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骨、关节感染骨、关节感染包括骨髓炎和关节炎。急性骨髓炎最常见的病原菌为金葡菌,少数为其他细菌。如:1岁以上小儿亦可由化脓性链球菌引起,老年患者可由革兰阴性杆菌引起,长期留置导尿管的患者可由铜绿假单胞菌引起。需要注意的是,慢性骨髓炎患者窦道流出液中分离出的微生物不一定能准确反映感染的病原体,可能误导临床用药。治疗原则①在留取血、感染骨标本、关节腔液进行病原学检查后开始经验治疗。经验治疗应选用针对金葡菌的抗菌药物。获病原菌后进行药敏试验,根据经验治疗的疗效和药敏
Bone, joint infection of bone, joint infections, including osteomyelitis and arthritis. Acute osteomyelitis is the most common pathogen of Staphylococcus aureus, a small number of other bacteria. Such as: 1-year-old children can also be caused by Streptococcus pyogenes, elderly patients can be caused by Gram-negative bacilli, catheter indwelling patients can be caused by Pseudomonas aeruginosa. It should be noted that, in patients with chronic osteomyelitis sinus fluid isolated from the microorganisms may not accurately reflect the infected pathogens, may mislead clinical use. Therapeutic principles ① in leaving the blood, infected bone specimens, joint fluid for pathological examination after the start of empirical treatment. Empirical treatment should be used against Staphylococcus aureus antibacterial drugs. After the pathogen susceptibility testing, according to the experience of treatment and drug sensitivity