外用抗生素的概述3-22.ppt

* * * * * * * * *  * Multivariable analysis including postoperative antibiotic therapy and length of ICU stay, as well as relevant preoperative and perioperative variables, demonstrated that 4 variables were associated with an increased risk of isolation of enterobacteriaceae or enterococci with acquired resistance (Table 2): antibiotic therapy after CABG, age .65 years, combined CABG/ valve surgery, and prolonged ABP. Thus, even after control for confounding, prolonged ABP was associated with an increased risk of acquired antibiotic resistance (OR, 1.6; CI, 1.1 to 2.6). * * * * 2008年的中国医师协会的皮肤科分会组织编写的《中国皮肤及软组织感染共识》中明确指出：莫匹罗星（百多邦?）是理想的外用抗菌药物。 目的： 研究血管外科患者术后感染并发症MRSA 感染的发病率 方法： 收集2000-2001年血管外科772例患者，发生术后并发症119例，包括：感染、插管或延长插管、代谢异常、心肌缺血 检测细菌培养及感染相关的数据 血管外科的MRSA感染 Taylor MD, et al.Methicillin-resistant Staphylococcus aureus infections in vascular surgery: increasing prevalence.Surg Infect(Larchmt). 2004 Summer;5(2):180-7. Taylor MD, et al.Methicillin-resistant Staphylococcus aureus infections in vascular surgery: increasing prevalence.Surg Infect(Larchmt). 2004 Summer;5(2):180-7. 结果 Taylor MD, et al.Methicillin-resistant Staphylococcus aureus infections in vascular surgery: increasing prevalence.Surg Infect(Larchmt). 2004 Summer;5(2):180-7. 术后并发症：15.4% (119/772) 医院获得性感染： 66.4% (79/119) 肺炎、菌血症、外科手术部位感染（SSI）、尿道感染 其他并发症： 血肿：7.6% 心肌缺血、心衰、心肌酶升高：11.8% 移植失败：3.4% 插管或延长插管：5.0% 腹泻：3.4% 脑血管意外：2.5% Taylor MD, et al.Methicillin-resistant Staphylococcus aureus infections in vascular surgery: increasing prevalence.Surg Infect(Larchmt). 2004 Summer;5(2):180-7. Taylor MD, et al.Methicillin-resistant Staphylococcus aureus infections in vascular surgery: increasing prevalence.Surg Infect(Larchmt). 2004 Summer;5(2):180-7. 细菌菌株数量 细菌学分析 医院获得性感染以革兰氏阳性菌为主 Taylor MD, et al.Methicillin-resistant Staphylococcus aureus infections in vascular surgery: increasing prevalence.Surg Infect(Larchmt). 2004 Summer;5(2):180-7. Taylor MD, et al.Methicillin-resistant Staphylococcus aureus infections i