印度瓜廖尔某三级医院伤口/脓液样本中分离细菌的鉴定及其药敏模式

Kamini Rajput, S. Johri, A. Goyal
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摘要

摘要目的了解脓液/创面分离细菌的频率、分布及其药敏模式。材料与方法对175例在不同病房(门诊部和住院部)提供脓液和/或伤口分泌物样本的患者进行研究。即刻将样品接种于MacConkey琼脂和血琼脂板,37℃孵育24小时。培养后用革兰氏染色法和生化试验对所有分离株进行鉴定。采用Kirby-Bauer圆盘扩散法对Mueller-Hinton琼脂板进行敏感性试验。结果共纳入175例患者,细菌分离率为102例(58.28%)。样本中男性多于女性(M:F = 1.8:1),年龄中位数为45岁,以40 ~ 60岁年龄组居多,占40.20%。单菌感染90.1%,多菌感染9.8%,共分离出112株细菌。结论大肠杆菌是本次调查中最常见的分离菌,其次是铜绿假单胞菌。氯霉素是唯一对革兰氏阴性杆菌和革兰氏阳性球菌都有效的抗生素。本报告的易感性统计数据可能值得考虑制定化脓性感染的经验性治疗方案。
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Identification of Bacterial Isolates and Their Antimicrobial Susceptibility Pattern from Wound/Pus Sample in a Tertiary Care Hospital, Gwalior, India
Abstract Objective  The goal of this investigation was to look at the frequency and dispersal of bacteria isolated from pus/wound, as well as their susceptibility patterns. Materials and Methods  A study was conducted on 175 patients who provided pus and/or wound discharge samples in different wards (outpatient department or inpatient department). MacConkey agar and blood agar plates were immediately inoculated with samples and incubated at 37°C for 24 hours. The Gram stain and biochemical tests were used to identify all isolates after incubation. Kirby–Bauer's disc diffusion method was used to perform sensitivity tests on Mueller–Hinton agar plates. Results  This study covered 175 patients, with a bacterial isolation rate of 102 (58.28%). Males outnumbered females in the samples (M:F = 1.8:1), with a median age of 45 years as majority were in the age group of 40 to 60 years which was 41 (40.20%). Total 90.1% samples showed monomicrobial infection, whereas 9.8% showed polymicrobial infection, and total 112 bacterial strains were isolated. Conclusion   Escherichia coli was the most prevalent isolate in present investigation, followed by Pseudomonas aeruginosa . Chloramphenicol is the only antibiotic which is effective for both gram-negative bacilli and gram-positive cocci. This report's susceptibility statistic may be worth considering for developing empiric treatment regimens for pyogenic infections.
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