阑尾炎术后切口感染的病原菌分布及其相关性临床研究.docVIP

阑尾炎术后切口感染的病原菌分布及其相关性临床研究 　　[摘要]目的 探讨阑尾炎术后切口感染的病原菌分布及其相关性。方法 随机抽取2014年3月～2016年3月本院普外科收治的100例行开腹阑尾切除术患者，观察其切口感染发生情况，并实施阑尾腔分泌物培养、术后切口感染分泌物培养及药敏试验。结果 100例患者中，术后出现切口感染12例（12.0%）；88例切口未感染患者阑尾炎分泌物送培养及药敏25例，显示20例为阳性，共分离菌株28株，其中大肠埃希菌所占比例最高；12例切口感染者实施切口分泌物细菌培养，显示均为阳性，培养出16株菌株，其中大肠埃希菌所占比例最高。结论 大肠埃希菌为阑尾炎术后切口感染主要病原菌，耐药性最高的抗菌药物有氨苄青霉素等，阑尾炎术后切口感染者病原菌与阑尾炎病原菌相关。 　　[关键词]阑尾炎；术后切口感染；病原菌分布；耐药性；相关性 　　[中图分类号] R656.1 [文献标识码] A [文章编号] 1674-4721（2016）09（b）-0034-03 　　Clinical study on the distribution of pathogenic bacteria and the correlation of incision infection after appendicitis operation 　　YAN Yun-xi LUO Fang YIN Ying-bin 　　Department of Surgery，the Hospital of Traditional Chinese Medicine of Nankang District in Jiangxi Province，Ganzhou 341400，China 　　[Abstract]Objective To investigate the pathogenic bacteria distribution and correlation of incision infection after appendicitis operation.Methods From March 2014 to March 2016 100 patients with underwent open appendectomy were randomly selected in our hospital department of general surgery，the incision infection，and implement the appendix cavity secretion culture， postoperative infection of incisional wound secretion culture and drug sensitive test were observed.Results In 100 patients，postoperative emergence of incision infection were 12 cases （12.0%）；88 cases of incision uninfected patients with appendicitis secretions sent for culture and drug sensitivity were 25 cases，showing 20 cases were positive，a total separation of 28 isolates，Escherichia coli accounted for the highest proportion；12 cases of incisional infection implementation wound secretions for bacterial culture，showing were positive，16 strains，Escherichia coli accounted for the highest proportion.Conclusion Escherichia coli is the main pathogenic bacteria of incision infection after appendectomy，the highest resistance to antibiotics such as ampicillin penicillin；appendicitis postoperative incision infection pathogens is connected with appendicitis pathogen. 　　[Key