The analysis of baterial infections epidemiology after liver transplantation in 45 cases.
-
摘要: 探讨肝移植术后感染的病原菌分布及病原菌的耐药性等流行病学特点。45例肝移植手术术后细菌性感染的发生率为71.1%,其主要病原菌分别为粪肠球菌(70/398)、阴沟肠杆菌(64/398)、真菌(59/398)、大肠杆菌(56/398)。病原菌具有多重耐药与高耐药性的特点,碳青霉烯类、糖肽类抗生素仍分别是革兰氏阴性杆菌与革兰氏阳性球菌最有效抗生素,预防细菌性感染的发生与合理使用抗生素同样具有十分重要的意义。Abstract: To study the main bacteria and their drug-resistance of postoperative infections after liver transplantation.The incidence of bacteria infections after liver transplantation is 71.1%.The major bacteria were Enterococcus faecalis (70/398) , Enterobacter cloacae (64/398) , Fungi (59/398) , Escherichia coli (56/698) .The bacteria have the chatacter of multi drug-resistance and high drug-resistance.The most efficiency antibiotic to Gram-Negative bacillus and Gram-Positive bacillus were still the carbopenems and glycopeptide.It is very important to prevent bacterial infections as well as use antibiotic properly.
-
Key words:
- liver transplantation /
- infections /
- bacteria /
- drug-resistance
-
[1]郑树森, 吴健, 梁廷波, 等.肝移植与感染 (附52例肝移植分析) [J].外科理论与实践, 2002, 7 (2) ∶128-130. [2]蔡常洁, 陈规划, 管向东, 等.肝移植术后细菌感染的流行病学分析[J].中国实用外科杂志, 2003, 23 (3) ∶163-164. [3]SinghN, patersonDL, changFY, etal.Methicillin-resistantstaphylococ cusaureus∶theotheremergingresisitantgram-positivecoccusamongliv ertransplantrecipients[J].ClinInfectDis, 2000, 30 (2) ∶322. [4]SinghN.Infectionsdiseasesinthelivertransplantrecipient[J].Semin GastrointestDis, 1998, 9 (3) ∶136. [5]张福奎.肝硬化自发性细菌性腹膜炎[J].临床肝胆病杂志, 1999, 15 (4) ∶207-209. [6]SwankGM.Roleofthegutinmultipleorganfailure∶bacterialtransloca tionandpermeabilitychanges[J].WorldJSurg, 1996, 30 (12) ∶2567. [7]王勇强, 刘懿禾, 孙丽莹, 等.35例肝移植患者下呼吸道细菌感染分析[J].中华医院感染学杂志, 2003, 13 (7) ∶624-626. [8]陈颖, 周建党, 彭怀燕.我院1999年~2001年革兰氏阴性杆菌分布与耐药变迁分析[J].中国抗生素, 2003, 28 (12) ∶724-726.
本文二维码
计量
- 文章访问数: 2153
- HTML全文浏览量: 15
- PDF下载量: 660
- 被引次数: 0