创伤_____创伤；医院感染；耐药性；病原菌

创伤患者医院感染病原菌群耐药性监测及预防措施

http://www.100md.com 《创伤外科杂志》 2005年第3期

创伤,,创伤；医院感染；耐药性；病原菌,1一般资料,2调查方法,3诊断标准,1感染部位的构成情况,2感染病原体的构成情况,3细菌对各种抗生素药物的耐

     摘要：目的了解创伤患者医院感染的情况。方法对我院创伤外科病房2000年11月～2004年6月收治的4077例患者的有关临床资料进行回顾性调查分析。结果 155例患获得性医院感染，感染率3.80%,感染部位以呼吸道与伤口为主；其致病菌以金葡菌、铜绿假单胞菌、大肠埃希菌、不动杆菌属、肠球菌属等为主。这些菌株对临床常用抗生素都有不同程度耐药性,有些还呈多重耐药。结论对创伤患者应采取相应的预防措施，加强对感染源的监测，合理使用抗生素,才能降低创伤患者的医院感染率。

    关键词：创伤；医院感染；耐药性；病原菌

    Nosocomial infection in traumatic patients: study on pathogen and its resistance to antibiotics and preventive measures

    REN Jun,BAI Xiangjun，TANG Manli

    (Department of Traumatic Surgery,Affiliated Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China)

    Abstract：Objective To understand the condition of nosocomial infection in traumatic patients.Methods The clinical data of 4077 cases inpatients with traumatic injuries from Nov 2000 to Jun 2004 were analyzed retrospectively.Results The total infection rate was 3.80%,155 cases suffered from nosocomial infection.Respiratory tract and wound were the frequent infection sites.The predominant pathogens were Staphylococcus aureus,Pseudomonas aeruginosa,Escherichla coli,Acinetobacter,Enterococcus,etc.They resisted to antibiotics at different degrees,some showed multiresistance.Conclusion Risk factors of nosocomial infection were analyzed.Some measurements were introduced to lower the infection rate of trauma patients on the basis of the risk factors.For example,surveillance of infective origin were intensified,proper antibiotics were judiciously used. ......

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