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首页> 外文期刊>BMC research notes >Aerobic bacteria in post surgical wound infections and pattern of their antimicrobial susceptibility in Ayder Teaching and Referral Hospital, Mekelle, Ethiopia
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Aerobic bacteria in post surgical wound infections and pattern of their antimicrobial susceptibility in Ayder Teaching and Referral Hospital, Mekelle, Ethiopia

机译：埃塞俄比亚梅克尔艾德教学与转诊医院手术后伤口感染中的好氧细菌及其抗菌药敏模式

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Background Post surgical wound infections are global problem in the field of surgery associated with long hospital stay, higher treatment expenditure, morbidity and mortality. Hence to address the limited data in Ethiopia on post surgical wound infections, we conducted this research to determine the prevalence and antimicrobial susceptibility patterns of aerobic bacteria in post-surgical wound infected patients in Ayder teaching and referral hospital, Mekelle, Ethiopia. Methods Hospital based prospective cross sectional study was carried-out in 128 patients who had undergone surgery in general surgery and orthopaedic wards, and showed symptoms of infection clinically from January to June 2012. Standard bacteriological methods were used for bacterial isolation and antimicrobial susceptibility pattern. Results A total of 128 patients (98 male and 30 female) with clinical signs of post surgical wound infections were enrolled. The age of the patients ranged from 15–79 years (with mean 35.95?±?19.01?years). Out of the 128 wound swabs taken, 96/128 (75%) were culture positive aerobically, yielding 123 bacterial isolates. Out of these the predominant bacterial isolates were Staphylococcus aureus 44 (35.77%), Klebsiella species 29 (22.76%) and Coagulase negative Staphylococci (CoNS) 18 (14.63%). No bacterial isolates was found to be sensitive to all antibiotics tested. Isolated bacteria showed 102/123 (82.92%) multi drug resistance to the commonly used antibiotics in the hospital. However, 54/ 65 (83.1%) of Gram negative and 58/58 (100%) of Gram positive isolates were sensitive to Gentamicin and Vancomycin, respectively. Conclusion Prevalence of was Post-operative wound infections rate in this current study was 75% and multi drug resistance was seen in 102/123(82.92%) of the isolates leaving clinicians with few choices of drugs for the treatment of post surgical wound infected patients. This underscores for periodic surveillance of etiologic agent and antibiotic susceptibility to prevent further emergence and spread of resistant bacteria pathogens.
机译：背景技术手术后伤口感染是与长期住院，更高的治疗费用，发病率和死亡率相关的外科领域中的全球性问题。因此，为了解决埃塞俄比亚关于手术后伤口感染的有限数据，我们进行了这项研究，以确定埃塞俄比亚梅克尔市艾德教学和转诊医院的手术后伤口感染患者需氧细菌的患病率和抗菌药敏模式。方法对2012年1月至2012年6月在普通外科和骨科病房接受手术治疗的128例患者进行医院前瞻性横断面研究。采用标准细菌学方法进行细菌分离和抗菌药敏试验。结果总共招募了128例具有术后伤口感染临床症状的患者（男98例，女30例）。患者年龄为15-79岁（平均35.95±19.01岁）。在所采集的128个伤口拭子中，有氧培养的96/128（75％）阳性，产生123个细菌分离株。在这些主要细菌分离物中，有金黄色葡萄球菌44（35.77％），克雷伯菌属29（22.76％）和凝固酶阴性葡萄球菌（CoNS）18（14.63％）。没有发现细菌分离株对所有测试的抗生素敏感。分离出的细菌显示出对医院常用抗生素的102/123（82.92％）多药耐药性。但是，革兰氏阴性菌的54/65（83.1％）和革兰氏阳性菌的58/58（100％）分别对庆大霉素和万古霉素敏感。结论在本研究中，术后伤口感染的发生率为75％，在102/123（82.92％）的分离物中发现了多药耐药性，临床医生几乎没有选择药物来治疗术后伤口感染的患者。这强调了对病因和抗生素敏感性的定期监测，以防止耐药菌病原体的进一步出现和扩散。

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