發(fā)布時(shí)間：2018-03-05 21:29

  本文選題：口腔頜面部間隙感染　切入點(diǎn)：病原菌　出處：《中華醫(yī)院感染學(xué)雜志》2017年06期 　論文類型：期刊論文

【摘要】：目的調(diào)查口腔頜面部間隙感染患者的病原菌分布及臨床感染特點(diǎn),探討相關(guān)預(yù)防措施。方法回顧性分析2014年3月-2016年3月161例口腔頜面部間隙感染患者的臨床資料。采集患者膿液標(biāo)本,注入皰肉培養(yǎng)液管中,分別進(jìn)行需氧和厭氧培養(yǎng)及藥敏試驗(yàn)。結(jié)果 161例口腔頜面部間隙感染患者,感染部位以眶下間隙、頜下間隙和咬肌間隙感染為主,分別占31.7%、23.0%和13.7%;病因以牙源性感染為主,占61.5%,其次為腺源性感染和外傷性感染,分別占19.3%和10.6%;共分離出病原體423株,以需氧-厭氧混合菌感染為主,占45.4%;需氧菌感染占33.1%,以金黃色葡萄球菌最常見,占11.3%;厭氧菌感染占21.5%,以普氏菌最常見,占9.2%;金黃色葡萄球菌對(duì)環(huán)丙沙星最為敏感,耐藥率為22.9%;肺炎鏈球菌和肺炎克雷伯菌對(duì)亞胺培南最為敏感,耐藥率為8.6%和9.5%;普氏菌、梭桿菌對(duì)亞胺培南最為敏感,耐藥率為6.5%和11.5%;放線菌對(duì)多粘菌素E最為敏感,耐藥率為26.7%。結(jié)論醫(yī)院口腔頜面部間隙感染患者以眶下間隙感染為主,牙源性感染是主要病因,需氧-厭氧混合菌感染最為常見,臨床應(yīng)根據(jù)其藥敏和相關(guān)因素及時(shí)采取有效措施,防止病情發(fā)展。
[Abstract]:Objective to investigate the distribution of pathogenic bacteria and clinical infection in patients with oral and maxillofacial space infection. Methods the clinical data of 161 patients with oral and maxillofacial space infection from March 2014 to March 2016 were analyzed retrospectively. Results 161 patients with oral and maxillofacial space infection were mainly infected by suborbital space, submaxillary space and masseter space, accounting for 23.0% and 13.70.The main etiology was odontogenic infection. Accounted for 61.5%, followed by adenogenic infection and traumatic infection, accounting for 19.3% and 10.6 respectively. 423 strains of pathogens were isolated, mainly from aerobic and anaerobic mixed bacteria (45.4%); aerobic infections accounted for 33.1%; Staphylococcus aureus was the most common. Accounting for 11.3%; anaerobic infection accounted for 21.5%, of which Pueraria was the most common, 9.2%; Staphylococcus aureus was the most sensitive to ciprofloxacin, with a drug resistance rate of 22.90.Streptococcus pneumoniae and Klebsiella pneumoniae were most sensitive to imipenem with resistance rates of 8.6% and 9.5. Clostridium clostridium is the most sensitive to imipenem, the drug resistance rate is 6.5% and 11.5.The actinomycetes is the most sensitive to polymyxin E and the drug resistance rate is 26.70.Conclusion the infection of suborbital space is the main cause of hospital oral and maxillofacial space infection, and odontogenic infection is the main cause. Aerobic-anaerobic mixed bacteria infection is the most common clinical drug sensitivity and related factors should take timely and effective measures to prevent the development of the disease.
【作者單位】： 遵義市第一人民醫(yī)院口腔科;
【基金】：貴州省科學(xué)技術(shù)基金資助項(xiàng)目(黔科合J字LKZ(2010)12號(hào))
【分類號(hào)】：R782.3

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本文編號(hào)：1571989