胫腓骨开放性骨折创口感染的病原学研究及预防措施

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Abstract ObjectiveTo investigate the etiological study and preventive measures of wound infection in patients with open fracture of tibia and fibula so as to provide valuable reference information for future clinical work.MethodsThe clinical data of 56 patients with open fractures of tibia and fibula who were treated from July 2014 to January 2016 in our hospital was collected and their infection conditions were statistically analyzed;then,isolation,identification and drug susceptibility test of pathogens were performed to summarize the targeted intervention measures.ResultsAmong 56 patients that were involved in the survey,there were 4 cases of wound infections,with the infection rate accounting for 7.14%; according to the pathogen detection results,7 strains of pathogens were isolated,including Gram-positive and Gramnegative bacteria,the proportion of the former was higher than that of the latter(P＜0.05).Staphylococcus aureus and Coagulase negative staphylococci had low drug resistance on clinically commonly-used antibiotics such as Vancomycin; Escherichia coli and Pseudomonas aeruginosa had relatively low drug resistance on Cefoperazone/Sulbactam.ConclusionPatients with open fractures of tibia and fibula have low incidence but great risk of wound infections,mostly with Gram-positive bacteria as the pathogens.In the future clinical work,great attention should be paid to strengthened aseptic operation,close monitoring of drug-resistant bacteria and rational use of antibiotics so as to reduce the incidence of wound infections and to improve the clinical therapeutic effect and the quality of clinical medical care.

Key words： Open fractures of tibial and fibula Wound infections Pathogenic bacteria Prevention

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	Articles by authors
	YANG Zheng-yan
	LI Zong-ze
	LIU Wen-jun
	HU Hai-quan

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YANG Zheng-yan,LI Zong-ze,LIU Wen-jun, et al. Etiological study and preventive measures of wound infection in patients with open fracture of tibia and fibula[J]. 中国当代医药, 2017, 24(19): 68-70.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I19/68

[1]	付慕勇，赵喆.228例开放性骨折感染患者病原菌分布及药敏分析[J].中华医院感染学杂志，2011，21（19）：4171-4173.
[2]	杨瑞增，张文明.负压封闭引流加外固定架治疗胫腓骨开放性骨折感染创面[J].临床骨科杂志，2011，14（3）：289-290.
[3]	耿琳，袁英泽.开放性胫腓骨骨折术后感染病原菌的检测与耐药性分析[J].中国药业，2012，21（1）：13-14.
[4]	鲍广全，曹烈虎，宋绍军，等.外固定架结合皮瓣转移在开放性胫腓骨骨折中的应用观察[J].蚌埠医学院学报，2013，38（1）：73-75.
[5]	张俊杰，孔丽萍.外固定支架固定结合负压封闭引流术治疗胫腓骨开放性骨折[J].中医正骨，2012，24（9）：32-33.
[6]	黄武君，裘曙文，何勇.132例胫膝骨开放性骨折创口感染回顾性分析[J].中华医院感染学杂志，2011，21（14）：2918-2920.
[7]	龚杰，张亚兰，韩卫全，等.骨科开放性伤口感染病原菌分布及其耐药性分析[J].海南医学，2013，24（23）：3504-3506.
[8]	杜卫华.应用外固定支架治疗严重胫腓骨开放性骨折临床疗效观察[J].中外医学研究，2015，13（25）：34-35.
[9]	亓英国.双钢板治疗胫骨平台复杂骨折感染的危险因素分析与预防对策[J].中华医院感染学杂志，2013，23（13）：3166-3168.
[10]	姚俊娜，杜志军，赵祚塨.封闭负压引流技术结合组织瓣移植治疗胫腓骨严重开放性骨折[J].组织工程与重建外科杂志，2013，9（3）：155-157.
[11]	臧传义.4022例骨折术后医院感染的调查与分析[J].中华医院感染学杂志，2012，22（14）：3071-3073.
[12]	栾海星，林扬，林梁，等.骨折患者术后医院感染的相关因素分析[J].中华医院感染学杂志，2013，23（22）：5433-5435.
[13]	郭新军，王鹏，朱振军，等.开放性骨折患者感染的高危因素调查研究[J].中华医院感染学杂志，2012，22（10）：2090-2092.
[14]	陆红日，何文全，苏进益，等.胫骨开放性骨折骨外露感染的治疗研究[J].中华医院感染学杂志，2014，24（7）：1717-1719.
[15]	耐甲氧西林金黄色葡萄球菌感染防治专家委员会.耐甲氧西林金黄色葡萄球菌感染防治专家共识[J].中华实验和临床感染病杂志（电子版），2011，5（3）：372-384.
[16]	何振辉，严俭敏，钟瑞雪，等.鲍曼不动杆菌的临床分布，耐药表型分析及防治对策[J].中华疾病控制杂志，2014，18（7）：674-678.