Ⅳ期压疮创面革兰阴性细菌感染耐药分析

目的分析Ⅳ期压疮创面细菌感染情况,为临床诊治提供参考.方法回顾性分析2018年至2019年Ⅳ期压疮患者创面分泌物培养加药敏试验结果和临床资料.结果Ⅳ期压疮患者创面分泌物培养共采集231例次,分离出病原菌177株,其中革兰阴性菌135株,约72.1%为多重耐药菌.结论Ⅳ期压疮患者创面细菌多重耐药菌占比较高,应选择敏感抗菌药物治疗,同时应重视患者创面感染的预防与控制,以减少细菌感染率.

Objective To analyze the bacterial infection of stageⅣpressure sore,and to provide reference for clinical diagnosis and treatment.Methods The results and clinical data of antibiotic sensitivity test of wound secretion culture in patients with stage IV pressure sore from 2018 to 2019 were analyzed retrospectively.Results A total of231 cases of stageⅣpressure sore were collected and 177 strains of pathogenic bacteria were isolated,including 135 strains of Gram-negative bacteria,72.1%of which were multidrug-resistant.Conclusion The proportion of multiple drug-resistant bacteria in the wound surface of patients with stage IV pressure sore is relatively high.Sensitive antibiotics should be selected for treatment.At the same time,the prevention and control of wound infection should be paid attention to in order to reduce the bacterial infection rate.