烧伤感染防治对策.pdfVIP

皇垡缝堑塞圭!垒艘篷!星篓麓鲞蔓!塑曼!鎏{蔓!垡!：盎题!垫箜：!彗：踅：篓!：兰 ·专家述评· 烧伤感染防治对策 郇索宁 高成金 for ofburn andcure infectionHUAN Strategiesprevention 性一致，提示减少交叉感染依 ring-ning．GAOCheng-jin．DepartmentofBurnsandPlastic 然是烧伤感染防治的重要方 Surgery，RuUin College Jiao Hospital，MedicalofShanghaiTong 委。烧伤感染菌种赡变亿情况 200025+China Un转ersity，Shanghai Infectionisstillthe 反映细麓耐药性的现状，丽醣也是烧伤感染研究秘 【Abstract] causeofdeathin major severebum the ofantibiotic patients，thusoptimization therapy热点。了解细菌耐药机制，进一步研究细菌耐药的 isan totheannihilationof bacte— importantapproach pathogenic 遗黄学规律，有助予缓舞抗垒繁的选择糕力，对递一 riaandthedecreaseof bacteria．Itis for drug—resistance urgent 步克服细菌耐药研究具有指导意义。 burn tofacetheselection ofantibioticsandthe surgeons pressure infections theincorrectuseofantibiotics．Re— 目前比较清楚的细菌耐药机制有：(1)细菌产 fungous following ofits of with treatmentassociated gardlesscomplexity，thesepsis 生破坏药物结构豹酶，如染色体或震粒介导戆瑟内 bacterialinfectionsshouldbe post—bum systematical。Besides 酰胺酶；质粒或染色体或转魔子基因编码的氯霉索 theeffectiveanti-shock enteral therapy，earlyfeeding。excision 乙酰转移酶；质粒介导的红霉素酯化酶，可水解或修 ofnecrotic effectiveanti-infection tissues，and treatment，the andthe andcureof 馋送入细蔼舞照凑翡药魏。(2)蟹蓉编码药物鳃煮 immunologicalregulationprevention coagula— tiondisordersare inthetreatmentof burned necessary severely 动外排系统的基因可通过其所处的不阍位点(质粮 patients． 或染色质)，传递给其他同种或异种细菌，加重耐 【Keywords】Burns；Fungi；Infection；Anti—bacte-