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[Clinical study on nosocomial infection in patients with burns]
1Department of Burn and Plastic Surgery, Xiangya Hospital, Hunan Medical University, Changsha 410008.
Objective:
To study clinical characters and related factors of nosocomial infection in patients with burns.
Methods:
To study 782 cases of burns as a group hospitalized in our department for more than 48 h, from January, 1993 to December, 1996. Prospective and retrospective investigation of infection locations, infection rates, pathogen and drug sensibility was carried out.
Results:
The infection most often found in blood and wound, less often in respiratory system. Nosocomial infection rates in patients with burns were closely related to the severe degree, diagnosis and therapy of these patients and hospital surroundings. Infection bacteria species: Gram-positive bacterium accounted for 43.82%, and mainly were staphylococcus aureus and anaerobic peptococcus. Gram-negative bacterium accounted for 52.81%, of which pseudomonas aeruginosa and nitrate-negative bacillus constituted the majority.
Conclusion:
According to these characters and related factors of nosocomial infection in patients with burns, effective measures of preventing and controlling infection should be taken, so that the incidence of nosocomial infection in these patients will drop.