阿尔巴尼亚烧伤病房感染的流行病学。

Epidemiology of infections in a burn unit, Albania.

机构信息

Department of Surgery, Service of Burns and Plastic Surgery, Service of Anesthesiology, University Hospital Center 'Mother Teresa', Tirana, Albania.

出版信息

Burns. 2013 Nov;39(7):1456-67. doi: 10.1016/j.burns.2013.03.013. Epub 2013 Apr 28.

DOI:10.1016/j.burns.2013.03.013

PMID:23632302

Abstract

BACKGROUND

Many types of nosocomial infections (NIs) can be present in the burned patient. The purpose of this study is to calculate the rates for NI in the Intensive Care Unit of the Service of Burns and Plastic Surgery in University Hospital Centre (UHC) in Tirana, Albania.

METHOD

The study is prospective, clinical and analytical. The study is continued/longitudinal because monitors all patients with severe burns during a specified time period (1year). For data analysis was used SPSS 19.0.

RESULTS

The infection prevalence rate was 12 infected patients per 100 patients. The colonisation prevalence rate was 43 colonised patients for 100 patients. The most frequent infection microorganisms were Pseudomonas aeruginosa and Staphylococcus aureus (67% and 24%). Incidence of BSI was 3 BSI for 1000 hospitalization days. Incidence of catheter-related bloodstream infection (CRBSI) was 11.7 BSI for 1000 catheter days. Colonisation of the tip of the central catheter (CTC) was 15.6 for 1000 catheter days.

CONCLUSIONS

The epidemiology of burn wound infections as well as the definitions have changed due to important changes in burn wound treatment but further studies should be done documented the factors that can reduce the burn wound infection rates.

摘要

背景

烧伤患者可能存在多种医院获得性感染（NIs）。本研究旨在计算阿尔巴尼亚地拉那大学医院烧伤和整形外科服务中心（UHC）重症监护病房（ICU）的 NI 发生率。

方法

本研究为前瞻性、临床和分析性研究。由于在特定时间段（1 年）内监测所有严重烧伤患者，因此该研究是连续/纵向的。使用 SPSS 19.0 进行数据分析。

结果

感染患病率为每 100 名患者中有 12 名感染患者。定植患病率为每 100 名患者中有 43 名定植患者。最常见的感染微生物是铜绿假单胞菌和金黄色葡萄球菌（分别为 67%和 24%）。BSI 的发病率为每 1000 个住院日 3 例 BSI。导管相关血流感染（CRBSI）的发病率为每 1000 个导管日 11.7 例 BSI。中心导管尖端（CTC）定植率为每 1000 个导管日 15.6 例。