Belba Monika K, Belba Gjergji P
Department of Surgery, Service of Burns and Plastic Surgery, Service of Anesthesiology, University Hospital Center Mother Teresa, Tirana, Albania.
Burns. 2004 Dec;30(8):813-9. doi: 10.1016/j.burns.2004.06.008.
The objective of this study is to review the incidence of severe burns and the complications of burns sepsis in Albanians. The data are from clinical records of the patients hospitalised in the intensive care unit (ICU) of the Service of Burns, "Mother Teresa" University Hospital Center (UHC), Tirana, Albania during 2001. For the identification of sepsis in burned patients the classification of the American College of Chest Physicians/Society Critical Care Medicine (ACCP/SCCM) was used. All the cases were evaluated according to the clinical, diagnostic and laboratory data. The study presents some epidemiological data about the causative agent, the extent of burn, the depth of burn and the subjects injured. The study also identifies the pathogens responsible for the development of sepsis among patients. Such data was used to establish compound therapies focused on two or three antibiotics for each subject in order to treat sepsis and its possible complications. As a most important part of the treatment regime it is essential to identify patients at risk of sepsis, and to apply compound therapy with antibiotics in order to resist and treat this sepsis, which is the main cause of high mortality among our severely burned patients.
本研究的目的是回顾阿尔巴尼亚人中严重烧伤的发生率及烧伤脓毒症的并发症。数据来自2001年期间在阿尔巴尼亚地拉那“圣母圣心”大学医院中心(UHC)烧伤科重症监护病房(ICU)住院患者的临床记录。对于烧伤患者脓毒症的识别,采用了美国胸科医师学会/危重病医学会(ACCP/SCCM)的分类方法。所有病例均根据临床、诊断和实验室数据进行评估。该研究给出了一些关于病原体、烧伤范围、烧伤深度和受伤对象的流行病学数据。该研究还确定了患者中导致脓毒症发生的病原体。这些数据被用于为每个患者制定以两到三种抗生素为重点的联合治疗方案,以治疗脓毒症及其可能的并发症。作为治疗方案最重要的一部分,识别有脓毒症风险的患者并应用抗生素联合治疗以抵抗和治疗这种脓毒症至关重要,因为脓毒症是我们严重烧伤患者高死亡率的主要原因。