整形外科患者手术前后感染铜绿假单胞菌治疗对策

Countermeasure of Orthopedic Surgery Patients Infected with Pseudomonas aeruginosa

目的针对整形外科患者手术前和手术后感染铜绿假单胞菌情况,采取合理治疗对策及选择最佳手术时机。方法收集2003年9月-2007年6月整形外科并发病原菌感染患者,对不同感染时期进行脓液或创口分泌物培养,检出铜绿假单胞菌后,依照药敏试验选用抗菌药物。结果在监测252例中共检出53株铜绿假单胞菌,经治疗后,53例感染铜绿假单胞菌患者中治愈24例(45.3%)、好转25例(47.2%)、无效3例(5.7%)、死亡1例(1.9%)。结论整形外科手术患者感染铜绿假单胞菌,合理的选择抗菌药物治疗是保证手术效果的最佳对策。

OBJECTIVE Based on the situation of orthopedic surgery patients infected with Pseudomonas aeruginosa, to choose the reasonable treatment and apply the best surgery chance. METHODS The wound secretion from the different orthopedic surgery patients with different infection time was collected, cultured and examined the Pseudornonas aeruginosa, in order to select the antibiotic treatment according to the drug sensitive tests. RESULTS From 252 cases monitored there were 53 patients with positive P. aeruginosa strains, 24 patients （45.3%） of whom were cured aften treatment, 25 patients （47.2%） were ameliorated, 3 （5.7%） were invalid and 1 （1.9%） was dead. CONCLUSIONS The patients after orthopedic surgery could have the P. aeruginosa infection, the reasonable antibiotic treatment is the guarantees for the best surgery.