产妇会阴侧切感染的病原学分析与抗菌药物优化治疗

发布时间：2018-06-26 06:21

本文选题：会阴侧切分娩 + 病原菌　；参考：《中华医院感染学杂志》2015年04期

【摘要】：目的探讨产妇会阴侧切分娩感染病原菌分布及耐药性,并及时应用敏感抗菌药物,提高临床治疗水平。方法随机选取2011年1月-2013年3月295例会阴侧切分娩产妇为研究对象,对其中发生医院感染的产妇进行病原菌和耐药性分析,研究数据采用SPSS16.0统计软件进行处理。结果 295例会阴侧切分娩产妇发生医院感染24例,感染率为8.14%,共分离出病原菌37株,其中革兰阴性菌占59.46%,革兰阳性菌占40.54%;革兰阴性菌对利福平、亚胺培南、美罗培南的耐药率为0,对其他抗菌药物耐药率均42.86%,革兰阳性菌对替考拉宁、万古霉素耐药率为0,对其他抗菌药物耐药率均50.00%;治疗后总有效率为91.67%。结论会阴侧切分娩产妇感染病原菌以革兰阴性菌为主,选择敏感抗菌药物治疗预后较好。
[Abstract]:Objective to explore the distribution and drug resistance of the pathogenic bacteria of parturient lateral perineal delivery infection, and to use sensitive antibiotics in time to improve the level of clinical treatment. Methods randomly selected 295 cases of negative parturients in January 2011 -2013 years in March, and analyzed the pathogenic bacteria and drug resistance of the women who had been infected by the hospital, and studied the data. Results in 295 cases, 24 cases of nosocomial infection in puerpera with negative side cut delivery were found in 295 cases, the infection rate was 8.14%, 37 strains were isolated, 59.46% were Gram-negative bacteria, 40.54% were Gram-positive bacteria, and the resistance rate of Gram-negative bacteria to Li Fuping, imipenem and meropenem was 0, and the drug resistance to other antibiotics was resistant to other antibiotics. The rate was 42.86%. The resistance rate of Gram-positive bacteria to teicoplanin, vancomycin resistance was 0, and the drug resistance rate to other antibiotics was 50%. The total effective rate after treatment was 91.67%. conclusion perineal side cut parturients were infected with gram-negative bacteria, and the selection of sensitive antibiotics was better.
【作者单位】：胜利石油管理局妇幼保健院妇产科;胜利石油管理局胜北医院妇产科;
【基金】：山东省卫生厅基金资助项目(SW-2010B020)
【分类号】：R446.5;R714.3

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