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三级护理中心整形外科患者伤口分离菌株的抗生素敏感性

Antibiotic susceptibility of wound isolates in plastic surgery patients at a tertiary care centre.

作者信息

Patil Surendra B, Paramne Amit, Harsh Shree

机构信息

Department of Plastic and Maxillofacial Surgery, Government Medical College and Hospital, Nagpur, Maharashtra, India.

出版信息

Indian J Plast Surg. 2016 May-Aug;49(2):198-205. doi: 10.4103/0970-0358.191324.

DOI:10.4103/0970-0358.191324
PMID:27833282
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5052992/
Abstract

CONTEXT

Wound infection increases the hospital stay and adversely affects the recovery of patients. Culture and sensitivity of wound isolates help in proper diagnosis and management of these patients.

AIM

To identify common bacteria causing wound infections and their antibiotic sensitivity pattern.

STUDY DESIGN

A cross-sectional study.

PLACE AND DURATION OF STUDY

Government Medical College and Hospital, Nagpur from October 2013 to October 2015.

MATERIALS AND METHODS

Pus samples were collected by doctors in ward using Sterile Swab Sticks. Bacterial isolates were identified and cultured, and antibiotic culture sensitivity tests were performed.

STATISTICAL ANALYSIS USED

Chi-square test.

RESULTS

There were a total of 150 patients with infected wounds. Most common organism isolated was followed by and . All of these organisms were resistant to most routine antibiotics.

CONCLUSION

We suggest a multidisciplinary approach to wound management, rational drug use, routine microbiological surveillance of wounds and institution of hospital infection control policy.

摘要

背景

伤口感染会延长住院时间，并对患者的康复产生不利影响。对伤口分离菌株进行培养和药敏试验有助于对这些患者进行正确的诊断和管理。

目的

确定引起伤口感染的常见细菌及其抗生素敏感性模式。

研究设计

横断面研究。

研究地点和时间

2013年10月至2015年10月在那格浦尔政府医学院及医院。

材料和方法

病房医生使用无菌拭子采集脓液样本。对细菌分离株进行鉴定和培养，并进行抗生素培养药敏试验。

所用统计分析方法

卡方检验。

结果

共有150例伤口感染患者。分离出的最常见病原体依次为……、……和……。所有这些病原体对大多数常规抗生素耐药。

结论

我们建议采用多学科方法进行伤口管理、合理使用药物、对伤口进行常规微生物监测以及制定医院感染控制政策。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d7e/5052992/6d48dee641df/IJPS-49-198-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d7e/5052992/f422424a252a/IJPS-49-198-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d7e/5052992/3a3c5a7a74e4/IJPS-49-198-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d7e/5052992/94b8014c74b5/IJPS-49-198-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d7e/5052992/6d48dee641df/IJPS-49-198-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d7e/5052992/f422424a252a/IJPS-49-198-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d7e/5052992/3a3c5a7a74e4/IJPS-49-198-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d7e/5052992/94b8014c74b5/IJPS-49-198-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d7e/5052992/6d48dee641df/IJPS-49-198-g011.jpg

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本文引用的文献

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Trop Med Health. 2013 Jun;41(2):49-53. doi: 10.2149/tmh.2012-14. Epub 2013 Apr 18.
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Ostomy Wound Manage. 2009 Jan;55(1):14-20.
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