术后难治性屎肠球菌感染的综合治疗

Integrative therapy for postoperative intractable enterococcus faecium infections

目的 探讨术后抗生素治疗无效的屎肠球菌感染的治疗方法。 方法 对 5例术后经细菌培养证实屎肠球菌感染并经相应敏感的抗生素正规治疗无效的患者进行综合治疗。包括停用一切抗生素 ,应用微生物调节剂和免疫增强剂 ,进行肠内营养 ,加强支持治疗和中药治疗等。 结果4例治愈后出院 ;1例自动出院 ,在当地医院治疗 1个月后痊愈。 结论 对术后难治性屎肠球菌感染患者进行综合治疗是一种有效的治疗方法。

ObjectiveTo assess the treatment of patients with infection of enterococcus faecium after surgery who failed to respond to antibiotics.MethodsFive patients after surgery were proved to have Enterococcus faecium infection by bacterial culture. They were treated by sensitive antibiotics but failed. Comprehensive treatment prescribed included immunoenhancements, enteral mutrition, and traditional Chinese medicines.ResultsFour patients were discharged from the hospital after recovery, and was cared else where after 1 month treatment.Conclusion Comprehensive treatment is a better way to treat patients with refractory enterococcus faecium infection after surgery.