薛宝升 刘晓虹 唐明睿 110001 沈阳，中国医科大学第一临床学院烧伤科 中华整形烧伤外科杂志 1999 0 15 4


    关键词：烧伤；感染；细菌 期刊 zhzxsswkzz 0 论著 fur -->


    

【摘要】 目的 通过对我院1986～1996年烧伤感染病原菌及耐药性的调查，分析烧伤感染病原菌和细菌耐药性变迁。方法 对1986年6月～1991年5月，及1991年6月～1996年6月两个时期的烧伤病人，分别进行血培养和创面培养细菌检出情况及药敏调查。结果 血培养结果表明微球菌上升至第一位，占21.6%；金黄色葡萄球菌退居第三位，其中，G⁺ 球菌占56.5%，G^- 杆菌占30.1%。创面培养，绿脓杆菌居首，占18.1%；阴沟杆菌居第二位，占13.1%。其中G^- 杆菌占58.4%，G⁺ 球菌占35.3%。微球菌，阴沟杆菌，嗜麦芽黄单胞菌，粪肠球菌，以及白色念珠菌有明显上升。结论 烧伤感染病原菌和细菌耐药性变迁与头孢他啶，亚胺培南等广谱抗生素广泛应用有一定关系。

The change in bacterial flora and antibiotic resistance of bacteria of burn patients in our hospital during 1986～ 1996

XUE Baoshen,LIU Xiaohong,TANG Mingrui. 1st Clinical College,China Medical University,Shenyang 110001

【 Abstract 】 Objective In this article we investigated and analyzed the pathogenetic bacteria of burn infection and their drug resistance in recenet 5 years from 1991.Methods The patients are divided into 2 groups. The 1st group is from June 1986 to May 1991,and the 2nd group is from June 1991 to June 1996. Blood culture and burn wound bacteria culture were done,and bacteria and their drug sensitivity were analyzed.Results In blood culture,Micrococcus had risen to rank the top (21.6%),while Staphylococcus aureous fell to rank the third.Among these G⁺ cocci comprised 56.5%,and G^- bacilli 30.1%.In burn wound culture,Pseudomonas aeruginosa with rate of 18.1% was still in the 1st place.Enterobacter cloacae was in the 2nd place with the rate of 13.1%.Among these G^- bacilli comprised 58.6%,G⁺ cocci 35.3%.Micrococcus enterobacter cloacae,Pseudomonas maltophilia,fecal Staphylococcus and candida albicans increased remarkably.Conclusion The changes of pathogenetic bacteria of burn infection and bacteria drug resistance have certain relations with the wide usage of broad spectum antibiotics such as cefazidime and imipenem.

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