25 YEAR REVIEW OF PSEUDOMONAS-AERUGINOSA BACTEREMIA IN A BURN CENTER

25 YEAR REVIEW OF PSEUDOMONAS-AERUGINOSA BACTEREMIA IN A BURN CENTER
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DOI:
10.1007/bf02013601
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发表时间:
1985-01-01
影响因子:
4.5
通讯作者:
PRUITT, BA
PRUITT, BA
中科院分区:
医学3区
文献类型:
--
作者:
MCMANUS, AT;MASON, AD;PRUITT, BA

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在一个烧伤中心连续25年的时间里,对5882名烧伤患者进行了铜绿假单胞菌血症的检测。接受调查的人群平均烧伤面积占体表面积的33.8%,平均年龄26.3岁。540名患者发生铜绿假单胞菌感染。这些患者平均烧伤面积为54.2%,平均年龄为28岁。死亡率为77%。在540名患者中,除128名患者外,所有患者在住院期间都发生了与其他微生物的菌血症。基于烧伤大小和年龄的预测死亡率与观察死亡率的比较显示,铜绿假单胞菌感染与死亡率增加28%有关。对死亡率随时间变化的研究表明,在这25年期间,死亡率没有显著变化。对400例新近入院的烧伤患者进行了铜绿假单胞菌菌落和感染的检测。107例患者发生定植,27例定植患者有34例感染。
The incidence ofPseudomonas aeruginosabacteremia was examined in 5,882 burn patients consecutively admitted over a 25-year period to one burn center. The population examined had an average burn size of 33.8 % of the body surface and an average age of 26.3 years.Pseudomonas aeruginosabacteremia occurred in 540 patients. These patients had an average burn size of 54.2 % and average age of 28 years. Mortality was 77 %. Bacteremia with other organisms occurred during hospitalization of all but 128 of the 540 patients. Comparison of predicted mortality based on burn size and age to observed mortality showedPseudomonas aeruginosabacteremia to be associated with a 28 % increase in mortality. Examination of mortality as a function of time showed no significant change over the 25-year period. The incidence ofPseudomonas aeruginosacolonization and infection was examined in 400 recently admitted burn patients. Colonization occurred in 107 and 34 infections were recorded in 27 of the colonized patients.