Alrawi M, Crowley T P, Pape S A
Consultant Plastic Surgeon, Department of Plastic Surgery, Royal Victoria Infirmary, Newcastle, UK.
SpR Plastic Surgery, Department of Plastic Surgery, Royal Victoria Infirmary, Newcastle, UK.
J Wound Care. 2014 May;23(5):274-7. doi: 10.12968/jowc.2014.23.5.274.
Bacterial colonisation of the burn wound remains a major source of morbidity and mortality in burns patients. This study aimed to determine the presence of different micro-organisms in a UK regional burns centre and to examine the relationships between bacterial colonisation, burn size, length of hospital stay and delayed referral.
A retrospective review of microbiology surveillance swab results on all adult patients admitted to a regional burns centre over a 12-month period was performed.
139 adult patients were included in the study. Approximately 68% of patients showed evidence of burn wound colonisation at some point during their inpatient stay. The remaining 32% had negative microbiology swabs throughout their hospital stay. A total of 202 micro-organisms were isolated. Staphylococcus aureus was found to be the most common micro-organism, found in 79% of patients with positive swab results. A direct link was found between an increased incidence of bacterial colonisation and delay in referral of >24 hours, larger burn size and length of hospital stay.
By understanding the potential sources of bacteria and the effect of patient factors on their susceptibility to bacterial colonisation, we can form better management and treatment strategies to reduce morbidity and mortality from burns wound sepsis.
烧伤创面的细菌定植仍然是烧伤患者发病和死亡的主要原因。本研究旨在确定英国一家地区烧伤中心不同微生物的存在情况，并研究细菌定植、烧伤面积、住院时间和延迟转诊之间的关系。
对一家地区烧伤中心12个月内收治的所有成年患者的微生物学监测拭子结果进行回顾性分析。
139名成年患者纳入研究。约68%的患者在住院期间的某个时间点有烧伤创面定植的证据。其余32%的患者在整个住院期间微生物拭子检测均为阴性。共分离出202种微生物。金黄色葡萄球菌是最常见的微生物，在拭子结果呈阳性的患者中，79%的患者检出该菌。发现细菌定植发生率增加与延迟转诊超过24小时、烧伤面积较大和住院时间较长之间存在直接关联。
通过了解细菌的潜在来源以及患者因素对其细菌定植易感性的影响，我们可以制定更好的管理和治疗策略，以降低烧伤创面脓毒症的发病率和死亡率。
