One case of severely scalded patient with pneumonia and sepsis
10.3760/cma.j.cn501120-20190221-00034
- VernacularTitle:严重烫伤合并肺炎和脓毒症一例
- Author:
Wenzhu ZHANG
1
;
Ying MIAO
;
Xiaolei ZOU
Author Information
1. 青岛市市立医院药理基地 266011
- Keywords:
Burns;
Pneumonia;
Sepsis;
Pseudomonas aeruginosa
- From:
Chinese Journal of Burns
2020;36(6):503-505
- CountryChina
- Language:Chinese
-
Abstract:
In February 2018, one 54-year-old male patient with severe scald complicated with pneumonia and sepsis was transferred to Qingdao Municipal Hospital from other hospital. Drugs including cephalosporin, vancomycin, and imipenem/cilastatin combined with ciprofloxacin were used successively for anti-infective treatment, with no obvious effect. Multiple bacterial culture results of sputum, blood, and wound exudate showed infection of extensively drug resistant Pseudomonas aeruginosa. On the 4th day of admission, the anti-infective treatment plan was adjusted, and plasma, red blood cell, and albumin were supplemented and nutritional support and symptomatic treatment were performed. At the same time, medication and drug-related adverse reaction were monitored. After treatment for more than 10 days, infection of the patient was effectively controlled and the condition gradually improved. The case suggests that severely burned patients are prone to have serious and fatal systemic infection, irregular use of antibiotics increases the risk of infection of extensively drug resistant bacteria, clear anti-infection idea and effective application of antibacterial drug can help to improve the success rate of infection treatment and are of important value in improving the prognosis of patients with severe burn.
