地震创伤患者感染流行病学分析
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刘丁

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R181.3+2

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Epidemiological analysis on infections in patients with earthquake injury
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    摘要:

    目的探讨地震创伤患者感染的特征及其影响因素。方法对某院2008年5月16日—8月20日收治的140例地震伤员相关感染情况进行前瞻性调查分析。结果140例地震伤员感染的发生率为40.71%(57/140),其中医院感染发生率为28.57%(40/140)。分离到的88株感染病原菌中,以革兰阴性菌为主(占57.09%);从伤口分离出5株厌氧菌。创伤AIS-ISS分值与感染有密切关系,ISS分值越高,感染率也越高(χ2=13.12, P<0.05)。结论感染是地震创伤后的常见并发症,认真对伤员进行地震伤情分值计算以预测医院感染的发生,采取积极有效的预防和干预措施控制创伤感染非常必要。

    Abstract:

    ObjectiveTo study the characteristics and risk factors of infections in patients with earthquake injury. MethodsInfections from 140 patients who were injured in Wenchuan earthquake and admitted in a hospital from May 16 to August 20, 2008 were analyzed by prospective study. ResultsThe infection rate of 140 patients was 40.71% (57/140) and nosocomial infection rate was 28.57%(40/140) in patients with earthquake injury. Gramnegative bacilli were  the main pathogens among 88 strains of pathogens in infection, which accounting for 57.09%; 5 strains of anaerobic bacteria were isolated from wound.  Infection had a significant correlation with AISISS score, the higher  AIS-ISS score was, the higher rates of infections were. ConclusionInfection is a common complication of earthquake injury, it is necessary to analyze AISISS score for predicting the occurrence of nosocomial infection, and take effective measures to prevent and control traumatic infection. 

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陈萍,刘丁,王豪,等.地震创伤患者感染流行病学分析[J]. 中国感染控制杂志,2008,7(6):385-388.
CHEN Ping, LIU Ding, WANG Hao, et al. Epidemiological analysis on infections in patients with earthquake injury[J]. Chin J Infect Control, 2008,7(6):385-388.

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  • 收稿日期:2008-08-27
  • 最后修改日期:2008-10-12
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  • 在线发布日期: 2008-11-30
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