汶川地震受伤患者伤口病原菌污染调查分析
|
摘要
目的了解地震受伤患者开放性伤口细菌污染情况及药敏,为临床治疗提供依据。方法对受伤患者开放性伤口进行连续3次采样细菌培养及药敏试验,操作方法按实用医院感染监测方法技术进行。结果采集分泌物样本66份,培养阳性41份,阳性率62.12%,第1天样本阳性率明显高于第5天,其中革兰阳性菌28株,占68.29%;革兰阴性菌11株,占26.83%;真菌2株,占4.88%。结论由于受伤环境不同,病原菌以葡萄球菌属为主,耐药率不高,伤口经彻底消毒清创,根据药敏合理用药,感染得到有效控制,未出现严重感染。
OBJECTIVE To understand the pathogenic infection of the opening cut and its medicine sensitivity,thus provide the evidence for clinic therapy.METHODS We collect swatch from the wounded three times sequentially for bacterial culture and drug sensitivity test.Manipulation manipulated by the technical method of hospital infection monitoring.RESULTS 66 secretion swatches were collected,and forty-one were positive,with a proportion of 62.12%.The positivity rate of the first day was higher that the fifth day obviously,and the number of G+ bacterium was twenty-eight(68.29%),G-bacterium was eleven(26.83%),epiphyte was two(4.88%).CONCLUSIONS Due to different environment,a majority of pathogenic bacteria is staphylococci which has low drug resistance.After disinfecting the wounds and to be cured properly,infection is under control with no serious infection.
OBJECTIVE To understand the pathogenic infection of the opening cut and its medicine sensitivity,thus provide the evidence for clinic therapy.METHODS We collect swatch from the wounded three times sequentially for bacterial culture and drug sensitivity test.Manipulation manipulated by the technical method of hospital infection monitoring.RESULTS 66 secretion swatches were collected,and forty-one were positive,with a proportion of 62.12%.The positivity rate of the first day was higher that the fifth day obviously,and the number of G+ bacterium was twenty-eight(68.29%),G-bacterium was eleven(26.83%),epiphyte was two(4.88%).CONCLUSIONS Due to different environment,a majority of pathogenic bacteria is staphylococci which has low drug resistance.After disinfecting the wounds and to be cured properly,infection is under control with no serious infection.
引文
[1]胡必杰,陶黎黎.地震灾害伤员的常见感染类型和预治对策[J].中华医院感染学杂志,2008,18(6):Ⅰ-Ⅲ.
[2]王克荣,刘维丽,石秀玲.开放性损伤细菌污染调查[J].中华医院感染学杂志,2008,18(8):1095.
[3]陈先云,陈蜀岚,刘华.地震受伤患者病原菌感染临床分析及对策[J].中华医院感染学杂志,2009,19(12):1599-1560.
[4]董玉梅,靳桂明,吴江平,等.地震创伤性感染病原菌状况分析[J].中华医院感染学杂志,2009,19(13):1757-1759.
[2]王克荣,刘维丽,石秀玲.开放性损伤细菌污染调查[J].中华医院感染学杂志,2008,18(8):1095.
[3]陈先云,陈蜀岚,刘华.地震受伤患者病原菌感染临床分析及对策[J].中华医院感染学杂志,2009,19(12):1599-1560.
[4]董玉梅,靳桂明,吴江平,等.地震创伤性感染病原菌状况分析[J].中华医院感染学杂志,2009,19(13):1757-1759.
版权所有：© 2023 中国地质图书馆 中国地质调查局地学文献中心