Kalenić S, Zele-Starcević L, Jarza-Davila N, Jandrlić M
Zavod za klinickolaboratorijsku dijagnostiku, Klinicko bolnicki centar, Zagreb.
Lijec Vjesn. 1991 Jul-Aug;113(7-8):233-5.
Between April and September 1991, 415 injured patients were treated at the University Hospital Rebro, Zagreb, 362 at the Department of Surgery and 53 at the Department of Neurosurgery. Infections developed in 15.7% of the injured patients (wound infections in 14.6% and sepsis or meningitis in 1.1% of the injured patients). 88.2% of wound infections as well as all sepsis and meningitis were hospital-acquired infections, while 7.95 of wound infections occurred within 48 h of injuring. The major pathogens, in 90% of cases, were the aerobic bacteria (Enterobacteriaceae, Pseudomonas aeruginosa, Staphylococcus aureus, Acinetobacter species) while 9% of infections were caused by mixed aerobic-anaerobic flora. One injured patient developed clinical features of gas gangrene. Neither streptococcal wound infections nor tetanus were present in this group of the injured patients.
1991年4月至9月期间，萨格勒布雷布罗大学医院共治疗了415名受伤患者，其中362名在外科，53名在神经外科。15.7%的受伤患者发生了感染（14.6%为伤口感染，1.1%为脓毒症或脑膜炎）。88.2%的伤口感染以及所有脓毒症和脑膜炎均为医院获得性感染，而7.95%的伤口感染发生在受伤后48小时内。在90%的病例中，主要病原体为需氧菌（肠杆菌科、铜绿假单胞菌、金黄色葡萄球菌、不动杆菌属），而9%的感染由需氧菌与厌氧菌混合菌群引起。1名受伤患者出现了气性坏疽的临床症状。该组受伤患者中未出现链球菌伤口感染和破伤风病例。
