頁籤選單縮合
題 名 | Acinetobacter Septicemia in A Burn Unit-- Including an Outbreak=燒傷中心的Acinetobacter敗血症--包括一次大流行 |
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作 者 | 吳武璋; 楊瑞永; | 書刊名 | 中華民國重建整形外科醫學會雜誌 |
卷 期 | 4:3 1995.09[民84.09] |
頁 次 | 頁160-168 |
分類號 | 416.141 |
關鍵詞 | 燒傷中心; Acinetobacter敗血症; Outbreak; Nosocomial infection; Burn wound sepsis; Tissue culture; |
語 文 | 英文(English) |
中文摘要 | 1992年九月至十二月,林口灼傷中心發生一次Acinetobacter敗血症之大流行,十位病人受到感染並經陽性血液細菌培養證實。我們於是調閱之前三年,自1990年元月至1992年十二月的病歷,收集了另外五個病歷,總共十五位。這十五位病人當中有兩位是同時具備陽性血液及組織細菌培養,是典型的灼傷傷口敗血症。三位病人僅具陽性組織細菌培養,而是十位陽性血液細菌培養病人找不到感染原,將於文中詳細討論。我們所有的痰液培養呈陰性反應,我們並沒有作糞便及尿液培養。而且當時本院其他單位及各病房並沒有類似Acinetobacter的流行。 Acinetobacter菌佔本灼傷中心院內感染的5.9%,對antipseudomonal penicillins, aminoglyocosides,第三代cephalosporin,及Imipenem均極敏感。只有一個死亡病例,此菌感染的加重因子包括住院太久,抗生素及侵襲性導管的濫用。此次的大流行,我們歸因於當時大面積灼傷病人激增,及本中心住院醫師及醫護人員的輪替太頻繁,導致交互感染。 |
英文摘要 | From September to December, 1992, an outbreak of Acinetobacter septicemia occurred in the Linkou Burn Center. Ten patients were involved as confirmed by positive blood cultures. The charts were then reviewed for the preceding three years, from January, 1990 to December, 1992, and another five patients for a total of fifteen were collected. Of these fifteen patients, two had both positive blood and tissue cultures with a typical pattern of burn wound sepsis. Three patients had positive tissue cultures, but ten patients had positive blood cultures with an unknown septic sources that will be discussed. Acinetobacter spp. was not isolated from sputum cultures in any of these patients, while stool and urine cultures were not performed. This outbreak did not involve any other units or wards in our hospital during that period. Acinetobacter accounts for 5.9% nosocomial infections in our burn center and was highly sensitive to antipseudomonal penicillins, aminoglycosides, third generation cephalosporins, and Imipenem. Only one elderly patient died from Acinetobacter sepsis. Predisposing factors to Acinetobacter infection included prolonged admission, prior antibiotics therapy, and invasive catheter insertion. We attribute the causes of this outbreak to a cluster of extensive burned patients and cross contamination of burn patients due to frequent changing of residents and nursing staff during the period. |
本系統中英文摘要資訊取自各篇刊載內容。