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目的 :调查病人烧伤后医院感染的临床特点及相关因素。方法 :对 1993年 1月～ 1996年 12月所有住院时间≥ 48h的烧伤病人 782例进行前瞻性加回顾性调查其烧伤医院感染的部位、感染率、病原体及药敏等。结果 :烧伤医院感染部位最常见的是血液和创面 ,其次是呼吸系统 ;烧伤医院感染率与烧伤严重程度、诊疗及医疗环境等密切相关。感染菌种 :G+ 菌占 43 82 %主要为金黄色葡萄球菌及厌氧消化球菌 ,G-菌占 5 2 81% ,主要为绿脓杆菌及硝酸盐阴性杆菌。结论 :针对烧伤医院感染的特点及相关因素 ,采取相应措施 ,可防治烧伤医院感染。
Objective: To investigate the clinical characteristics and related factors of nosocomial infection after burn patients. Methods: From January 1993 to December 1996, 782 burn patients with a hospitalization time ≥ 48h were retrospectively retrospectively investigated for their locations, rates of infection, pathogens and drug sensitivity in burned nosocomial infections. Results: The most common sites of nosocomial infection were blood and wounds, followed by the respiratory system. The rate of hospital-acquired burns was closely related to the severity of the burn, medical treatment and medical environment. Infectious strains: G + bacteria accounted for 43 82% Staphylococcus aureus and anaerobic digestion cocci, G- bacteria accounted for 5281%, mainly Pseudomonas aeruginosa and nitrate-negative bacilli. Conclusion: According to the characteristics and related factors of nosocomial infection in hospital burn, corresponding measures can be taken to prevent and cure the nosocomial infection of burn hospital.