Fekih Hassen A, Ben Khalifa S, Raddaoui K, Askri A, Trifa M
Service d'anesthésie réanimation, hôpital d'enfants de Tunis, Tunisie.
Ann Fr Anesth Reanim. 2012 Jul-Aug;31(7-8):591-5. doi: 10.1016/j.annfar.2012.03.008. Epub 2012 Jul 4.
The aim of our study was to determine risk factors associated with nosocomial infections in children hospitalized for skin burn.
Prospective study including children hospitalized for skin burn.
We collected demographic characteristic, mode of admission, mechanism of burn, extent of burn surface by the tables of Lund and Browder, depth of the lesions according to clinical criteria and evolution, type of invasive care (urinary catheterization, central catheterization or mechanical ventilation), nosocomial infection and its time of occurrence, prescription of empirical antibiotic therapy and evolution during hospitalization. The criteria for "American Burn Association" were used to define a severe burn in children.
One hundred eighty-two children were included. In univariate analysis, six risk factors were significantly associated with the occurrence of nosocomial infection: extent of burn surface, severe burn, urinary catheterization and its duration and central catheterization and its duration. Extent of burn surface greater than 10% of total body surface is an independent factor of the occurrence of nosocomial infection (P=0.009) in Multivariate analysis.
In our study, extent of burn surface greater than 10% of total body surface is as an independent risk factor for the occurrence of nosocomial infection.
我们研究的目的是确定因皮肤烧伤住院儿童医院感染的相关危险因素。
对因皮肤烧伤住院的儿童进行前瞻性研究。
我们收集了人口统计学特征、入院方式、烧伤机制、根据伦德和布劳德图表确定的烧伤面积、根据临床标准和病情演变确定的损伤深度、侵入性护理类型（导尿、中心静脉置管或机械通气）、医院感染及其发生时间、经验性抗生素治疗的处方以及住院期间的病情演变。采用“美国烧伤协会”的标准来定义儿童严重烧伤。
纳入182名儿童。单因素分析显示，六个危险因素与医院感染的发生显著相关：烧伤面积、严重烧伤、导尿及其持续时间、中心静脉置管及其持续时间。多因素分析中，烧伤面积大于体表面积的10%是医院感染发生的独立因素（P = 0.009）。
在我们的研究中，烧伤面积大于体表面积的10%是医院感染发生的独立危险因素。
