在第三级护理中心的烧伤单元中常见的抵抗模式:一项回顾性观察性研究
Mohammed S Alqarni1,2, Meshari Attar3,4, Salem Alshammari2,1
1Internal Medicine, King Abdullah International Medical Research Center, Jeddah, SAU.
Cureus
|September 25, 2023
概括
鼻腔感染是烧伤患者的一个主要问题. 在这项研究中,Pseudomonas aeruginosa和Enterobacter cloacae是最常见的细菌罪祸首,这凸显了针对性抗生素策略的需要.
科学领域:
- 医学微生物学 医学微生物学
- 传染性疾病 传染性疾病
- 烧伤护理 烧伤护理
背景情况:
- 鼻性细菌感染对医疗保健系统构成重大风险,特别是在严重烧伤病例中.
- 在烧伤患者中常见的分离病原体包括金黄色葡萄球菌,Pseudomonas aeruginosa和Acinetobacter baumannii.
- 有限的当地数据存在于燃烧单位的流行感染和抗菌素耐药性模式.
研究的目的:
- 识别最常见的细菌病原体,导致烧伤病房患者感染.
- 确定这些病原体的抗生素敏感性和耐药性模式.
- 为吉达的阿卜杜勒阿齐兹国王医疗城 (KAMC) 提供当地流行病学数据.
主要方法:
- 一项采用KAMC电子病历数据的横截面研究.
- 纳入标准:燃烧病房患者有阳性培养结果.
- 排除标准:有负培养的烧伤患者和没有烧伤的整形手术入院.
- 样本大小:从2016年6月到2021年11月的109个患者病历.
主要成果:
- 伪omonas aeruginosa是感染的主要原因 (33.9%).
- 肠杆菌cloacae是第二常见的病原体 (27.5%).
- 克莱布西拉肺炎 (26.6%) 和Acinetobacter baumannii (22.9%) 也是重要的感染原因.
结论:
- 了解当地的细菌流行病学对于制定有效的治疗指南至关重要.
- 标准化初始抗生素使用和减少医院获得的感染和耐药性是关键目标.
- 建议加大对格拉姆阴性细菌的关注,特别是Pseudomonas aeruginosa和Enterobacter cloacae.
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