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主动脉移植受者获得耐抗生素凝固酶阴性葡萄球菌的情况。

The acquisition of antibiotic resistant coagulase-negative staphylococci by aortic graft recipients.

作者信息

Mannion P T, Thom B T, Reynolds C S, Strachan C J

机构信息

Public Health Laboratory, Royal Sussex County Hospital, Brighton, Surrey, UK.

出版信息

J Hosp Infect. 1989 Nov;14(4):313-23. doi: 10.1016/0195-6701(89)90071-6.

DOI:10.1016/0195-6701(89)90071-6
PMID:2575630
Abstract

The staphylococcal flora of the groin and perianal area was studied in 12 patients undergoing aortic grafts and 3 patients having repair of ventral abdominal hernias. A total of 892 isolates of coagulase-negative staphylococci (CNS) were identified and their antibiotic resistance determined. The species most frequently isolated were S. epidermidis and S. haemolyticus with the latter showing the highest incidence of antibiotic resistance. Five of 15 patients had CNS resistant to methicillin and gentamicin on admission. The effect of pre-operative bathing with chlorhexidine was studied in 6 patients and appeared to reduce the acquisition of multi-resistant CNS in the week after operation.

摘要

对12例行主动脉移植术的患者和3例行腹前壁疝修补术的患者的腹股沟及肛周区域葡萄球菌菌群进行了研究。共鉴定出892株凝固酶阴性葡萄球菌(CNS),并测定了它们的抗生素耐药性。最常分离出的菌种是表皮葡萄球菌和溶血葡萄球菌,后者显示出最高的抗生素耐药发生率。15名患者中有5名在入院时其CNS对甲氧西林和庆大霉素耐药。对6名患者研究了术前用洗必泰沐浴的效果,结果显示这似乎能减少术后一周内多重耐药CNS的获得。

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