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[儿童金黄色葡萄球菌烧伤创面感染源的调查]

[Investigation on the source of burn wound infection due to Staphylococcus aureus in children].

作者信息

Liu Y, Wu S

机构信息

Children's Hospital of Chongqing Medical University.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 1991 Oct;12(5):273-6.

PMID:1782656
Abstract

115 children with burn injuries were admitted between April 1988 and February 1989. Samples were taken from burn wounds, anterior nares and hands of every patient: anterior nares and hands of family members within 24 hours after admission. Samples were also taken from anterior nares and hands of medical personnel, air of ward and taps etc. 276 strains of S. aureus were isolated from 1544 samples. The rate of burn wound infection due to S. aureus was 25.2% and nasal carrier rates of patients, family members, nurses, doctors were 30.4%, 18.1%, 27.3% and 18.3%, respectively. S. aureus with the same plasmid profiles (1.6 and 1.9 Md) and phage type (618) as those of the burn wounds was only isolated from the anterior nares and hands of the family members and not from the medical personnel. It indicated that the S. aureus of burn wound infection mainly came from the hands of their family members and not from the medical personnel. This may be due to that care of burn wound was mainly taken by the family members.

摘要

1988年4月至1989年2月期间,收治了115名烧伤儿童。采集了每位患者烧伤创面、前鼻孔和手部的样本:入院后24小时内采集家庭成员的前鼻孔和手部样本。还采集了医务人员的前鼻孔和手部样本、病房空气及水龙头等的样本。从1544份样本中分离出276株金黄色葡萄球菌。金黄色葡萄球菌导致的烧伤创面感染率为25.2%,患者、家庭成员、护士、医生的鼻腔带菌率分别为30.4%、18.1%、27.3%和18.3%。与烧伤创面具有相同质粒图谱(1.6和1.9 Md)和噬菌体类型(618)的金黄色葡萄球菌仅从家庭成员的前鼻孔和手部分离出,而未从医务人员中分离出。这表明烧伤创面感染的金黄色葡萄球菌主要来自其家庭成员的手部,而非医务人员。这可能是因为烧伤创面的护理主要由家庭成员进行。

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