CAJ | 학술논문

目的：了解烧伤患者感染病原菌的常见种类及其对常用抗菌药物的耐药性，为临床合理选用抗菌药物提供依据。方法回顾性分析2012年1月至2014年12月140例烧伤患者创面分泌物分离培养病原菌的分布及药敏结果。结果共分离病原菌152株，其中革兰阴性菌占59．2％，以铜绿假单胞菌、奇异变形杆菌及鲍曼不动杆菌为主；革兰阳性菌占34．2％，以金黄色葡萄球菌、溶血葡萄球菌及粪肠球菌为主；真菌占6．6％。药敏结果显示，分离的病原菌绝大多数呈多重耐药。结论对烧伤患者进行病原菌培养、鉴定及相应的药敏分析有助于指导临床合理使用抗菌药物，有效控制感染。
목적：료해소상환자감염병원균적상견충류급기대상용항균약물적내약성，위림상합리선용항균약물제공의거。방법회고성분석2012년1월지2014년12월140례소상환자창면분비물분리배양병원균적분포급약민결과。결과공분리병원균152주，기중혁란음성균점59．2％，이동록가단포균、기이변형간균급포만불동간균위주；혁란양성균점34．2％，이금황색포도구균、용혈포도구균급분장구균위주；진균점6．6％。약민결과현시，분리적병원균절대다수정다중내약。결론대소상환자진행병원균배양、감정급상응적약민분석유조우지도림상합리사용항균약물，유효공제감염。
Objective To investigate the frequent species of pathogenic bacteria causing infections in burn patients and their re‐sistance to commonly used antibacterial agents ,so as to provide references for rational use of antibacterials in clinic .Methods The distribution and drug susceptibility of pathogenic bacteria isolated from secretions of wound surfaces of 140 cases of burn patients from January 2012 to December 2014 were retrospectively analyzed .Results A total of 152 strains of pathogenic bacteria were iso‐lated .The gram‐negative bacteria accounted for 59 .2% ,in which Pseudomonas aeruginosa ,Proteus mirabilis and Acinetobacter bau‐mannii were the most common isolates ;the gram‐positive bacteria accounted for 34 .2% ,in which Staphylococcus aures ,Staphylo‐coccus haemolyticus and Enterococcus faecalis were the most common isolates ;and fungi were accounted for 6 .6% .A majority of these isolates were multiple resistant to the antibacterial agents .Conclusion Culturing ,identifing and carring out drug‐sensitivity test of pathogenic bacteria isolated from burn patients could provide basis for rational application of antibacterial agents and effec‐tive control of infection .