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伤口分泌物细菌


又名: 伤口分泌物需氧菌培养; 伤口分泌物厌氧菌培养
正式名称: 伤口分泌物培养(需氧和/或厌氧)

快速浏览

为何检测?

检测伤口是否存在细菌性的伤口感染, 确定是何种细菌感染, 并为药敏试验获得分离菌株。

何时检测?

当医生怀疑伤口有病原性的微生物感染时;感染治疗后的疗效监测。

何种样本?

用无菌拭子采集疑为感染部位的细胞或浓液;用注射器采集伤口深部的液体;组织活检

是否需要作试验前准备?

不需要

检测样本

检测什么?

伤口分泌物细菌培养可用于判断伤口部位是否存在病原性细菌感染。可为皮肤浅表部位的擦伤、切伤或划伤,也可是组织深部的切口、刺伤、穿孔或烧伤,任何伤口均可被多种细菌感染。伤口分泌物细菌培养可判断是否存在细菌感染、细菌种类、细菌敏感药物,帮助伤口的愈合。

        培养时将伤口部位的液体标本、细胞或组织接种于合适的培养基上。培养基的营养成分可促进细菌生长,分离的菌株可用于进一步检测和定型。伤口感染细菌可为一种类型,可也为多种细菌合并感染,以其中一种细菌为主。由于浅表皮肤或深部皮肤存在的菌种不同,对培养的要求也不同,可分为需氧厌氧微需氧,培养时需区分不同菌种的不同环境和营养要求。

        培养之后将对不同菌种进行一一鉴定。鉴定过程需要进行多种检测,通过革兰氏染色,镜检将细菌分为革兰阳性和革兰阴性;球菌和杆菌,联合生化检测可对细菌进行鉴定。

        进而对感染伤口的病原微生物进行抗生素药敏试验,选择病原体敏感的抗生素,指导治疗方案。为了进行药敏试验,需得到各种纯种菌株。

        伤口分泌物培养、革兰染色试验、药敏试验均能辅助临床判断是否存在细菌感染、选择抑制其生长的抗生素。

测试样本如何采集?

用无菌拭子采集疑为感染部位的细胞或浓液;用注射器采集伤口深部的液体;组织活检

是否需要进行任何试验前准备以保证样本的质量?

不需要

试验

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参考文献

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注意:本文是在此处引用的参考文献和医学检验项目在线介绍编辑审核委员会全体成员的经验和研究结果的基础上总结而成。本文由编辑委员会定期审核、更新。任何新引用的文献都会添加到列表中,并且会与原有的参考文献区分开。

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