【正文】
d Management,感染(gǎnrǎn)傷口,已發(fā)生感染的傷口,化膿性疾病的引流性手術(shù)切口(qiē kǒu)和手術(shù)切口(qiē kǒu)感染等。,第三頁(yè),共五十四頁(yè)。,2,09/11/2024,Coloplast AcademyWound Management,清潔傷口(shāngkǒu) 污染傷口 感染傷口,傷口的分類(lèi)(fēn l232。i)(以清潔度劃分),第二頁(yè),共五十四頁(yè)。,4,09/11/2024,Coloplast AcademyWound Management,污染(wūrǎn)傷口,傷后8小時(shí)內(nèi),已發(fā)生異物和細(xì)菌沾染和污染的傷口, 清創(chuàng)術(shù)使之接近(jiēj236。二期愈合。nɡ)傷口的感染發(fā)生率,第六頁(yè),共五十四頁(yè)。,8,09/11/2024,Coloplast AcademyWound Management,細(xì)菌(x236。ngzhǐ) (Tenorio et al. 1976;Levenson et al. 1983) 細(xì)菌的侵入部位:,第九頁(yè),共五十四頁(yè)。,11,09/11/2024,Coloplast AcademyWound Management,人體(r233。ngy224。nɡ y249。 yān)能夠有效降低術(shù)后切口的感染率。,14,09/11/2024,Coloplast AcademyWound Management,細(xì)菌(x236。,16,09/11/2024,Coloplast AcademyWound Management,Contamination The presence of non replicating microorganisms within a wound 污染——在一個(gè)傷口內(nèi)存在微生物,但沒(méi)有復(fù)制; Colonisation The presence of replicating bacteria that adhere to the wound bed but do not cause cellular damage to the host 定植——傷口內(nèi)存在著可復(fù)制的細(xì)菌黏附在創(chuàng)床上,但不會(huì)對(duì)宿主(s249。ng)定植,The bioburden in the wound bed is increasing 創(chuàng)床中的微生物對(duì)宿主的細(xì)胞損傷增加 Initiates the body’s immune response locally but not systemically 引發(fā)局部(jnzh242。,19,09/11/2024,Coloplast AcademyWound Management,Infected,Infected,Classic signs in the presence of replicating microorganisms within a wound with a subsequent host response that leads to a delay in healing 傷口(shāngkǒu)內(nèi)存在著復(fù)制的細(xì)菌,對(duì)宿主造成反應(yīng),引起傷口(shāngkǒu)延遲愈合,Infection 感染,Infection 感染(gǎnrǎn),第十九頁(yè),共五十四頁(yè)。,感染傷口(shāngkǒu)的診斷,擴(kuò)展(ku242。bi233。,23,09/11/2024,Coloplast AcademyWound Management,感染傷口的微生物學(xué)(wēi shēnɡ w249。ng)的細(xì)菌譜,Staph. Aureus 金黃色葡萄球菌 88% Staph. Epidermidis 表皮葡萄球菌 16% Enterococcus Faecalis 類(lèi)腸球菌 71% Enterobact. Cloacae 陰溝腸桿菌 29% Peptococcus Magnus 大消化球菌 29% Pseudomonas Aerogenosa 銅綠假單孢菌 19% All Pseudomonas types 各種(ɡ232。)特征,Bacteria in Diabetic Foot Ulcer* 糖尿病足潰瘍(ku236。o qijūn)培養(yǎng)的分類(lèi)和目的 細(xì)菌培養(yǎng)的時(shí)機(jī) 細(xì)菌培養(yǎng)的方法,第二十五頁(yè),共五十四頁(yè)。n)。iyǎng)的時(shí)機(jī),出現(xiàn)全身感染征象(zhēngxi224。,28,09/11/2024,Coloplast AcademyWound Management,細(xì)菌(x236。ng x236。ng)和種類(lèi)沒(méi)有不同,即與采樣的傷口部位沒(méi)有關(guān)系。u)傷口滲出液; 將濾紙片取下放在2