扈庆华 李良成 刘军 黄福新 林和顺 何建凡 518020 深圳市卫生防疫站 中华结核和呼吸感染 1999 0 22 7


    关键词：外科伤口感染；龟分支杆菌；疾病暴发流行 期刊 zhjhhhxgr 0 论著 fur -->


    

【摘要】 目的 研究深圳某医院发生的一起术后暴发感染的致病菌。方法 按照中国防痨协会《结核病诊断细菌学检验规程》和《伯杰细菌鉴定手册》第九版，以及《实用临床细菌学检验与进展》介绍的方法，对97例切口分泌物标本进行细菌培养。在分离出非结核分支杆菌的基础上，以标准株龟分支杆菌龟亚种、龟分支杆菌脓肿亚种和偶然分支杆菌作对照，对临床分离株进行了菌型鉴定。结果从97例切口分泌物中分离出26株抗酸染色阳性的速生长非结核分支杆菌，在分离出非结核分支杆菌的基础上，加上医院收集的15株共41株，鉴定为龟分支杆菌脓肿亚种。结论 此次院内术后暴发感染是由龟分支杆菌脓肿亚种引起的。

    Postoperative infection outbreak of M.chelonae subsp. abscessus HU Qinghua, LI Liangcheng, LIU Jun, et al. Shenzhen Sanitary & Anti-Epidemic Station, Shenzhen 518020

    【Abstract】 Objective To study the pathogen of postoperativeinfection outbreak in a hospital in Shenzhen. Methods According to theLaboratory Science Procedure of Diagnostic Bacteriology in Tuberculosis published byChinese Antituberculosis Association, Bergey′s Manual of Determinative Bacteriology(ninth edition),and the Clinical Bacteriology Examination & Development, 97 woundexudates were cultivated by the traditional bacteriologic method. The strains wereidentified with three standard strains of M. chelonae subsp.chelonae, M. chelonae subsp.abscessus and M. fortuitum as controls.Results 26 fast-acid positiveand fast growth nontuberculous mycobacterium were isolated from 97 exudates,then 41strains including other 15 strains which were collected from the hospital were identifiedas M. chelonae subsp. abscessus. Conclusion The outbreak of thepostoperative infection happened in the hospital was caused by M. chelonae subsp. abscessus.

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