王彩琴 李传结
摘 要：目的：为进一步了解MEBO治疗的烧伤创面分泌物的细菌检出情况及耐药性。方法：采集92份标本，用普通细菌培养方法，进行培养分离、鉴定、药敏试验，并对湿润烧伤膏进行不同浓度稀释后，做细菌耐药试验，细菌抗生素试验，采用K-B纸片法。结果：92份标本，阳性75例，占81.8％，金黄色葡萄球菌，铜绿假单胞菌所占比率较高，且耐药性较高。结论：经试验，湿润烧伤膏没有明显的杀菌作用，但能阻止细菌繁殖侵袭，达到控制感染的目的。细菌耐药分析说明金黄色葡萄球菌及铜绿假单胞耐药率很高，应加强全身抗生素治疗，合理选择使用抗生素。
关键词：烧伤创面；细菌；耐药分析
分类号：Q939； R285 文献标识码：A
文章编号：1001-0726(2001)02-0072-03
Bacteria Culture of Wounds Treated with MEBT and Drug Sensitivity Analysis
Wang Cai－qin（Dept of Burns, the 1st People's Hospital, Shizuishan City, Ningxia 753200）
Li Chuang－ji（Dept of Burns, the 1st People's Hospital, Shizuishan City, Ningxia 753200）
Abstract：Objective: To investigate the detective rate of bacteria in wounds treated with MEBO and the drug resistance of the bacteria. Method: 92 specimens taken from burn patients were cultured in an ordinary way, then isolated and identified and drug resistance of the bacteria was tested. MEBO was diluted to different concentrations and then drug resistance of the bacteria was tested using K－B paper method. Results: Among the 92 specimens, 75 were positive (81.8％ ). Staphylococcus aureus and Pseudomonas aeruginosa accounted for the most. and they had a high drug resistance. Conclusion: MEBO did not have marked bacteriocidal effect, but it inhibited the proliferation and invasion of the bacteria so it could control bacterial infection. Staphylococcus aureus and Pseudomonas aeruginosa were drug resistant, so systemic application of antibiotics in a rational way was needed.
Keywords：Burn wound； Bacteria； Drug resistance analysis
作者简介：王彩琴 (1954－ )，女 (汉族 )，陕西长安人，西安医科大学毕 业，检验科主任，主管检验师 . 李传吉 (1953－ )，男 (汉族 )，山东废县人，宁夏医学院毕业，主治医师 .
作者单位：王彩琴（石嘴山市第一人民医院宁夏石嘴山 753200）
李传结（石嘴山市第一人民医院宁夏石嘴山 753200）
参考文献：
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［2］曲云英等.MEBO作用机理实验研究之一.中国烧伤创疡杂志.1997(4)： 4.
［3］严水章等.上海金山医院 1993至 1997年检出的细菌与药敏分析,上海医学检验杂志 1999(14)： 209.
［4］张宏、杨晓东等.烧伤金黄色葡萄球菌和绿脓杆菌败血症病原菌药敏试验结果.中华外科杂志,1992,30(11)： 682
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