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汶川地震幸存创伤住院患者病原菌的微生物学特征。

Microbiologic characteristics of pathogenic bacteria from hospitalized trauma patients who survived Wenchuan earthquake.

机构信息

Department of Laboratory, Southwest Hospital, Gaotanyan St., Chongqing 400038, China.

出版信息

Eur J Clin Microbiol Infect Dis. 2012 Oct;31(10):2529-35. doi: 10.1007/s10096-012-1591-0. Epub 2012 Aug 22.

Abstract

The purpose of this study is to investigate the microbiological characterization of pathogenic bacteria isolated from trauma patients after Wenchuan earthquake in 2008. Most infections were identified in the patients over 60 years of age, with an incidence rate of 78.5%, and more infections in wound (43.3%) and respiratory tract (37.1%) sites were identified. A total of 97 non-duplicated clinical pathogens were isolated from 91 trauma patients. Of those pathogens, 62 (63.9%) were Gram-negative bacilli, 23 (23.7%) were Gram-positive cocci, 9 (9.3%) were fungi, and 3 (3.1%) were anaerobes, such as Clostridium perfringens. The distribution spectrum of pathogens isolated from trauma patients after earthquake was different to that from non-earthquake trauma patients in our hospital at the same time. The most prevalent pathogenic isolates were Escherichia coli (15.4%), Acinetobacter baumannii (14.4%), Staphylococcus aureus (12.3%), Burkholderia cepacia (11.3%), and Enterococcus spp. (9.3%). The drug susceptibility results showed that most of the Gram-negative bacilli, except for Pseudomonas aeruginosa and Burkholderia cepacia, were susceptible to imipenem, but resistant to the first- and the second-generation cephalosporins. Most of the Gram-positive cocci were susceptible to vancomycin, linezolid, and Synercid/dalfopristin. Characteristics of pathogenic bacterium isolated from trauma patients after earthquake have been demonstrated which play an important role in the appropriate treatment of infections.

摘要

本研究旨在调查 2008 年汶川地震后创伤患者分离的病原菌的微生物学特征。大多数感染发生在 60 岁以上的患者中,发病率为 78.5%,更多的感染发生在伤口(43.3%)和呼吸道(37.1%)部位。从 91 例创伤患者中分离出 97 株非重复的临床病原体。这些病原体中,62 株(63.9%)为革兰阴性杆菌,23 株(23.7%)为革兰阳性球菌,9 株(9.3%)为真菌,3 株(3.1%)为厌氧菌,如产气荚膜梭菌。地震后创伤患者分离的病原菌分布谱与同期我院非地震创伤患者不同。最常见的病原菌分离株为大肠埃希菌(15.4%)、鲍曼不动杆菌(14.4%)、金黄色葡萄球菌(12.3%)、洋葱伯克霍尔德菌(11.3%)和肠球菌属(9.3%)。药敏结果显示,除铜绿假单胞菌和洋葱伯克霍尔德菌外,大多数革兰阴性杆菌对亚胺培南敏感,但对第一代和第二代头孢菌素耐药。大多数革兰阳性球菌对万古霉素、利奈唑胺和复方磺胺甲噁唑/达福普汀敏感。地震后创伤患者分离的病原菌具有特征,对感染的适当治疗有重要作用。

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