Rodrigo Tapia J P, Alvarez Méndez J C, Suárez Nieto C, Gómez Martínez J, Fernández Martínez J A, Martínez Sánchez J A
Servicio de ORL, Hospital Central de Asturias, Universidad de Oviedo.
Acta Otorrinolaringol Esp. 1997 Jun-Jul;48(5):389-91.
Surgical wound infections are a frequent complication of head and neck cancer surgery. In a group of 159 consecutive patients we analyzed bacteriological cultures from 21 with suppurative draining from the wound. In 3 cases cultures were monomicrobial, in 12 cultures were polymicrobial, and in 6 no bacterial isolate was obtained from the cultured material. Gram-positive aerobes were the most frequent bacteria (54%), followed by gram-negative aerobes (38%) and anaerobes (8%). No relation was found between bacteriological profile, antibiotic prophylaxis, tumor site, tumor stage, or surgical procedure.
手术伤口感染是头颈癌手术常见的并发症。在一组连续的159例患者中,我们分析了21例伤口有脓性引流患者的细菌培养结果。3例培养为单一微生物感染,12例为多种微生物感染,6例培养材料未分离出细菌。革兰氏阳性需氧菌是最常见的细菌(54%),其次是革兰氏阴性需氧菌(38%)和厌氧菌(8%)。在细菌学特征、抗生素预防、肿瘤部位、肿瘤分期或手术操作之间未发现相关性。