1例解鸟氨酸拉乌尔菌引起的伤口感染的治疗及文献复习

Treatment and Literature Review of One Case of Wound Infection Caused by Raoultella Ornithinolytica

关键词:  解鸟氨酸拉乌尔菌  伤口感染  文献复习

Key words:  Raoultella ornithinolytica  wound infection  literature review

摘要:

目的 提高对解鸟氨酸拉乌尔菌的临床认识。方法 对1例解鸟氨酸拉乌尔菌引起的伤口感染患者的临床资料进行回顾性分析，并复习相关文献。结果 本例患者因车祸伤致右大腿上段疼痛、肿胀伴功能活动受限10 h就诊，术后伤口分泌物培养示解鸟氨酸拉乌尔菌，经左氧氟沙星治疗后病情恢复。结论 解鸟氨酸拉乌尔菌正慢慢成为一个新兴的医院获得性感染病原菌，特别是在进行侵入性操作之后。该细菌应引起临床及感控的重视，早期对这些菌株进行识别和采取适当措施进行感染管理，控制其蔓延是非常必要的。

Abstract:

OBJECTIVE To improve the clinical understanding of Raoultella ornithinolytica. METHODS Clinical data of a case of wound infection caused by Raoultella ornithinolytica were retrospectively analyzed, and reviewed the literature. RESULTS The patient presented with pain and swelling in the upper right thigh with 10 h of limited functional activity due to an accident, the wound secretion culture after surgery showed Raoultella ornithinolytica, the patient recovered after levofloxacin therapy. CONCLUSION Raoultella ornithinolytica is becoming an emerging hospital-acquired infection, particularly after invasive procedures. The bacteria should cause clinical and infection control attention, early recognition of these isolates and proper infection control measures are necessary for controlling their spread.