Infections of Pathogens in Lesions of Cutaneous Carcinoma

Objective To investigate the lesions and pathogen infections of the inpatients diagnosed as cutaneous carcinoma, and provide the basis of rational drug use for clinicians. Methods For the 88 inpatients with cutaneous carcinoma, secretions were collected from the 41 patients whose lesions were ulcera...

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Main Authors: MAO Shiwang, YAN Yueying, FENG Guangdong, BU Wenbo, ZHAO Liang, ZHAI Jianxin, FANG Fang
Format: Article
Language:zho
Published: Magazine House of Cancer Research on Prevention and Treatment 2019-07-01
Series:Zhongliu Fangzhi Yanjiu
Subjects:
Online Access:http://html.rhhz.net/ZLFZYJ/html/8578.2019.19.0083.htm
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author MAO Shiwang
YAN Yueying
FENG Guangdong
BU Wenbo
ZHAO Liang
ZHAI Jianxin
FANG Fang
author_facet MAO Shiwang
YAN Yueying
FENG Guangdong
BU Wenbo
ZHAO Liang
ZHAI Jianxin
FANG Fang
author_sort MAO Shiwang
collection DOAJ
description Objective To investigate the lesions and pathogen infections of the inpatients diagnosed as cutaneous carcinoma, and provide the basis of rational drug use for clinicians. Methods For the 88 inpatients with cutaneous carcinoma, secretions were collected from the 41 patients whose lesions were ulcerative. VITEK 2 Compact automatic bacterial identification and susceptibility analysis system were applied to perform species identification and drug resistance testing. Results Thirty-one were positive for the culture of pathogens, among which 18 were Gram-positive bacterium and staphylococcus aureus was the majority; 13 were Gram-negative bacterium and pseudomonas aeruginosa and proteus mirabilis were the majority. The resistant rate of Gram-positive bacterium to macrolide antibiotics was 72.5%. The resistant rate of Gram-negative bacterium to doxycycline reached 100%, and it was also highly resistant to cephalosporin antibiotics. Additionally, four cases of multi-drug resistant bacteria were found. Conclusion Since bacterial infections are prevalent in the ulcerative lesions of cutaneous carcinoma, clinician should perform pre- and post-operative interventions on the basis of strains identification and susceptibility test results.
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spelling doaj.art-d334de7289cd4036b40877d642e827202022-12-21T23:57:00ZzhoMagazine House of Cancer Research on Prevention and TreatmentZhongliu Fangzhi Yanjiu1000-85781000-85782019-07-0146761461610.3971/j.issn.1000-8578.2019.19.00838578.2019.19.0083Infections of Pathogens in Lesions of Cutaneous CarcinomaMAO Shiwang0YAN Yueying1FENG Guangdong2BU Wenbo3ZHAO Liang4ZHAI Jianxin5FANG Fang6Department of Dermatology, The Affiliated Wuxi No.2 People's Hospital of Nanjing Medical University, Wuxi 214002, ChinaDepartment of Dermatology, Heze Municipal Hospital, Heze 274031, ChinaDepartment of Dermatology, The Affiliated Wuxi No.2 People's Hospital of Nanjing Medical University, Wuxi 214002, ChinaDepartment of Dermatological Surgery, Institute of Dermatology and Hospital for Skin Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Nanjing 210042, ChinaDepartment of Dermatological Surgery, Institute of Dermatology and Hospital for Skin Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Nanjing 210042, ChinaDepartment of Dermatology, The Affiliated Wuxi No.2 People's Hospital of Nanjing Medical University, Wuxi 214002, ChinaDepartment of Dermatological Surgery, Institute of Dermatology and Hospital for Skin Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Nanjing 210042, ChinaObjective To investigate the lesions and pathogen infections of the inpatients diagnosed as cutaneous carcinoma, and provide the basis of rational drug use for clinicians. Methods For the 88 inpatients with cutaneous carcinoma, secretions were collected from the 41 patients whose lesions were ulcerative. VITEK 2 Compact automatic bacterial identification and susceptibility analysis system were applied to perform species identification and drug resistance testing. Results Thirty-one were positive for the culture of pathogens, among which 18 were Gram-positive bacterium and staphylococcus aureus was the majority; 13 were Gram-negative bacterium and pseudomonas aeruginosa and proteus mirabilis were the majority. The resistant rate of Gram-positive bacterium to macrolide antibiotics was 72.5%. The resistant rate of Gram-negative bacterium to doxycycline reached 100%, and it was also highly resistant to cephalosporin antibiotics. Additionally, four cases of multi-drug resistant bacteria were found. Conclusion Since bacterial infections are prevalent in the ulcerative lesions of cutaneous carcinoma, clinician should perform pre- and post-operative interventions on the basis of strains identification and susceptibility test results.http://html.rhhz.net/ZLFZYJ/html/8578.2019.19.0083.htmcutaneous carcinomapathogensdrug-susceptibilitymulti-drug resistance
spellingShingle MAO Shiwang
YAN Yueying
FENG Guangdong
BU Wenbo
ZHAO Liang
ZHAI Jianxin
FANG Fang
Infections of Pathogens in Lesions of Cutaneous Carcinoma
Zhongliu Fangzhi Yanjiu
cutaneous carcinoma
pathogens
drug-susceptibility
multi-drug resistance
title Infections of Pathogens in Lesions of Cutaneous Carcinoma
title_full Infections of Pathogens in Lesions of Cutaneous Carcinoma
title_fullStr Infections of Pathogens in Lesions of Cutaneous Carcinoma
title_full_unstemmed Infections of Pathogens in Lesions of Cutaneous Carcinoma
title_short Infections of Pathogens in Lesions of Cutaneous Carcinoma
title_sort infections of pathogens in lesions of cutaneous carcinoma
topic cutaneous carcinoma
pathogens
drug-susceptibility
multi-drug resistance
url http://html.rhhz.net/ZLFZYJ/html/8578.2019.19.0083.htm
work_keys_str_mv AT maoshiwang infectionsofpathogensinlesionsofcutaneouscarcinoma
AT yanyueying infectionsofpathogensinlesionsofcutaneouscarcinoma
AT fengguangdong infectionsofpathogensinlesionsofcutaneouscarcinoma
AT buwenbo infectionsofpathogensinlesionsofcutaneouscarcinoma
AT zhaoliang infectionsofpathogensinlesionsofcutaneouscarcinoma
AT zhaijianxin infectionsofpathogensinlesionsofcutaneouscarcinoma
AT fangfang infectionsofpathogensinlesionsofcutaneouscarcinoma