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阿尔及利亚烧伤创面分离出的多重耐药细菌的患病率

Prevalence Of Multidrug-Resistant Bacteria Isolated From Burn Wounds In Algeria.

作者信息

Tchakal-Mesbahi A, Abdouni M A, Metref M

机构信息

Department of Cellular and Molecular Biology, University of Sciences and Technology Houari Boumediene, Algiers, Algeria.

Burns Center of the Military Hospital Mohamed Seghir Nekkache, Algiers, Algeria.

出版信息

Ann Burns Fire Disasters. 2021 Jun 30;34(2):150-156.

Abstract

We conducted a thirty-four-month retrospective study in the Burns Center from June 2015 to 30 April 2018. A total of 1585 burn wound swabs were taken from 258 admitted patients, of both sex and average age from 2 to 84 years old. Out of the 1585 burn wound swabs, 79.12% were positive for bacterial growth. Gram-negative bacteria were the most common bacteria isolated from burn wound swabs (68.95%), followed by cocci gram positive (28.62%), which were represented mainly by Staphylococcus spp. and Enterococcus spp. species, and then other species such as candida spp. (2.41%). Staphylococcus aureus was found to be the most common isolate (of the 70 Staphylococcus aureus, 52 were methicillino-resistant MRSA) followed by Pseudomonas aeruginosa (n=58; 25.71%), Klebsiella pneumoniae (n=43; 20.15%), Acinetobacter baumannii (n=18; 18.70%), Proteus spp. (n=17; 7.91%), Escherichia coli (n=14; 5,75%), Enterobacter spp. (n=8; 3.22%), Candida spp. (n=6, 2.41%), Stenotrophomonas maltophilia (n=2; 1.73%), and lastly Enterococcus spp. and Citrobacter freundii (n=1; 1.73%). P. aeruginosa was the most frequent Gram-negative bacteria isolated (33.91%). Most of the species isolated were multidrug-resistant (MDR). Knowledge of the bacteria responsible for infectious complications and their antibiotic susceptibilities is a prerequisite for treating burn patients.

摘要

我们于2015年6月至2018年4月30日在烧伤中心进行了一项为期34个月的回顾性研究。共采集了258例入院患者的1585份烧伤创面拭子,患者性别不限,平均年龄为2至84岁。在1585份烧伤创面拭子中,79.12%的样本细菌生长呈阳性。革兰氏阴性菌是从烧伤创面拭子中分离出的最常见细菌(68.95%),其次是革兰氏阳性球菌(28.62%),主要为葡萄球菌属和肠球菌属,然后是其他菌种,如念珠菌属(2.41%)。金黄色葡萄球菌是最常见的分离菌(在70株金黄色葡萄球菌中,52株为耐甲氧西林金黄色葡萄球菌MRSA),其次是铜绿假单胞菌(n = 58;25.71%)、肺炎克雷伯菌(n = 43;20.15%)、鲍曼不动杆菌(n = 18;18.70%)、变形杆菌属(n = 17;7.91%)、大肠杆菌(n = 14;5.75%)、肠杆菌属(n = 8;3.22%)、念珠菌属(n = 6;2.41%)、嗜麦芽窄食单胞菌(n = 2;1.73%),最后是肠球菌属和弗氏柠檬酸杆菌(n = 1;1.73%)。铜绿假单胞菌是分离出的最常见革兰氏阴性菌(33.91%)。分离出的大多数菌种具有多重耐药性(MDR)。了解引起感染并发症的细菌及其抗生素敏感性是治疗烧伤患者的先决条件。

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[Not Available].[无可用内容]
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