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

VernacularTitle: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
Author: Yan TANG ¹ ; Wei HUANG ; ping Li CHEN ; bing Xi LEI ; xiong Ya XIAO ; Rui SUN ; yang Mu TAN
Author Information

1. 宜宾市第一人民医院
Keywords: burn; trauma; healthcare-associated infection; risk factor
From: Chinese Journal of Infection Control 2017;16(10):946-948,952
CountryChina
Language:Chinese
Abstract: Objective To understand healthcare-associated infection(HAI)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 HAI,incidence and case incidence of HAI 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 1 fungus (3.33% ).Risk factors for HAI were large burned area, high degree of inhalation injury,arteriovenous catheterization,urinary tract catheterization,tracheotomy,use of ventilator,and surgery.Conclusion Incidence of HAI 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 HAI.