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目的了解笔者单位近5年烧伤感染病原菌的分布特点及耐药情况。方法收集2001—2006年笔者单位306例烧伤患者创面分泌物等标本中分离的病原菌,对其菌种分布特点及耐药性进行分析。结果革兰阳性菌378株,其中金黄色葡萄球菌的菌株数居首位,尤以甲氧西林耐药金黄色葡萄球菌居多,表皮葡萄球菌和粪肠球菌的菌株数分别位居第2、3位。革兰阴性杆菌338株,其中鲍氏不动杆菌的菌株数居首位,阴沟肠杆菌和铜绿假单胞菌的菌株数分别位居第2、3位。检出真菌12株。结论笔者单位病原菌的分布情况,可能与甲氧西林耐药葡萄球菌呈多重耐药性以及鲍氏不动杆菌产生各种类型的β内酰胺酶有关。
Objective To understand the distribution characteristics and drug resistance of pathogens of burn infection in the past five years. Methods A total of 306 pathogenic bacteria isolated from the wounds of burns patients from 2001 to 2006 were collected and analyzed for their distribution and drug resistance. Results 378 Gram-positive bacteria, Staphylococcus aureus strains in the first place, especially methicillin-resistant Staphylococcus aureus, Staphylococcus epidermidis and Enterococcus faecal strains were ranked No. 2,3 Bit. There were 338 Gram-negative bacilli, of which the number of Acinetobacter baumannii strains was the first, and that of Enterobacter cloacae and Pseudomonas aeruginosa were the second and third respectively. 12 fungi were detected. Conclusion The author of the distribution of pathogens may be associated with methicillin-resistant Staphylococcus aureus multi-drug resistance and Acinetobacter baumannii produce various types of β-lactamase related.