比较开放式和封闭式烧伤创面敷料应用与组织培养采样。
Comparison of open and closed burn wound dressing applications with tissue culture sampling.
机构信息
Department of General Surgery, Ankara Training and Research Hospital, Ankara-Türkiye.
Department of General Surgery, Gazi University Faculty of Medicine, Ankara-Türkiye.
出版信息
Ulus Travma Acil Cerrahi Derg. 2023 Jul;29(7):758-763. doi: 10.14744/tjtes.2023.78662.
BACKGROUND
Secondary infections are the leading cause of death in burn patients. The purpose of this study is to evaluate the effects of open and closed burn dressings on the development of secondary infections.
METHODS
Tissue cultures were obtained from the burn sites of 56 patients between the ages of 18 and 65 who were admitted to our burn unit between December 2022 and January 2023, on days 3 and 7. The impact of the demographic features of the patients, the characteristics of the burn wound, the dressing type, and the first intervention strategies given to the burn wound on the development of wound infection were evaluated.
RESULTS
There was no statistically significant difference between the open- and closed-dressing groups in terms of cultural positiv-ity (P>0.05). A statistically significant difference (P=0.019) was found between the groups in terms of culture positivity among those whose wounds were cleansed with warm water as the initial intervention after a burn and those whose wounds were not.
CONCLUSION
Even though the main impacts of the patient's variables on the development of a wound infection are recognized, it has been found that the appropriate and successful first intervention in a burn wound is also quite important.
背景
继发感染是烧伤患者死亡的主要原因。本研究旨在评估开放式和封闭式烧伤敷料对继发感染发展的影响。
方法
在 2022 年 12 月至 2023 年 1 月期间，对我院烧伤科收治的 56 名年龄在 18 至 65 岁之间的烧伤患者，于第 3 天和第 7 天，从烧伤部位获取组织培养物。评估患者的人口统计学特征、烧伤伤口特征、敷料类型以及对烧伤伤口的首次干预策略对伤口感染发展的影响。
结果
在培养阳性率方面，开放式和封闭式敷料组之间无统计学差异（P>0.05）。在烧伤后用温水进行初始干预的患者中，与未用温水进行初始干预的患者相比，培养阳性率存在统计学差异（P=0.019）。
结论
尽管已经认识到患者变量对伤口感染发展的主要影响，但发现烧伤伤口的适当和成功的首次干预也非常重要。
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