samples and the positive recovery rate was 71.90%.248 strains were separated,which were mainly Prevotella,Bacteroides,Fusobacterium.During antibiotic sus-ceptibility tests Metronidazole was the most sensitive,and Clindamycin less.Conclusion It is important to apply an-aerobic culture and antibiotic susceptibility tests to provide suitable clinical medication to maxillofacial space infec-tion.Metronidazole and Clindamycin should mainly be used for the treatment of anaerobic bacteria infection before the tests results were obtained.