粉尘爆炸事故烧伤患者医院感染病原菌分布及耐药性分析

发布时间：2018-05-25 08:14

本文选题：批量 + 烧伤　；参考：《中国消毒学杂志》2016年11期

【摘要】：目的研究粉尘爆炸事故烧伤患者医院感染病原菌分布及耐药性变化,为有效控制烧伤医院感染提供参考。方法通过细菌分离培养和鉴定技术以及药敏试验方法,对某医院住院烧伤患者送检标本病原菌检测结果进行分析。结果从某重大爆炸事故中重度烧伤患者创面分离到感染病原菌1 216株,构成比居前3位的病原菌依次为鲍曼不动杆菌、肺炎克雷伯菌和金黄色葡萄球菌;从日常收治的烧伤患者创面分离感染病原菌676株,构成比居前3位的病原菌依次为鲍曼不动杆菌、金黄色葡萄球菌和铜绿假单胞菌。结论鲍曼不动杆菌已逐渐成为烧伤患者感染的重要细菌,其耐药性也显示出逐步上升的趋势。大量并及时送检可掌握感染细菌的变化趋势及耐药性,为临床控制感染及合理用药物提供依据。
[Abstract]:Objective to study the distribution and drug resistance of nosocomial infection in burn patients with dust explosion, and to provide reference for effective control of nosocomial infection. Methods bacterial isolation, culture and identification techniques and drug sensitivity test were used to analyze the results of pathogen detection of burn patients in a hospital. Results 1 216 strains of pathogenic bacteria were isolated from the wounds of severe burn patients in a major explosion accident. Acinetobacter baumannii, Klebsiella pneumoniae and Staphylococcus aureus were the most important pathogens. 676 strains of pathogenic bacteria were isolated from the wounds of burn patients. Acinetobacter baumannii Staphylococcus aureus and Pseudomonas aeruginosa were the first three pathogens. Conclusion Acinetobacter baumannii has gradually become an important bacterial infection in burn patients. A large number and timely examination can master the change trend and drug resistance of infected bacteria, and provide the basis for clinical control of infection and rational use of drugs.
【作者单位】：南京军区南京总医院;
【基金】：全军后勤科研计划课题(CNJ14L.004) 军区医学科技创新课题(14MS106) 南京军区卫勤专项课题(12WQZ09) 中华医院感染控制研究基金(ZHYG2014-0037)
【分类号】：R644

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