Silla R C, Fong J, Wright J, Wood F
Burn Unit, Royal Perth Hospital, Wellington Street, Perth, West Australia, G.P.O. Box X2213, Perth, WA 6847, Australia.
Burns. 2006 Mar;32(2):139-44. doi: 10.1016/j.burns.2005.09.002. Epub 2006 Jan 31.
Bacterial colonisation and invasive bacterial infection remain the major causes of mortality and morbidity following severe burn thus ongoing surveillance of patients and monitoring of infection facilitates early intervention to minimise the risk of sepsis. The circumstances of the Bali bombings in October 2002, provided an opportunity to analyse the ramifications of lengthy transfer times, delayed resuscitation and topical treatment, on the primary incidence of burn wound infection (BWI).
This prospective clinical audit investigated the primary incidence of BWI between the usual burn patients admitted to the Burn Unit at Royal Perth Hospital, Western Australia, and a number of survivors from the Bali bombings during a 3-month audit period in 2002. BWI was identified using the Peck et al. proposed definitions for the surveillance of burn wound infections. These include impetigo, surgical wound related infection, cellulitis and invasive infection of unexcised wounds.
The incidence of primary BWI in the Bali-tourist group (68.2%) compared with the standard WA group (18.2%) was significant (p=0.001).
Sensitive assessment criteria allowed for early identification of wound infection. A clinically significant difference in the Bali-tourist group is probably related to the circumstances of their injury.
细菌定植和侵袭性细菌感染仍然是严重烧伤后死亡和发病的主要原因，因此，对患者进行持续监测和感染监测有助于早期干预，以降低败血症风险。2002年10月巴厘岛爆炸事件的情况，为分析长时间转运、延迟复苏和局部治疗对烧伤创面感染（BWI）原发性发病率的影响提供了机会。
这项前瞻性临床审计调查了西澳大利亚皇家珀斯医院烧伤科收治的普通烧伤患者与2002年3个月审计期间巴厘岛爆炸事件的一些幸存者之间BWI的原发性发病率。使用Peck等人提出的烧伤创面感染监测定义来确定BWI。这些包括脓疱病、手术伤口相关感染、蜂窝织炎和未切除伤口的侵袭性感染。
巴厘岛游客组的原发性BWI发病率（68.2%）与西澳大利亚标准组（18.2%）相比有显著差异（p=0.001）。
敏感的评估标准有助于早期识别伤口感染。巴厘岛游客组临床上的显著差异可能与其受伤情况有关。
