摘要
目的:总结分析人工关节术后假体周围感染病例的细菌学特点,为该并发症的抗生素治疗提供依据。方法:通过文献检索,对2003～2008年我国学者在国内发表的有关人工关节置换术后假体周围感染的细菌学检查结果进行汇总、归纳和分析。结果:共有49篇文献入选,细菌谱显示G+菌占80.49%,G-菌占17.74%,真菌占1.33%,分支杆菌占0.44%。发现G+细菌中,金黄色葡萄球菌占总菌株数的34.59%,表皮葡萄球菌占总菌株数的37.48%。结论:我国人工关节术后假体周围感染以G+菌为主,且大多数为金黄色葡萄球菌和表皮葡萄球菌感染,应有针对性的使用抗生素。
Objective：To review the characteristics and spectrum of pathogen in patients with infection after total joint replacement and offer some data for antibiotics treatment. Methods：Some articles were selected from all the collected articles relevant to infection after total joint replacement from Chinese database since 2003 to 2008 and analyzed for their pathogen spectrum. Results： Forty- nine articles were selected for analysis, the main pathogens included gram-positive bacteria （which accounted for 80.49% ）, gram- negative bacteria （which accounted for 17.74%）, myeobacterium （which accounted for 1.33% ） and fungus （which accounted for 0.44%）. In all pathogens, S.anrus accounted for 34.59% and S.epidermis accounted for 37.48%. Conclusion：Gram-positive bacteria are the main pathogen in patients with infected total joint replacement in China, most of which are S.aurus and S.epidermis. Selecting antibiotics properly are highly recommended.
出处
《南京医科大学学报（自然科学版）》
CAS
CSCD
北大核心
2009年第5期721-725,共5页
Journal of Nanjing Medical University(Natural Sciences)
关键词
人工关节置换
感染
细菌
total joint replacement
infection
bacteria
