吴海福 胡必杰 许剑民 靳大勇 黄德骧 吴肇汉 上海医科大学中山医院 上海 200032 中华医院感染学杂志 1999 0 9 4


    关键词：中心静脉导管；败血症 期刊 zhyygrxzz 0 论著 fur -->


    

摘要 目的：了解培养阳性的中心静脉导管菌群变迁及药敏情况。 方法：对中心静脉导管培养阳性的75例患者进行回顾性调查分析。 结果：最常见的病原体是金黄色葡萄球菌和表皮葡萄球菌。大多数细菌均有较高程度的耐药性，革兰阳性球菌对万古霉素的敏感率达91.5%，革兰阴性杆菌对阿米卡星及头孢他啶的敏感率皆为55.1%。结论：导管性败血症(Catheter-related sepsis, CRS)的有效处理方法是拔除感染的导管。

    中国图书资料分类法分类号 R457.2

Retrospective study on 75 patients with positive cultures

    from central vein catheters

Wu Haifu Hu Bijie Xu Jianmin Jin Dayong Huang Dexiang Wu Zhaohan

    Zhongshan Hospital, Shanghai Medical Univcrsity, Shanghai 200032

Abstract OBJECTIVE To study bacterial change and drug sensitivity of positive central venous catheters culture were studied respectively. METHODS This paper was investigated 75 clinic patients with positive caltures from central vein catheters of digestive system diseases at Feb. 1993～Dec. 1997. RESULTS The most common organisms were Staphylococcus aureus and Staphylococcus epidermidis. The bacteremic pathogens isolated in this study demonstrated a marked pattern of antibiotic resistance. Gram-positive Cocci were sensitive to vancomycin with a sensitivity rate of 91.5%, Gram-negtive Bacilli were sensitive to amikacin and ceftazidine with a sensitivity rate of 55.1%. CONCLUSION The effective treatment of catheter-related sepsis is removal of the infected catheters.

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