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公交车爆燃事件群体烧/创伤患者医院感染发病率及危险因素
引用本文:唐燕,黄薇,陈丽萍,雷曦兵,肖亚雄,孙睿,谭慕杨. 公交车爆燃事件群体烧/创伤患者医院感染发病率及危险因素[J]. 中国感染控制杂志, 2017, 16(10): 946-948. DOI: 10.3969/j.issn.1671-9638.2017.10.011
作者姓名:唐燕  黄薇  陈丽萍  雷曦兵  肖亚雄  孙睿  谭慕杨
作者单位:公交车爆燃事件群体烧/创伤患者医院感染发病率及危险因素
摘    要:目的了解群体烧/创伤患者医院感染发生情况,并探讨其危险因素。方法对2014年5月12日某院收治的"公交车爆燃事件"共25例住院群体烧/创伤患者的医院感染情况进行监测分析。结果 25例烧/创伤患者,其中发生医院感染7例,10例次,医院感染发病率为28.00%,例次发病率为40.00%;感染部位以创面和下呼吸道为主,分别占60.00%和30.00%。7例医院感染患者共检出病原菌30株,其中革兰阴性(G-)菌16株(53.34%)、革兰阳性(G+)菌13株(43.33%)、真菌1株(3.33%)。烧伤总面积大、吸入性损伤程度高、动静脉插管、泌尿道插管、气管切开、使用呼吸机、外科手术均是烧/创伤患者医院感染的危险因素。结论群体烧/创伤患者医院感染发病率较高,应根据其危险因素制定相应的干预措施,减少医院感染的发生。

关 键 词:烧伤  创伤  医院感染  危险因素  
收稿时间:2016-10-25
修稿时间:2016-12-23

Incidence and risk factors for healthcare associated infection in group burn/trauma patients during a bus deflagration event
TANG Yan,HUANG Wei,CHEN Li ping,LEI Xi bing,XIAO Ya xiong,SUN Rui,TAN Mu yang. Incidence and risk factors for healthcare associated infection in group burn/trauma patients during a bus deflagration event[J]. Chinese Journal of Infection Control, 2017, 16(10): 946-948. DOI: 10.3969/j.issn.1671-9638.2017.10.011
Authors:TANG Yan  HUANG Wei  CHEN Li ping  LEI Xi bing  XIAO Ya xiong  SUN Rui  TAN Mu yang
Affiliation:First People’s Hospital of Yibin, Yibin 644000, China
Abstract:ObjectiveTo understand healthcare associated infection(HAI) in group burn/trauma patients, and explore its risk factors.MethodsHAI occurred among 25 hospitalized patients with group burn/trauma during a bus deflagration event on May 12, 2014 were monitored and analyzed.ResultsOf 25 burn/trauma patients, 7 developed 10 times of HAI, incidence and case incidence of HAI were 28.00% and 40.00% respectively; the main infection sites were wound and lower respiratory tract, accounting for 60.00% and 30.00% respectively. 30 strains of pathogens were isolated from 7 patients with HAI, including 16 strains (53.34%) of gram negative bacteria, 13 strains(43.33%) of gram positive bacteria, and 1 fungus (3.33% ). Risk factors for HAI were large burned area, high degree of inhalation injury, arteriovenous catheterization, urinary tract catheterization, tracheotomy, use of ventilator, and surgery.ConclusionIncidence of HAI is high in the group burn/trauma patients, corresponding intervention measures should be formulated according to the risk factors, so as to reduce the occurrence of HAI.
Keywords:burn  trauma  healthcare associated infection  risk factor
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