脊髓损伤患者医院感染病原体分析

Pathogens of Nosocomial Infection in Patients with Spinal Cord Disorders

目的 了解我院脊髓损伤患者医院感染菌株构成及耐药 ,指导临床合理用药。方法 对 1996年 1月 1日～ 2 0 0 2年 12月 1日 ,我院收治的 88例脊髓损伤患者的医院感染进行回顾性调查 ,进行病原体分析及药敏实验。结果 医院感染菌株以 G-菌为主 ,占 6 8.83% ,其中大肠埃希菌比例最高为 38.96 % ;其次 G+菌占 2 7.2 7% ,其中以金黄色葡萄球菌为主占 9.0 9% ;耐药菌株不断增加。结论 根据药敏实验合理选择抗生素 ,以减少耐药菌株的产生。

OBJECTIVE To study the kinds and drug-resistance of the pathogens of nosocomial infection in patients with spinal cord disorders. METHODS Retrospective surveys of nosocomial infection in 88 cases with spinal cord disorders were carried out in our hospital between 1996 to 2002. The pathogen analysis and the drug sensitivity test were done for cases with nosocomial infection. RESULTS The main pathogens were Gram-negative bacteria (68.83%),then Gram-positive ones (27.27%) and fungi (3.90%). Among them,Escherichia coli was the highest (38.96%). The second one was the Staphylococcus aureus (9.09%). Drug-resistant strains had increased. CONCLUSIONS The antibiotics should be used reasonably,which can reduce the development of drug-resistant strains.