Dzupa V, Ryantová V, Skála-Rosenbaum J, Vyhnánek F, Fric M, Grill R, Horák L, Pavelka T
Ortopedicko-traumatologická klinika 3. LF UK a FNKV, Praha.
Acta Chir Orthop Traumatol Cech. 2008 Aug;75(4):293-6.
Based on case histories, the authors draw attention to important infectious complications in patients surgically treated for pelvic injuries. These complications were recorded in four out of 75 patients (5.3%) undergoing surgery for pelvic fracture in the period from 2001 to 2005. The chief risk factors for the development of infection included the poor state of health of a polytraumatized patient in combination with a long stay in an acute care unit, and severe trauma and bleeding of soft tissue structures in B and C types of pelvic injury. Bacteriological findings showed the presence of several pathogenic species (Enterobacter cloacae, Citrobacter koseri, Pseudomonas aeruginosa and Klebsiella oxytoca) or multi-resistant bacteria (methicillin-resistant Staphylococcus aureus).
基于病例记录,作者提请注意骨盆损伤手术治疗患者中重要的感染性并发症。在2001年至2005年期间接受骨盆骨折手术的75例患者中,有4例(5.3%)记录了这些并发症。感染发生的主要危险因素包括多发伤患者健康状况差并长期住院,以及B型和C型骨盆损伤中软组织结构的严重创伤和出血。细菌学检查结果显示存在几种致病菌种(阴沟肠杆菌、科氏柠檬酸杆菌、铜绿假单胞菌和产酸克雷伯菌)或多重耐药菌(耐甲氧西林金黄色葡萄球菌)。