评估住院烧伤病人的感染情况

Wilda Mahdani, Syamsul Rizal _, Mirnasari Amirsyah _
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摘要

本研究以临床标本培养结果为代表,探讨烧伤患者感染的流行情况。本研究的目的是获得从RSUD住院的烧伤患者临床标本中分离出的微生物的患病率、分布和药敏模式的数据。本研究为描述性观察性研究。回顾性数据来自整形外科和临床微生物实验室。结果显示,在RSUD Zainoel Abidin医生临床标本培养基础上住院的烧伤患者感染患病率为4.7%。烧伤患者分离的微生物类型为革兰氏阳性菌(37.5%),主要为金黄色葡萄球菌和人型葡萄球菌。革兰氏阴性菌主要为鲍曼不动杆菌、铜绿假单胞菌和肺炎克雷伯菌(62.5%)。临床标本中细菌生长最多的是脓液,其次是血液和关节液。伤口面积小于40%的患者,可见金黄色葡萄球菌、鲍曼不动杆菌和肺炎克雷伯菌的生长。创面面积在40%以上的患者,均可见金黄色葡萄球菌、人型葡萄球菌、鲍曼不动杆菌和铜绿假单胞菌的生长。革兰氏阳性菌组对万古霉素(100%)、利奈唑胺(100%)、替加环素(100%)、克林霉素(66.7%)、四环素(66.7%)、甲氧苄啶-磺胺甲恶唑(66.7%)等抗菌药物均有较好的敏感性。革兰氏阴性菌组对阿米卡星敏感性高(100%)。
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Evaluasi Kejadian Infeksi pada Pasien Luka Bakar yang Dirawat Inap di RSUD dr. Zainoel Abidin
This study examines the prevalence of infection in burn patients as represented by the clinical spesimen culture results. The purpose of this study was to obtain data on the prevalence, distribution and susceptibility pattern of microbes isolated from clinical spesimens of burn patients hospitalized at RSUD dr. dr. Zainoel Abidin. This study is descriptive observational. The retrospective data obtained from the Plastic Surgery Department and the Clinical Microbiology Laboratory. The results showed the prevalence of infection in burn patients who were hospitalized at RSUD dr. Zainoel Abidin based on clinical spesimen culture of 4.7%. Microbial patterns isolated from burn patients were Gram positive bacteria (37.5%) consisting of Staphylococcus aureus and Staphylococcus hominis. Gram negatif bacteria (62.5%) isolated consisted of Acinetobacter baumannii, Pseudomonas aeruginosa and Klebsiella pneumoniae. The clinical spesimens that showed the most bacterial growth were pus followed by blood and joint fluid. Patients with less than 40% wound area, showed the growth of Staphylococcus aureus, Acinetobacter baumannii and Klebsiella pneumoniae. Patients with wound area above 40%, showed the growth of Staphylococcus aureus, Staphylococcus hominis, Acinetobacter baumannii and Pseudomonas aeruginosa was found. The group of Gram positive bacteria had good sensitivity to the antibiotics vancomycin (100%), linezolid (100%), tigecycline (100%), clindamycin (66.7%), tetracycline (66.7%) and trimethoprim-sulfamethoxazole (66, 7%). The group of Gram negatif bacteria showed high sensitivity to Amikacin (100%).
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10 weeks
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