公交车爆燃事件群体烧/创伤患者医院感染发病率及危险因素  

Incidence and risk factors for healthcare-associated infection in group burn/trauma patients during a bus deflagration event

作　　者：唐燕[1] 黄薇[1] 陈丽萍[1] 雷曦兵 肖亚雄[1] 孙睿[1] 谭慕杨[1] TANG Yan HUANG Wei CHEN Li-ping LEI Xi-bing XIAO Ya-Xiong SUN Rui TAN Mu-yang(First People ＇ s Hospital of Yibin , Yibin 644000, Chin)

机构地区：[1]宜宾市第一人民医院,四川宜宾644000

出　　处：《中国感染控制杂志》2017年第10期946-948,952,共4页Chinese Journal of Infection Control

摘　　要：目的了解群体烧/创伤患者医院感染发生情况,并探讨其危险因素。方法对2014年5月12日某院收治的"公交车爆燃事件"共25例住院群体烧/创伤患者的医院感染情况进行监测分析。结果 25例烧/创伤患者,其中发生医院感染7例,10例次,医院感染发病率为28.00%,例次发病率为40.00%;感染部位以创面和下呼吸道为主,分别占60.00%和30.00%。7例医院感染患者共检出病原菌30株,其中革兰阴性(G-)菌16株(53.34%)、革兰阳性(G+)菌13株(43.33%)、真菌1株(3.33%)。烧伤总面积大、吸入性损伤程度高、动静脉插管、泌尿道插管、气管切开、使用呼吸机、外科手术均是烧/创伤患者医院感染的危险因素。结论群体烧/创伤患者医院感染发病率较高,应根据其危险因素制定相应的干预措施,减少医院感染的发生。Objective To understand healthcare associated infection（HAl） in group burn/trauma patients, and explore its risk factors. Methods HAI occurred among 25 hospitalized patients with group burn/trauma during a bus deflagration event on May 12, 2014 were monitored and analyzed. Results Of 25 burn/trauma patients, 7 de veloped 10 times of HAl, incidence and case incidence of HAl were 28.00% and 40. 00% respectively the main in fection sites were wound and lower respiratory tract, accounting for 60.00% and 30.00% respectively. 30 strains of pathogens were isolated from 7 patients with HAI, including 16 strains （53.34%） of gram-negative bacteria, 13 strains（43.33%） of gram-positive bacteria, and fungus （3.33X）. Risk factors for HAl were large burned area, high degree of inhalation injury, arteriovenous catheterization, urinary tract catheterization, tracheotomy, use of ventilator, and surgery. Conclusion Incidence of HAl is high in the group burn/trauma patients, corresponding in- tervention measures should be formulated according to the risk factors, so as to reduce the occurrence of HAL

关 键 词：烧伤 创伤 医院感染 危险因素 

分 类 号：R181.3[医药卫生—流行病学]