EPIDEMIOLOGY OF INFECTIONS WITH PSEUDOMONAS-AERUGINOSA IN BURN PATIENTS - THE ROLE OF HYDROTHERAPY

被引:97
作者
TREDGET, EE
SHANKOWSKY, HA
JOFFE, AM
INKSON, TI
VOLPEL, K
PARANCHYCH, W
KIBSEY, PC
ALTON, JDM
BURKE, JF
机构
[1] UNIV ALBERTA HOSP, DEPT MICROBIOL & INFECT DIS, DIV MED MICROBIOL, EDMONTON T6G 2B7, ALBERTA, CANADA
[2] UNIV ALBERTA, DEPT MICROBIOL, EDMONTON T6G 2E1, ALBERTA, CANADA
[3] MASSACHUSETTS GEN HOSP, DEPT SURG, BOSTON, MA 02114 USA
基金
英国医学研究理事会;
关键词
D O I
10.1093/clind/15.6.941
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
Pseudomonas aeruginosa remains a cause of serious wound infection and mortality in bum patients. By means of restriction fragment length polymorphism analysis and a DNA probe for the pilin gene of Pseudomonas, a lethal strain of nosocomial P. aeruginosa was identified as the cause of an outbreak of wound infections among bum patients. Environmental surveys suggested an association of the outbreak with hydrotherapy provided to many patients in a common facility. In a trial of burn wound care without hydrotherapy, overall mortality was reduced significantly, mortality associated with pseudomonas sepsis was eliminated, and the strain of P. aeruginosa associated with earlier mortality was eradicated. Moreover, fewer nosocomial pseudomonas infections, lower levels of pseudomonas resistance to aminoglycoside antibiotics, significantly fewer pseudomonas infections of skin graft donor sites, and later appearance of Pseudomonas species in burn patients were found during the period when hydrotherapy was not used.
引用
收藏
页码:941 / 949
页数:9
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