中度烧伤儿童的伤口感染 - - 对报告频率与诊断之间的关联进行探索性审查
Matilda Karlsson1, Åse Östholm Balkhed2, Ingrid Steinvall1
1Department of Hand Surgery, Plastic Surgery and Burns, Linköping, Sweden; Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Burns : journal of the International Society for Burn Injuries
|January 20, 2024
概括
烧伤感染 (BWI) 诊断标准是高度可变的,复杂的比较. 瑞典儿童的高BWI率可能是由于密切监测或宽松的诊断值,不一定是感染增加.
科学领域:
- 儿科烧伤护理 儿科烧伤护理
- 传染病流行病学 传染病流行病学
背景情况:
- 林肯烧伤中心报告说,烧伤伤口感染 (BWI) 在烧伤儿童中的频率很高,与国际数据形成鲜明对比.
- 考虑到瑞典的高收入地位,这种差异是值得注意的.
研究的目的:
- 调查在林肯烧伤中心治疗的儿童BWI频率升高的潜在原因.
- 将瑞典使用的BWI诊断标准与国际研究中的BWI诊断标准进行比较.
主要方法:
- 在PubMed Central的文献搜索中,发现了报告儿童烧伤群体BWI频率的研究.
- 对在林肯中心被诊断患有感染的儿童进行了回顾性分析.
主要成果:
- 47%的审查出版物缺乏定义的BWI诊断标准,近三分之一没有报告伤口培养.
- 该中心的回顾性分析没有证实感染频率下降,尽管诊断变化.
结论:
- 不一致的BWI诊断标准报告妨碍了研究结果的解释和比较.
- 高BWI率可能受到诸如密集监测,非无菌的包装技术或低诊断值等因素的影响.
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