1.Common Pathogens in Burn Wards and Their Drug Resistance
Shengjie YE ; Shuguang PANG ; Wenzhen ZHANG ; Shengjiao FANG ; Rujun CHEN ; Jincheng ZHANG
Chinese Journal of Nosocomiology 1994;0(01):-
OBJECTIVE To know the pathogens distribution and resistance situation in the burn wards.METHODS A retrospective analysis was conducted to 627 pathogen isolates and sensitivity results,which submitted by burn department from May 2005 to May 2008.RESULTS Gram-negative(G-) bacilli occupied for 33.8%,Gram-positive(G+) cocci occupied for 48.8% and fungi occupied for 17.4%.Acinetobacter baumannii occupied for 8.6%,Pseudomonas aeruginosa occupied for 6.0%,Staphylococcus aureus occupied for 77.5%,in which the isolation rate of meticillin-resistant S.aureus(MRSA) was 94.9%.The drug sensitivity tests showed that various detectable bacteria possessed multi-drug resistance;G+ bacteria were sensitive to vancomycin,G-were sensitive to imipenem,but only A.baumannii was sensitive to cefoperazone/sulbactam.CONCLUSIONS The bacterial infection in the burn department in our hospital mainly is due to G+ cocci,then is G-bacilli,from which the A.baumannii detection rate is increasing.Clinicians should enhence to detect the sensitivity of bacteria and use antibiotics reasonably.
2.Repair of severely burned hand and wrist with abdominal thin skin flaps.
Shengjie YE ; Shuguang PANG ; Wenzhen ZHANG ; Shengjiao FANG
Chinese Journal of Burns 2002;18(2):105-106
OBJECTIVETo summarize the experience of repairing of severely burned hand and wrist with abdominal thin skin flaps in insertion pattern.
METHODSTwelve burn patients with the dorsum of the hands and wrist being severely injured were enrolled in this report. The donor sites of the flaps were selected on the upper abdomen in 4 cases and on the lower abdomen in 8 cases. The division of the flap pedicles was done on the 10th - 13th postoperative days.
RESULTSAll the flaps survived except that there were two necrotic areas sized 2 cm x 2 cm and 1 cm x 1 cm, respectively, on the distal ends of the flaps in two cases. The hand function and contour recovered satisfactorily after the operation.
CONCLUSIONIt could be an ideal choice for the repair of severely burned hand and wrist with abdominal thin skin flaps.
Abdomen ; Adult ; Burns ; surgery ; Female ; Hand Injuries ; surgery ; Humans ; Male ; Skin Transplantation ; methods ; Time Factors ; Wound Healing ; Wrist Injuries ; surgery
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