203例烧伤创面感染危险因素分析

Risk Factors Analysis of 203 Burn Wound Infection Cases

目的了解医院烧伤患者创面感染情况,分析与创面感染相关的危险因素,减少烧伤创面感染的发生。方法采用回顾性和前瞻性调查的方法 ,对医院2007-2008年收治的863例烧伤患者创面感染、病原菌构成、药敏以及烧伤面积、患者年龄等进行统计分析。结果 863例烧伤患者发生创面感染203例,创面感染率23.5%;烧伤创面感染革兰阴性菌334株,占54.14%;革兰阳性菌265株,占42.95%;真菌18株,占2.91%;革兰阴性菌以铜绿假单胞菌为多,革兰阳性菌以金黄色葡萄球菌为多;均为条件致病菌,耐药率高;创面感染与烧伤面积和患者年龄相关。结论加强烧伤创面病原菌和药敏监测,选择敏感有效的抗菌药物,及早清创和营养支持,是控制创面感染的有效措施。

OBJECTIVE Knowing the wound infection of the burn patients in our hospital and analyzing the associated risk factors of wound infection to reduce the incidence of burn wound infection.METHODS Using the retrospective and prospective survey methodology,the wound infection,pathogen constituents,susceptibility,the burn area and the age of the 863 burn patients admitted in our hospital in 2007-2008 were analyzed.RESULTS In 863 cases of burn patients,203 cases occured wound infection and the ratio of wound infection was 23.5%.There were 334 strains of G-bacteria,which accounted for 54.14%,265 strains of G＋ bacteria（42.95%） and 18 strains of fungi（2.91%）.The main G-pathogen was Pseudomonas aeruginosa and the main G＋ pathogen was are Staphylococcus aureus.all conditioned bacteria and the drug-resistant rate was high.The wound infection related to the burn area and the age of the patients.CONCLUSION Strengthening the monitoring of burn wound pathogens and antibiotic susceptibility to select sensitive and effective antibiotics,and early debridement and nutritional support are the effective measures to control wound infection.