查詢結果分析
相關文獻
- Microbiological Analysis of Perianal Abscess and Its Treatment
- 小兒肛門膿瘍和肛門廔管的診斷和治療
- Aneurysm of the Left Sinus of Valsalva with Fistula to the Right Atrium: Report of a Case
- Congenital Hepatic Arterioportal Fistula Complicated with Gastrointestinal Bleeding Treated with Transcatheter Embolization: Case Report
- 傳播媒體對閱聽人的潛藏效果研究--以中外29個犯罪及自殺案件為例
- Transesophageal Doppler Echocardiographic Study of Diastolic Murmur Arising from a Fistula between the Right Coronary Artery and Left Ventricle: Report of a Case
- 腦部血管攝影術之介紹與探討
- 肛門廔管的診斷及治療
- Diagnosis and Ultrasound-Guided Compression of Iatrogenic Inferior Epigastric Arteriovenous Fistula
- 認識肛門膿瘍與肛門瘻管
頁籤選單縮合
| 題 名 | Microbiological Analysis of Perianal Abscess and Its Treatment=肛門膿瘍的菌種分析與治療 |
|---|---|
| 作 者 | 鄭勝方; 蔡文司; | 書刊名 | 中華民國大腸直腸外科醫學會雜誌 |
| 卷 期 | 21:1 2010.03[民99.03] |
| 頁 次 | 頁37-42 |
| 分類號 | 416.245 |
| 關鍵詞 | 肛門膿瘍; 廔管; Perianal abscess; Antibiotics; Anal fistula; |
| 語 文 | 英文(English) |
| 中文摘要 | 目的 這項研究主要是尋找肛門膿瘍最常見的感染菌種,以及對抗這些菌種最有效的抗 生素。 方法 我們需要的病人是單純肛門膿瘍患者。肛門膿瘍伴隨肛門廔管的病人必須先排 除。是否是單純肛門膿瘍患者,由同一位醫師利用相同的檢查來診斷。從2006 年3 月 至2007 年7 月,共16 位病人加入本研究。 結果 每個病人的肛門膿瘍均可培養出嗜氧菌,而16 個患者中,有14 個人可培養出厭 氧菌。嗜氧菌當中以E-coli 最常見,厭氧菌中以Bacteroides fragilis 最常見。E-coli 對 cefazolin 84.6% 的病人有敏感性,E-coli 對augemtin 84.6% 的病人有敏感性,而對 amikacin 100% 的病人有敏感性。Bacteroids fragilis 對metronidazole 100% 的病人敏感 性。 結論 對抗肛門膿瘍所培養出細菌的最佳口服抗生素是Augentin 加metronidazole 或者 是cefazolin 加metronidazole。 |
| 英文摘要 | Purpose. To identify the species of infectious organisms present in perianal abscesses and to determine their sensitivity to various antibiotics in order to establish the most effective type of oral antibiotics for treatment. Patients and Methods. Sixteen patients with perianal abscess without skin rupture or identified fistula tract were included in this study. After disinfecting the skin with povidone-iodine and alcohol, exudate was aspirated from the abscess by using a 5-cc needle syringe and sent for common aerobic and anaerobic culture and antibiotic sensitivity tests. Results. The culture rates of aerobic and anaerobic bacteria were 100% and 87.5%, respectively. The species of aerobic bacteria identified included Escherichia coli (13/16), Streptococcus spp. (4/16), Klebsiella pneumoniae (4/16), Citrobacter freundii (2/16), Salmonella enterica serogroup D (1/16), and Staphylococcus aureus (1/16). The species of anaerobic bacteria included Bacteroides fragilis (10 of 14 patients), Bacteroides vulgatus (1/14), Bacteroides stercoris (1/14), Bacteroides thetaiotaomicron (1/14), and Clostridium perfringens (1/14). The most common cultured anaerobic and aerobic bacteria were B. fragilis and E.coli, respectively. Antibiotic sensitivity rates for E.coli were determined to be 84.6%, 84.6%, 69.2%, and 30.8% to amoxicillin-clavulamic acid, cefazolin, ciprofloxacin, and piperacillin, respectively. The resistant rate of E. coli to gentamycin was 30.8%, but the resistant rate to amikacin was 0%. For anaerobic bacteria, antibiotic sensitivity rates were determined to be 100%, 78.6%, 71.4% and 57.1% to the chemicals metronidazole, ampicillin- sulbactam, piperacillin, and clindamycin, respectively. The rates of fistula development at the 12-month follow-up were 28.6% and 0% in patients who had mixed flora and pure aerobic infection, respectively. Conclusion. Our findings show that the first choice of oral antibiotics for the treatment of perianal abscess should be metronidazole combined with augamentin or cefazolin. If aminoglycosides are considered necessary in cases of severe infection, it is recommended that amikacin be administered as our results show a high rate of resistance to gentamycin. |
本系統中英文摘要資訊取自各篇刊載內容。