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目的:检测某中医诊所受诊者局部感染病原菌,为探索事件致病原因提供科学依据。方法:采集病人局部感染脓液和痰液标本,进行涂片、分离培养、药敏试验、结核分枝杆菌鉴定等检测。结果:检测46例病人的脓液标本78份,其中48份标本检出人结核分枝杆菌,涉及病例32人,受检病例阳性率为69.57%(32/46),脓液标本检出率为61.54%(48/78)。检测11例患者痰液标本,9例结核分枝杆菌阳性,阳性率为81.82%(9/11)。9例痰液阳性标本与48份脓液阳性标本结核分枝杆菌鉴定,为同源人结核分枝杆菌。结论:该中医诊所在诊疗过程中陆续引发受诊者针灸部位局部感染,其病原菌为人结核分枝杆菌。为现场流行病学分析致病原因和受感染患者的医疗救治提供了科学依据。
Objective: To detect the pathogen of local infection in the clinic of a Chinese medicine clinic and provide a scientific basis for exploring the causative cause of the event. Methods: Pus and sputum specimens were collected from patients for local infection, smear, isolation and culture, drug sensitivity test and identification of Mycobacterium tuberculosis. Results: Totally 78 samples of pus were detected in 46 patients, of which 48 samples were positive for Mycobacterium tuberculosis, involving 32 cases. The positive rate of the tested cases was 69.57% (32/46). The detection rate of pus 61.54% (48/78). Sputum samples of 11 patients were detected, and 9 cases of Mycobacterium tuberculosis were positive, the positive rate was 81.82% (9/11). Nine sputum positive specimens and 48 pus positive specimens were identified as Mycobacterium tuberculosis Mycobacterium tuberculosis. Conclusion: The Chinese medicine clinics in the course of diagnosis and treatment have gradually triggered the local acupuncture point of infection, the pathogen is human Mycobacterium tuberculosis. Provide a scientific basis for the on-site epidemiological analysis of the cause of the disease and the medical treatment of infected patients.