烧伤创面分泌物细菌培养及药敏结果分析

Analysis of bacterial culture in secretion of burn surface and antibiotic susceptibility

目的:分析烧伤创面分泌物感染的病原菌分布及细菌耐药特点,为临床合理用药提供依据。方法:对近5年来我院烧伤患者创面分泌物分离出的致病菌应用K-B法进行药敏试验,并对病原菌分布与药敏结果进行分析。结果:致病菌以铜绿假单胞菌、金黄色葡萄球菌和表皮葡萄球菌为主。所检出的细菌对多种抗生素耐药。结论:治疗烧伤创面感染应以亚胺培南、哌拉西林/他唑巴坦、氨曲南和头孢曲松为主。合理应用抗生素对降低院内感染,提高疗效具有重大意义。

Objective： To analyze the distribution and drug-resistance features of pathogenic bacteria, which were infected by the secretion of bum surface, reference can be provided for clinical medication. Methods： Firstly, pathogenic bacteria were separated from the secretion of burn surface of patients in the past five years in our hospital; and then the drug sus- ceptibility tests was performed with K-B method; lastly, we analyzed the distribution and antibiotic susceptibility of pathogenic bacteria. Results： Pathogenic bacteria were mainly made up of pseudomonas aeruginosa, staphylococcus aureus and staphylococcus epidermidis, and bacteria detected were resistant to multiple antibiotics. Conclusion： Imipenem, Piperacillin （Tazobactam）, Aztreonam and Ceftriaxone should mainly be used for the treatment of burn infection. It is of great significance to apply suitable antibiotics to reduce the infection and improve curative effects.