巴格达几家医院烧伤感染病原菌的检测

Mundher H. Al-Azzawi, Esam J. Alkalifawi Alkalifawi
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引用次数: 0

摘要

本研究的结果表明,35-40岁年龄组收集了25个样本,65-70岁年龄组收集了4个样本,男女均有。结果显示,手部取样48份(48%),腿部取样16份(16%),腹部取样12份(12%),胸部取样10份(10%)。四个(4%)样本来自背部和大腿区域的烧伤。根据烧伤原因采集的样本中,热水、热液体或热蒸汽烧伤40例(40%),其次是使用热工具烧伤18例(18%),火灾烧伤15例(15%),电流烧伤12例(12%),强酸、碱液、油漆稀释剂或汽油等化学物质烧伤10例(10%),太阳射线烧伤5例(5%)。从烧伤样品中检出60种致病菌。男性烧伤创面分离细菌34株,女性烧伤创面分离细菌26株。优势菌群为金黄色葡萄球菌15株(25%)、鲍曼不动杆菌12株(20%)、铜绿假单胞菌10株(16.7%)、肺炎克雷伯菌8株(13.3%)、大肠杆菌7株(11.7%)、奇异变形杆菌6株(10%)、马铃薯伯克氏菌2株(3.3%)。采用Vitek2 Compact System进行抗生素敏感性试验,金黄色葡萄球菌对阿米卡星的耐药率为86.6%,鲍曼不动杆菌对头孢他啶和哌青霉素类抗生素的耐药率为12株,耐药率为100%,铜绿假单胞菌对粘菌素和妥布霉素的耐药率为6株,耐药率为60%。肺炎克雷伯菌对粘菌素和妥布霉素的感染率为8株,感染率为100%;大肠杆菌对阿米卡星、粘菌素和亚胺培南的感染率为7株,感染率为100%;神奇变形杆菌对粘菌素和妥布霉素的感染率为6株,感染率为100%;洋葱伯克氏菌对8种抗生素的感染率为100%。本研究认为,烧伤最易感年龄组为活跃年龄组,烧伤创面病原菌对抗生素的耐受性较强。
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Detection of Bacteria Causing Burn Infection Isolated from Several Hospitals in Baghdad
The results of the present study showed that twenty-five samples were collected for the age group 35–40 years and four samples for the age group 65–70 years for both genders. The results showed that 48 (48%) of the samples were obtained from the hands, 16 (16%) from the legs, 12 (12%) from the abdominal area, and 10 (10%) from the chest area. The four (4%) samples were obtained from burns in the back and thighs area. The samples taken according to the cause of burns were 40 (40%) due to hot water, hot liquids, or hot steam, followed by 18 (18%) due to the use of hot tools, 15 (15%) due to fires, 12 (12%) due to electric currents, 10 (10%) due to chemicals such as strong acids, alkaline lye, paint thinner, or gasoline, and 5 (5%) due to sun ray burns. Sixty pathogenic bacteria were obtained from the burn samples. The number of bacteria isolated from burn wounds was 34 isolates from men and 26 isolates from women. The predominant were 15 (25%) Staphylococcus aureus, 12 (20%) Acinetobacter baumannii, 10 (16.7%) Pseudomonas aeruginosa, 8 (13.3%) Klebsiella pneumoniae, 7 (11.7%) Escherichia coli, 6 (10%) Proteus mirabilis, and 2 (3.3%) Burkholderia cepacia. The antibiotic sensitivity test using the Vitek2 Compact System showed that the resistance rate was recorded in Staphylococcus aureus against Amikacin by 13 isolates, with a rate of 86.6%, and in Acinetobacter baumannii, towards Ceftazidime and Piperacillin antibiotics by 12 isolates at a rate of 100%, and  Pseudomonas aeruginosa towards Colistin and Tobramycin at a rate of 6 isolates at a rate of 60%, and Klebsiella pneumoniae towards Colistin and Tobramycin at a rate of 8 isolates at a rate of 100% and Escherichia coli against Amikacin, Colistin, and Imipenem with 7 isolates and 100%, and  Proteus mirabilis against Colistin and Tobramycin with 6 isolates and 100%, and Burkholderia cepacia against 8 antibiotics with a rate of 100%. We conclude from the present study that the most susceptible age group to burns is the active age group and that the pathogenic bacteria from burn wounds are mostly resistant to antibiotics.
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