剖宫产术后暴发切口脓肿分枝杆菌感染
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朱红军

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R378.91

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Infection outbreak caused by Mycobacterium abscess after cesarean section
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    摘要:

    目的分析汕头某卫生院发生的一起剖宫产术后切口感染暴发流行的病原菌及其药物敏感性。方法2009年12月—2010年3月,采集该卫生院20例剖宫产术后切口感染患者的32份标本(包括病灶组织、切口分泌物和脓液)进行细菌培养和革兰、抗酸染色,在分离出快速生长分枝杆菌的基础上进行菌株鉴定。采用KB纸片法进行药敏试验。 结果20例患者中, 11例分离出14株抗酸染色阳性的快速生长非结核分枝杆菌,经鉴定均为脓肿分枝杆菌。所有菌株均对红霉素、克拉霉素、阿奇霉素和阿米卡星敏感,对亚胺培南、利奈唑胺和庆大霉素中介,对其余抗菌药物均耐药。结论此次剖宫产术后切口感染暴发流行是由脓肿分枝杆菌引起。重视并加强医院感染的管理和监控工作,是避免类似事件发生的重要措施。

    Abstract:

    ObjectiveTo study the pathogens in an infection outbreak after cesarean section in a hospital of Shantou, and analyze antimicrobial susceptibility of pathogens.MethodsFrom December 2009 to March 2010, 32 specimens (including focal tissue, secretion of incision and pus) were taken from 20 cesarean section patients infected with Mycobacterium abscess, and specimens were performed bacterial culture and gram staining and acidfast staining, The isolates were identified and determined the drug susceptibility on the bases of rapid growing Mycobacterium.ResultsOf 20 patients, 11 patients isolated 14 strains of rapid growing Mycobacterium , all were Mycobacterium abscess. All strains were sensitive to erythromycin, clarithromycin, azithromycin and amikacin, medium sensitive to imipenem, linezolid and gentamycin, but resistant to the other antimicrobials.ConclusionThe postoperative infection is caused by Mycobacterium abscess. Management and surveillance of nosocomial infection should be intensified to prevent the occurrence of such incident.

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朱红军,柯永坚,林祥伟,等.剖宫产术后暴发切口脓肿分枝杆菌感染[J]. 中国感染控制杂志,2010,9(6):393-395.
ZHU Hongjun, KE Yongjian, LIN Xiangwei, et al. Infection outbreak caused by Mycobacterium abscess after cesarean section[J]. Chin J Infect Control, 2010,9(6):393-395.

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  • 在线发布日期: 2010-11-30
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