中华生物医学工程杂志
中華生物醫學工程雜誌
중화생물의학공정잡지
CHINESE JOURNAL OF BIOMEDICAL ENGINEERING
2012年
4期
320-323
,共4页
外科手术%外科伤口感染%抗生素预防%病原菌
外科手術%外科傷口感染%抗生素預防%病原菌
외과수술%외과상구감염%항생소예방%병원균
Surgical procedures,operative%Surgical wound infection%Antibiotic prophylaxis Pathogen
目的 分析骨外科手术后切口感染的情况,为术后患者伤口感染预防及防治提供依据.方法 2009年1月至2011年12月,根据本院骨科住院手术患者伤口情况,留取骨科手术后切口感染的伤口分泌物并送微生物室进行检验,对其中病原菌的分布和耐药性进行相关因素分析.结果 病原微生物的感染与手术切口的分类有关,其中Ⅰ类切口的感染率低,而Ⅱ类和Ⅲ类切口的感染率高[ 5.9％( 14/237)比39.2％( 93/237)、54.8％(130/237),均P＜0.05].术后患者切口感染的阳性菌以金黄色葡萄球菌为主,阴性菌以大肠埃希菌为主.结论 骨外科手术患者切口感染原因多样,应注意提高患者免疫力.感染时应根据感染病原菌进行抗生素的个性化治疗.
目的 分析骨外科手術後切口感染的情況,為術後患者傷口感染預防及防治提供依據.方法 2009年1月至2011年12月,根據本院骨科住院手術患者傷口情況,留取骨科手術後切口感染的傷口分泌物併送微生物室進行檢驗,對其中病原菌的分佈和耐藥性進行相關因素分析.結果 病原微生物的感染與手術切口的分類有關,其中Ⅰ類切口的感染率低,而Ⅱ類和Ⅲ類切口的感染率高[ 5.9％( 14/237)比39.2％( 93/237)、54.8％(130/237),均P＜0.05].術後患者切口感染的暘性菌以金黃色葡萄毬菌為主,陰性菌以大腸埃希菌為主.結論 骨外科手術患者切口感染原因多樣,應註意提高患者免疫力.感染時應根據感染病原菌進行抗生素的箇性化治療.
목적 분석골외과수술후절구감염적정황,위술후환자상구감염예방급방치제공의거.방법 2009년1월지2011년12월,근거본원골과주원수술환자상구정황,류취골과수술후절구감염적상구분비물병송미생물실진행검험,대기중병원균적분포화내약성진행상관인소분석.결과 병원미생물적감염여수술절구적분류유관,기중Ⅰ류절구적감염솔저,이Ⅱ류화Ⅲ류절구적감염솔고[ 5.9％( 14/237)비39.2％( 93/237)、54.8％(130/237),균P＜0.05].술후환자절구감염적양성균이금황색포도구균위주,음성균이대장애희균위주.결론 골외과수술환자절구감염원인다양,응주의제고환자면역력.감염시응근거감염병원균진행항생소적개성화치료.
Objective To analyze the wound infection after orthopedic surgery and to provide the evidence to prevent and treat the wound infection for post-operative patients.Methods Between January 2009 and December 2011,the secretion of wound infection after orthopedic surgery was collected and sent to moicrobiology lab for detection according to the wound conditions of patients in Department of orthopedics of our hospital.Associated factors analysis of the distribution and drug-resistance of pathogens was performed.Results The infection of pathogenic microorganisms was associated with the classification of surgical wound.The infection rate of class Ⅰ wound was low,while the infection rates of classes Ⅱ and Ⅲ wounds were relatively higher [5.9 (14/237) vs 39.2％ (93/237),54.8％ (130/237),both P＜0.05].In the wound infection after surgery,the gram-positive bacteria was mainly Staphylococcus aureus and the gram-negative bacteria mainly E.coli.Conclusions There are various factors to cause wound infection after orthopedic surgery.Thus,great attentions should be paid to improve the immunity of patients.Furthermore,the individual treatment of antibiotics should be performed according to pathogenic bacteria.
