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汶川地震幸存者伤口培养分离出的病原体的微生物学研究

Microbiologic study of the pathogens isolated from wound culture among Wenchuan earthquake survivors.

作者信息

Tao Chuanmin, Kang Mei, Chen Zhixing, Xie Yi, Fan Hong, Qin Li, Ma Ying

机构信息

Department of Laboratory Medicine, West China Hospital, Sichuan University, Chengdu, China.

出版信息

Diagn Microbiol Infect Dis. 2009 Mar;63(3):268-70. doi: 10.1016/j.diagmicrobio.2008.11.009. Epub 2009 Jan 8.

Abstract

On May 12, an unprecedented earthquake struck Wenchuan County, Sichuan, China, and 1823 victims were admitted to West China Hospital, Sichuan, China. A total of 464 nonduplicate clinical isolates from wounds of earthquake victims were analyzed. The results show that the most common pathogen was Staphylococcus aureus, but only 24.4% of the total isolates were Gram-positive bacteria, and 73.2% were Gram-negative bacteria. The isolates were significantly different from isolation pattern of 2004 tsunami in Thailand. The isolation rates of extended-spectrum beta-lactamase producer and pandrug-resistant Acinetobacter baumannii in this study might increase the risk of nosocomial infection. In this situation, clinical microbiologists, infection control staff, and administration decision makers should pay high attention to prevent disaster-associated nosocomial infections.

摘要

5月12日,一场史无前例的地震袭击了中国四川省汶川县,1823名受害者被收治于中国四川华西医院。对从地震受害者伤口采集的464株非重复临床分离株进行了分析。结果显示,最常见的病原体是金黄色葡萄球菌,但分离株总数中仅24.4%为革兰氏阳性菌,73.2%为革兰氏阴性菌。这些分离株与2004年泰国海啸的分离模式有显著差异。本研究中广谱β-内酰胺酶产生菌和泛耐药鲍曼不动杆菌的分离率可能会增加医院感染的风险。在这种情况下,临床微生物学家、感染控制人员和行政决策者应高度重视预防与灾害相关的医院感染。

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