JOURNAL OF CLINICAL TRANSFUSION AND LABORATORY MEDICINE ›› 2017, Vol. 19 ›› Issue (4): 386-389.DOI: 10.3969/j.issn.1671-2587.2017.04.022
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YIN Mei-ling, DENG Fang, FAN Ping, et al
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Abstract: Objective To investigate the bacteriology characteristics and drug resistance of post-operative infections of wounds in the patients with colorectal cancer and to provide the basis for the reasonable application of antibiotics.Methods A retrospective analysis of the pathogenic bacteria distribution and drug resistance in112 colorectal cancer patients,who underwent surgeries in the hospital from Sep 2012 to Dec 2015,was performed. Results A total of 121 strains of pathogenic bacteria were isolated from wound secretions and abdominal puncture fluids. Gram-negative bacterias accounted for 83.47% (101/121), including Escherichia coli,Pseudomonas aeruginosa,Klebsiella pneumoniae,and Enterobacter cloacae. Gram-positive cocci accounted for 13.22% (16/121),that dominated by Enterococcus. It was found that E. coli and K. pneumoniae had a low resistance rate to carbapenems,β-lactamase inhibitor compound agents,cephamycins and fourth generation Cephalosporins (less then 30%),whereas P.aeruginosa showed higher sensitivity to antibacterial agents in vitro. Enterococcus had a high resistance rate to erythromycin and tetracycline,while no drug-resistant strains to vancomycin,linezolid,tigecycline and nitrofurantoin were found. Conclusion The most common pathogenic bacterias causing surgical site infections are gram-negative bacilli. It is necessary to energetically prevent and treat postoperative infections in colorectal cancer patients based on the Results of drug susceptibility testing.
Key words: Colorectal cancer, Surgical site infection, Etiology, Drug sensitivity test
CLC Number:
R735.3R378
YIN Mei-ling, DENG Fang, FAN Ping, et al. The Analysis of Becterials and Drug Resistance in Patients with Colorectal Cancer[J]. JOURNAL OF CLINICAL TRANSFUSION AND LABORATORY MEDICINE, 2017, 19(4): 386-389.
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