感染人工关节的细菌及其药敏分析

Bacteria infecting joints after artificial joint replacement and their drug sensitivity

  • 摘要: 目的 分析感染人工关节的病原菌和药敏结果,为临床治疗人工关节置换术后感染提供依据。 方法 选取2011年5月-2012年3月我院收治的人工关节置换术后感染病例,将其中培养的70株病原菌和相对应的药敏结果进行分析。 结果 主要病原菌依次为凝固酶阴性葡萄球菌(37.14%)、金黄色葡萄球菌(15.71%)、革兰阳性杆菌(8.57%)、铜绿假单胞菌(5.71%)、表皮葡萄球菌(5.71%)、大肠埃希菌(4.29%)等。细菌对万古霉素、力奈唑烷及亚胺培南最为敏感,红霉素、青霉素、阿莫西林、复方新诺明耐药比例很高。 结论 感染人工关节的细菌以革兰阳性菌多见,可首选万古霉素、利奈唑烷和(或)亚胺培南进行治疗,然后再根据药敏结果进行调整。

     

    Abstract: Objective To provide the evidence for infected joints after artificial joint replacement by analyzing the bacteria infecting artificial joints and their drug sensitivity. Methods Seventy strains isolated from bloodsamples of patients with infection after artificial joint replacement (admitted to our hospital from May 2011 to March 2012) and their drug sensitivity were retrospectively analyzed. Results The major bacteria infecting joints after artificial joint replacement were coagulase-negative staphylococci followed by staphy-lococcus aureus, Gram-positive bacilli, Pseudomonas aeruginosa, staphylococcus epidermidis, and Escherichia coli, accounting for 37.14%, 15.71%, 8.57%, 5.71%, 5.71% and 4.29% respectively.These bacteria were most sensitive to vancomycin, linezolid, imipenem and highly resistant to erythrocin, penicillin, amoxicillin and cotrimoxazole. Conclusion Bacteria infecting artificial joints are mainly the Gram-positive bacteria.Vancomycin, linezolid and (or) imipenem are the first choice of treatment for infected joints after artificial joint replacement, which should be adjusted according to their drug sensitivity.

     

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