Pandit D V, Gore M A, Saileshwar N, Deodhar L P
Department of Microbiology, L.T.M.M. College, Sion, Bombay, India.
Burns. 1993 Feb;19(1):52-5. doi: 10.1016/0305-4179(93)90101-d.
Nosocomial infection is a major problem affecting many hospital personnel and patients. Surveillance of intensive care areas such as burns wards is important due to the immunocompromised status of the patients. Since infection has been found to be a major cause of death in our burns ward, bacteriological surveillance of the area was carried out over a 1-year period. This indicated the various sources of infection, which included a contaminated container of disinfectant, and transient pathogenic flora on one of the staff members involved in changing dressings. Pseudomonas aeruginosa was the most commonly isolated pathogen from infected wounds as well as from the blood of patients developing sepsis. Autogenous spread of this organism was confirmed by similar pyocin typing results of the strains isolated from wounds, blood and faeces of the patients. Necessary changes were implemented based on these findings and the infection rate was reduced remarkably. The results suggested that strict vigilance by the personnel involved in the care of burns patients reduces the incidence of invasive sepsis and shortens the hospital stay.
医院感染是一个影响众多医院工作人员和患者的主要问题。由于烧伤病房等重症监护区域的患者免疫功能低下，对这些区域进行监测很重要。由于感染已被发现是我们烧伤病房的主要死亡原因，因此在一年的时间里对该区域进行了细菌学监测。这表明了各种感染源，包括一个被污染的消毒剂容器，以及参与换药的一名工作人员身上的短暂致病菌群。铜绿假单胞菌是从感染伤口以及发生败血症患者的血液中最常分离出的病原体。从患者伤口、血液和粪便中分离出的菌株具有相似的绿脓菌素分型结果，证实了这种细菌的自身传播。基于这些发现实施了必要的改变，感染率显著降低。结果表明，参与烧伤患者护理的人员保持严格警惕可降低侵袭性败血症的发生率并缩短住院时间。
