外科感染的对策及胆道感染抗生素的合理应用

Rational Use of Surgical Infection Measures and Biliary Tract Infection Antibiotics

目的探讨外科感染的有效对策以及如何选用合理的抗生素治疗胆道感染。方法选择2010年1月至2012年12月我院收治的胆石症患者138例患者进行回顾性分析,分析其抗生素的合理应用。结果胆结石合并慢性胆囊炎患者70例,胆汁细菌培养结果阳性患者有17例,占24.29%,慢性胆囊炎急性发作患者35例,胆汁细菌培养结果阳性患者有20例,占57.14%。所有胆汁细菌培养阳性患者共有37例,培养出57株细菌,其中大肠埃希菌25株,铜绿假单胞菌15株,金黄色葡萄球菌12株,粪肠球菌5株。结论有效的处理措施可明显降低外科感染,根据胆汁培养及药敏结果选择抗生素治疗胆道感染。

Objetice To investigate the surgical infection and how to choose effective countermeasures rational antibiotic treatment of biliary tract infections. Methods January 2010-December 2012 gallstone patients in our hospital 138 patients were analyzed retrospectively analyzed their rational use of antibiotics. Results Gallstones 70 patients with chronic cholecystitis, biliary results of bacterial culture-positive patients, 17 cases, accounting for 24.29%, acute exacerbation of chronic cholecystitis, 35 patients with bile-positive patients have a bacterial culture results in 20 cases, accounting for 57.14%. All bile culture-positive patients, 37 patients out of 57 bacterial cultures, which Escherichia coli 25, 15 Pseudomonas aeruginosa, Staphylococcus aureus 12, Enterococcus faecalis 5. Conclusion The effective treatment measures can significantly reduce surgical infections, antibiotic treatment of biliary tract infections choose according bile culture and sensitivity results.