Essayagh M, Essayagh T, Essayagh S, El Hamzaoui S
Faculté de médecine et de pharmacie, Rabat, Université Mohamed V, Souissi, Maroc.
Faculté de médicine et de pharmacie, Laboratoire de bactériologie de l'Hôpital Militaire de Rabat, 284, secteur 7, Hay Salam, 11000 Salé, Maroc.
Med Sante Trop. 2014 Apr-Jun;24(2):157-64. doi: 10.1684/mst.2014.0315.
To determine the bacteriological profile of burn wounds in patients hospitalized in the burn unit of the Military Hospital in Rabat and describe their sensitivity to antibiotics.
This prospective study was conducted from July, 2009, through March, 2011, in the hospital bacteriology laboratory, in collaboration with the burn unit. At each admission, a questionnaire was completed to collect the patient's data. Bacteriological samples were collected from burn wounds at admission and every time the bandage was changed. Identification of bacteria was based on their culture, morphological, and biochemical characteristics. Antibiotic susceptibility was determined with the agar diffusion method, in accordance with the recommendations of the French Society of Microbiology. Statistical analysis was performed with SPSS Version 13 (Statistical Package for the Social Sciences) software.
The study included 58 burn patients. Their mean age was 38.2 ± 15.5 years; the mortality rate was 13.8%, and the prevalence of infection 43.1%. We identified 126 non-redundant bacterial strains from the 112 samples collected, most often Acinetobacter baumannii, Pseudomonas aeruginosa, Klebsiella pneumoniae, Enterobacter cloacae, and Staphylococcus spp.
Heightened vigilance and rigorous application of hygiene rules, together with continuous epidemiological surveillance of burn wound bacteria, are essential to optimize empiric antibiotic therapy.
确定拉巴特军事医院烧伤科住院患者烧伤创面的细菌学特征，并描述其对抗生素的敏感性。
这项前瞻性研究于2009年7月至2011年3月在医院细菌学实验室与烧伤科合作进行。每次患者入院时，都要填写一份问卷以收集患者数据。在入院时以及每次更换绷带时从烧伤创面采集细菌学样本。细菌鉴定基于其培养、形态和生化特征。根据法国微生物学会的建议，采用琼脂扩散法测定抗生素敏感性。使用SPSS 13版（社会科学统计软件包）软件进行统计分析。
该研究纳入了58例烧伤患者。他们的平均年龄为38.2±15.5岁；死亡率为13.8%，感染率为43.1%。我们从采集的112份样本中鉴定出126株非重复细菌菌株，最常见的是鲍曼不动杆菌、铜绿假单胞菌、肺炎克雷伯菌、阴沟肠杆菌和葡萄球菌属。
提高警惕并严格执行卫生规则，同时对烧伤创面细菌进行持续的流行病学监测，对于优化经验性抗生素治疗至关重要。
