109例汶川地震伤儿童创面或伤口感染及治疗情况分析
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摘要
目的分析汶川地震该院收治儿童细菌感染及耐药性情况,评价地震伤儿童治疗方法及效果。方法回顾性分析该院收治汶川地震伤儿童创面或伤口细菌感染特点及地震骨创伤儿童治疗方法和治疗效果。结果收治病例阳性病原菌检出率64.22%(70/109),以鲍曼不动杆菌、铜绿假单胞菌等为主。收治病例无1例继发感染、无死亡病例。骨折病例均痊愈出院。结论地震伤儿童创面感染以革兰阴性条件致病菌为主,对多种抗生素明显耐药。地震后骨创伤儿童反复彻底清创是治疗关键,辅以适当骨折固定材料,能提高患儿疾病治愈率。
Objective To analyse the condition of bacteria infection and drug resistance of the patients in wenchuan earthquake.To evaluate the treatment methods and results for earthquake injuried children in our hospital.Methods Retrospective analysis characteristics of the wound bacterial infection as well as treatment methods and results for bone traumatized children during the earthquake in our hospital.Results The positive rate of detected bacteria was 64.22 percent(70/109).The main positive bacteria include the acinetobacter baumannii.There is no death and secondary infection cases.The patients with bone fracture were cured.Conclusion The gram-negative opportunistic pathogen dominate over the wound surface infection of injuried children.The detection of pathogens has obvious drug resistance to antibiotics.Repeated debridement is the key treatment for bone traumatized children after the earthquake.With appropriate fracture fixation materials may enhance the cure rate of childhood illness.
Objective To analyse the condition of bacteria infection and drug resistance of the patients in wenchuan earthquake.To evaluate the treatment methods and results for earthquake injuried children in our hospital.Methods Retrospective analysis characteristics of the wound bacterial infection as well as treatment methods and results for bone traumatized children during the earthquake in our hospital.Results The positive rate of detected bacteria was 64.22 percent(70/109).The main positive bacteria include the acinetobacter baumannii.There is no death and secondary infection cases.The patients with bone fracture were cured.Conclusion The gram-negative opportunistic pathogen dominate over the wound surface infection of injuried children.The detection of pathogens has obvious drug resistance to antibiotics.Repeated debridement is the key treatment for bone traumatized children after the earthquake.With appropriate fracture fixation materials may enhance the cure rate of childhood illness.
引文
[1]王正国.地震灾害的特点及其所致创伤的救治[J].中华创伤杂志,2008,24(6):401.
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[4]裘莉佩,潘登,徐炜烽,等.鲍曼不动杆菌碳青霉烯酶基因型及分子流行病学研究[J].中华流行病学杂志,2007,28(4):381.
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[8]王素梅,吕火祥,胡庆丰,等.阴沟肠杆菌临床分离与耐药性的6年监测[J].中国微生态学杂志,2007,19(2):196.
[9]王昆,张扣兴,颜玲,等.地震后四肢开放伤口的治疗策略[J].中山医科大学学报:医学科学版,2008,29(5):504.
[2]王正国.灾难医学[J].重庆医学,2009,38(22):2777.
[3]单亮,李连第,王景峰,等.神经重症监护病房医院感染分析及耐药性监测[J].中华医院感染学杂志,2008,18(4):560.
[4]裘莉佩,潘登,徐炜烽,等.鲍曼不动杆菌碳青霉烯酶基因型及分子流行病学研究[J].中华流行病学杂志,2007,28(4):381.
[5]Hua ZH,Ti m CR.Pseudomonas aeruginosa Quorum-Sensing Signal Molecules Induce IL-8 Production by Hu-man Corneal Epithelial Cells[J].Eye&Contact Lens,2008,34(3):179.
[6]张莉滟,侯铁英,王嬿,等.医院感染的耐亚胺培南铜绿假单胞菌临床流行特点[J].重庆医学,2009,38(14):1777.
[7]Dejana S,Douglas R,Dodson,et al.Enterobacter cloacaebloodstreaminfections in pediatric patients traced to hos-pital pharmacy[J].Am Health-Syst Pharm,2003,60(15):1440.
[8]王素梅,吕火祥,胡庆丰,等.阴沟肠杆菌临床分离与耐药性的6年监测[J].中国微生态学杂志,2007,19(2):196.
[9]王昆,张扣兴,颜玲,等.地震后四肢开放伤口的治疗策略[J].中山医科大学学报:医学科学版,2008,29(5):504.
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