Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island.
Surg Infect (Larchmt). 2019 Jul;20(5):341-350. doi: 10.1089/sur.2018.161. Epub 2019 Mar 6.
Normal skin microbiota influence susceptibility to surgical infections. The distribution of skin bacteria differs by anatomic site, and given the right conditions, almost any of these bacteria can become an opportunistic pathogen. This paper provides a thorough review of the most commonly encountered bacteria in various regions of the body and their isolation from operative incisions at those locations. These data may be useful in optimizing targeted antibiotic therapy for surgical site infections and provide a better understanding of the skin biome distribution at specific surgical sites. Typical skin-borne flora, surgical site infections, orthopedic infections by body part, and drug-resistant pathogens are reviewed.
正常皮肤微生物群会影响手术感染的易感性。皮肤细菌的分布因解剖部位而异，而且在适当的条件下，这些细菌几乎都可以成为机会性病原体。本文全面回顾了身体各部位最常见的细菌及其在这些部位手术切口的分离情况。这些数据可能有助于优化针对手术部位感染的靶向抗生素治疗，并更好地了解特定手术部位的皮肤生物群落分布。本文综述了典型的皮肤带菌、手术部位感染、按身体部位分类的骨科感染和耐药病原体。
