摘要
目的:对3个月以下婴儿的肛周脓肿进行病原菌培养鉴定、药敏试验及疗效观察,指导临床对此类疾病的治疗。方法:回顾性分析66例3个月以下婴儿肛周脓肿的细菌培养和药敏试验结果及脓肿切开引流的疗效。结果:66例细菌培养中,48例肺炎克雷伯杆菌,7例葡萄球菌,6例大肠埃希菌,5例变形杆菌。常见病原菌肺炎克雷伯杆菌对大多数抗菌药敏感,尤以亚胺培南、头孢哌酮/舒巴坦及阿米卡星耐药率极低,而对氨苄西林及呋喃妥因的耐药率极高。经切开排脓引流后仅6.6%并发肛瘘,而成人组肛周皮下脓肿切排后肛瘘发生率达60.3%,差异有统计学意义(P<0.05)。结论:3个月以下婴儿的肛周脓肿以肺炎克雷伯杆菌感染最为常见,对氨苄西林及呋喃妥因普遍耐药,对此类肛周脓肿的外科治疗手术宜简单,预后良好。
Objective： Pathogen identification, antibiotics susceptibility test and curative effects analysis were conducted in perianal abscess of infants under 3 months to guide clinical treatment for such cases. Methods： Bacterial culture results, antibiotics susceptibility test and curative effects of incision and drainage of abscess were retrospectively analyzed in 66 cases of perianal abscess of infants under 3 months. Results： Fortyeight cases were Klebsiella pneumonia, 7 cases Staphylococcus, 6 cases Escherichia coli and 5 cases of proteus in the pathogen culture results. Klebsiella pneumonia-the common pathogenic bacteria was susceptible to the majority of antibiotics, especially to imipenem, cefoperazone-sulbactam and amikacin with low drug resistance rate. However, high drug resistance rates were found in ampicillin and nitrofurantion. After incision and drinage of abscess 6.6% complication of anal fistula was happened in infants under 3 months and 60.3% in the control adult group. There was significant difference P〈0.01. Conclusion： Klebsiella pneumonia is the most common pathogen in perianal abscess of infants under 3 months and was commonly resistant to ampicillin and nitrofurantion. Since it recovered well, perianal abscess of infants under 3 months should be done with simple surgery.
出处
《温州医科大学学报》
CAS
2016年第3期226-228,共3页
Journal of Wenzhou Medical University
关键词
婴儿
肛周脓肿
细菌培养
疗效
infant
perianal abscess
germiculture
curative effect
