Strachan C J
Department of Vascular Surgery, Royal Sussex County Hospital, Brighton, England.
J Hosp Infect. 1988 Apr;11 Suppl B:33-41. doi: 10.1016/0195-6701(88)90154-5.
Staphylococcus epidermidis (CNS) is a major cause of infection in peripheral vascular surgery. It occurs as commonly in vascular prostheses as in orthopaedic, cardiac and neurosurgical implants. Greater awareness of the possible presence of CNS in initially indolent infections, particularly in the groin, is necessary. More rapid isolation and identification techniques to separate the contaminant from the pathogenic CNS are needed. It seems that better preoperative antiseptic care of vascular patients may reduce the tendency for even 24 h cephalosporin prophylaxis to encourage the emergence of resistant CNS strains.
表皮葡萄球菌（凝固酶阴性葡萄球菌）是周围血管手术感染的主要原因。它在血管假体中的发生率与骨科、心脏和神经外科植入物中一样常见。有必要提高对最初隐匿性感染（特别是腹股沟感染）中可能存在凝固酶阴性葡萄球菌的认识。需要更快速的分离和鉴定技术，以将污染物与致病性凝固酶阴性葡萄球菌区分开来。似乎对血管患者更好的术前抗菌护理可能会降低即使是24小时头孢菌素预防也会促使耐药性凝固酶阴性葡萄球菌菌株出现的趋势。
