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烧伤创面常见病原菌及其药敏变化

Common pathogens in burn wound and changes in their drug sensitivity.

机构信息

Department of Plastic Surgery, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Burns. 2011 Aug;37(5):805-7. doi: 10.1016/j.burns.2011.01.019. Epub 2011 Mar 8.

Abstract

Infection is an important cause of mortality in patients with burns. Rapid emergence of hospital pathogens and antibiotic-resistant organisms necessitate periodic evaluation of bacterial colonisation patterns and antibiogram sensitivity in burn wards. In this study, which was conducted in a 3 months' period in 2009, 106 samples from the wounds of 59 patients admitted in a burn ward were taken, one in the 1st and one between the 3rd and the 7th days. Pseudomonas aeruginosa, Acinetobacter and Klebsiella were the most common Gram-negative and Staphylococcus aureus was the most common Gram-positive organisms recovered from the patients. This study showed a high rate of resistance to the administered antibiotics. The prevalent Gram-negative organisms in our ward were resistant to ceftazidime and imipenem in nearly 90% and 20% of cases, respectively.

摘要

感染是烧伤患者死亡的重要原因。医院病原体和抗生素耐药菌的迅速出现,需要定期评估烧伤病房的细菌定植模式和抗生素药敏谱。在这项于 2009 年三个月期间进行的研究中,从烧伤病房收治的 59 名患者的伤口中采集了 106 个样本,第 1 天采集 1 个样本,第 3 天至第 7 天之间采集 1 个样本。从患者中分离出的革兰氏阴性菌最常见的是铜绿假单胞菌、不动杆菌和肺炎克雷伯菌,革兰氏阳性菌最常见的是金黄色葡萄球菌。本研究显示出对给予的抗生素的高耐药率。我们病房中常见的革兰氏阴性菌对头孢他啶和亚胺培南的耐药率分别接近 90%和 20%。

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