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目的了解医院妇产科剖宫产术后手术切口感染病原菌的分布及耐药性,为预防与控制手术切口感染提供依据,并制定防治措施。方法病原菌培养和鉴定按照《全国临床检验操作规程》进行;药敏试验采用K-B法进行。结果共检出108株病原菌,其中大肠埃希菌占29.6%、铜绿假单胞菌占20.4%、金黄色葡萄球菌占18.5%;病原菌对常用抗菌药物均产生了较严重的耐药性,耐甲氧西林金黄色葡萄球菌(MRSA)检出率为45.0%;耐亚胺培南铜绿假单胞菌检出率为9.1%。结论剖宫产术后手术切口感染病原菌的耐药性呈上升趋势,应采取措施遏制细菌耐药性增长。
Objective To understand the distribution and drug resistance of pathogenic bacteria in surgical incision after cesarean section in obstetrics and gynecology department of hospital and provide the basis for prevention and control of surgical incision infection and to develop prevention and control measures. Methods The pathogen culture and identification were carried out in accordance with the “National Clinical Laboratory Procedures”. The drug sensitivity test was conducted by K-B method. Results A total of 108 strains of pathogens were detected, of which Escherichia coli accounted for 29.6%, Pseudomonas aeruginosa accounted for 20.4%, Staphylococcus aureus accounted for 18.5%; pathogens on the commonly used antimicrobial drugs have a more serious resistance, resistance The detection rate of methicillin-resistant Staphylococcus aureus (MRSA) was 45.0%, and the detection rate of imipenem-resistant Pseudomonas aeruginosa was 9.1%. Conclusions The drug resistance of pathogens infected by surgical incision after cesarean section is on the rise. Measures should be taken to prevent the growth of bacterial resistance.