| 中国汶川地震伤员骨科开放性伤口的细菌学分析 |
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投稿时间：2009-07-24
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| 作者 | Author | 单位 | Address | E-Mail |
| 王慧燕 |
WANG Hui-yan |
四川大学华西医院骨科,四川 成都 610041 |
Department of Orthopaedics,the West China Hospital Affiliated to Sichuan University,Chengdu 610041,Sichuan,China |
hxlijian.china@163.com |
| 段鑫 |
DUAN Xin |
四川大学华西医院骨科,四川 成都 610042 |
Department of Orthopaedics,the West China Hospital Affiliated to Sichuan University,Chengdu 610042,Sichuan,China |
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| 陈莹 |
CHEN Ying |
四川大学华西医院骨科,四川 成都 610043 |
Department of Orthopaedics,the West China Hospital Affiliated to Sichuan University,Chengdu 610043,Sichuan,China |
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| 李箭 |
LI Jian |
四川大学华西医院骨科,四川 成都 610044 |
Department of Orthopaedics,the West China Hospital Affiliated to Sichuan University,Chengdu 610044,Sichuan,China |
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| 期刊信息：《中国骨伤》2009年，第22卷，第12期，第910-912页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的：了解汶川地震伤员骨科开放性伤口的菌谱特点及其药敏试验结果，指导抗菌药物合理应用。
方法：收集148例骨科开放性伤口地震伤员，男71例，女77例；年龄2～82岁，平均40.4岁；其中被埋37例，被埋时间为 5 min～102 h.对340份伤口渗出物标本进行细菌培养和药物敏感试验。
结果： 148例地震伤员伤口感染率为66.2%.340份标本分离培养出257株病原菌，其中革兰氏阴性菌占77.8%,革兰氏阳性菌占20.6%.汶川地震伤员骨科开放性伤口感染细菌排在前5位的细菌依次是大肠埃希氏菌(16.3%)、鲍曼/溶血不动杆菌(16.0%)、金黄色葡萄球菌(13.6%)、铜绿假单胞菌(12.5%)和阴沟肠杆菌(8.6%).
结论：微生物研究者、感染控制人员和临床医生都应重视伤口渗出物的药敏结果，合理使用抗菌药物，提高抗生素使用水平。 |
| 【关键词】自然灾害 伤口感染 细菌 抗菌药 |
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| Microbiologic study on the pathogens isolated from wound culture among orthopaedic patients after Wenchuan earthquake |
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ABSTRACT
Objective: To observe the bacterial characteristic of orthopedic open wounds injured in Wenchuan earthquake and their drug-resistant pattern for reasonable application of antibiotics.
Methods: A total of 340 secretion specimens isolated from 148 cases of orthopedic open wounds of earthquake victims were analyzed. Among the patients,71 patients were male and 77 patients were female,ranging in age from 2 to 82 years,with an average of 40.4 years. Thirty-seven patients were detained under the ground ranged from 5 min to 102 h. The 340 specimens of exudation in the wound were collected for bacterial culture and drug sensitivity tests.
Results: The infection rate of 148 cases was 66.2 percent. Two hundred and fifty-seven pathogens were isolated from 340 secretion specimen,including gram-negative bacteria accounted for 77.8%,gram-positive bacteria accounted for 20.6%. The most frequent pathogens isolated from secretion culture in Wenchuan earthquake survivors were Escherichia coli(16.3%),Acinetobacter baumannii(16.0%),Staphylococcus aureus(13.6%),Pseudomonas aeruginosa (12.5%)and Enterobacter cloacae(8.6%).
Conclusion: The drug sensitivity test of exudation as well as exact application of antibiotics should be highly payed attention to by doctors in order to reduce the occurrence of bacterial resistance. |
| KEY WORDS Natural disasters Wound infection Bacteria Anti-bacterial agents |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王慧燕,段鑫,陈莹,李箭.中国汶川地震伤员骨科开放性伤口的细菌学分析[J].中国骨伤,2009,22(12):910~912 |
| 英文格式: | WANG Hui-yan,DUAN Xin,CHEN Ying,LI Jian.Microbiologic study on the pathogens isolated from wound culture among orthopaedic patients after Wenchuan earthquake[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(12):910~912 |
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