先天性耳前瘘管感染并脓肿形成的主要病原菌分析及诊治

The analysis of pathogens and treatment of congenital preauricular fistula infection and abscess-formation

目的:通过对先天性耳前瘘管感染并脓肿形成患者取脓性分泌物做细菌培养和药物敏感试验,指导临床用药。方法:先天性耳前瘘管感染形成脓肿切开排脓,取深处分泌物,做细菌培养和药物敏感试验。结果:101例菌株中,60株厌氧菌感染,19株需氧菌和厌氧菌合并感染,41株需氧菌感染。厌氧菌耐药率不高,金黄色葡萄球菌对青霉素和红霉素耐药率接近90%。结论:厌氧菌是导致耳前瘘管脓肿形成的重要致病菌。

Objective：To direct clinical medication,by means of drug sensitiveness test and germiculture of purulent secretion from the patient who suffer from congenital preauricular fistula infection and abscess-formation.Methods：Take the purulent secretion from the patient who suffer from congenital preauricular fistula infection and abscess-formation by incision and drainage.Results：In 101 cases,60cases anaerobic infection,19 cases aerobic and anaerobic infection,41cases aerobic infection.The rate of anaerobe drug resistance is not high,the rate of SA drug resistance to penicillin and erythromycin near 90%.Conclusion：Anaerobe is the important pathogenic bacteria which cause the preauricular flstula abscess.