骨与关节化脓性感染的病原菌分布及其耐药性分析

    The pathogenic bacteria distribution of bone and joint purulent infection and its drug resistance

    • 摘要: 目的:评估骨与关节化脓性感染的主要病原菌分布及其抗菌谱变化情况,为临床抗菌药物治疗提供参考依据。方法:分析骨与关节化脓性感染患者的418份各类标本中分离出的病原菌,进行菌种鉴定和药敏试验。结果:418份送检标本中共分离出388株病原菌,其中G+球菌212株,G-杆菌176株。金黄色葡萄球菌、铜绿假单胞菌、大肠埃希菌、奇异变形菌和表皮葡萄球菌的检出率最高,分别为38.28%、11.48%、8.13%、5.26%和4.78%。结论:耐药的金黄色葡萄球菌是骨与关节化脓性感染的主要致病菌,治疗应依据药敏试验结果实施个体化的抗生素治疗方案,降低细菌耐药性的发生。

       

      Abstract: Objective: To explore the pathogenic bacteria distribution of bone and joint purulent infection and its drug resistance for providing the basis of antimicrobial treatment.Methods: The pathogenic bacteria from 418 samples of patients with bone and joint purulent infection were isolated and identified,and the antibiotics sensitivity tests were examined.Results: Two hundred and twelve strains gram-positive bacteria and 176 gram-negative bacteria were isolated form 418 samples.The detection rates of Staphylococcus aureus,Pseudomon asaeruginosa,Escherichia coli,Proteus mirabilis and Staphylococcus epidermidis were 38.28%,11.48%,8.13%,5.26% and 4.78%,respectively.Conclusions: The drug-resistant Staphylococcus aureus is the mainly pathogenic bacteria of bone and joint purulent infection.The antibiotics treatment should be taken according to the results of antibiotics sensitivity tests which can induce the resistance to antibiotics.

       

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