刚果Jason Sendwe参考医院外科烧伤患者医院感染的发生率

M. L. Hendrick, T. Gaël, Arung Kalau Willy, M. Françoise
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摘要

引言:烧伤中的数据型医院感染在当时是罕见的,但它们构成了治疗紧急情况。这项工作的目的是确定刚果民主共和国Sendwe HGR烧伤患者医院感染的发生率、临床和治疗方面以及相关并发症。方法:我们在2019年1月1日至12月31日期间进行了一项纵向描述性研究。我们的研究人群包括研究期间在HGR Sendwe烧伤科住院的所有患者。结果:烧伤患者医院感染发生率为22.6%;最重要的烧伤深度为第二浅度,为87.09%,最重要烧伤的程度在0至10%之间,频率为38.76%,烧伤部位以上肢、下肢和头部联合为主,频率为12.9%;烧伤患者发生医院感染的时间为第3天至第5天,占35.71%;烧伤电解质复苏液以乳酸林格与生理盐水联合使用占83.87%,烧伤常用抗生素以甲硝唑与头孢噻肟联合使用占67.74%。结论:烧伤患者医院感染发生率较高;应最大限度地采取必要的卫生措施,对所用设备采取杀菌和消毒措施,以进一步防止这些祸害。
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Incidence of Nosocomial Infections in Burns in The Surgery Department of The Reference Hospital Jason Sendwe in Dr Congo
Introduction: Data-t-on nosocomial infections in burns are rare then and yet they constitute therapeutic emergencies. The objective of this work was to determine the incidence, clinical and therapeutic aspects and the associated complications of nosocomial infections in people with burns from Sendwe HGR in the DRC. Methods: We carried out a longitudinal descriptive study during the period from January 1 to December 31, 2019. Our study population consisted of all patients hospitalized in the burns department of the HGR Sendwe during the study period. Results: The incidence of nosocomial infections in burns was 22.6%; the depth of the most important burn was the second superficial degree at 87.09%, the extent of the most important burn was between 0 and 10% i.e. a frequency of 38.76%, the site of the burn the more frequent was made of the association of upper limbs, lower limbs and head at 12.9%; the time to onset of nosocomial infections in burns was between the third day and the fifth day at 35.71%; electrolyte resuscitation fluid in burns was the combination of ringer lactate and physiological saline at 83.87%, the antibiotic most used in burns was the combination of metronidazole and cefotaxime at 67.74 %. Conclusion: The incidence of nosocomial infections in burns was high; essential hygiene measures, sterilization and disinfection measures for the equipment used should be maximized in order to further prevent these scourges.
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