Yıl: 2005 Cilt: 11 Sayı: 3 Sayfa Aralığı: 230 - 237 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The effect of delayed admission in burn centers on wound contamination and infection rates

Öz:
AMAÇ Uludağ Üniversitesi Tıp fakültesi yanık ünitemize yanık olayından sonra belli bir zaman geçtikten sonra geç dönemde başvuran hastalarda görülen yara enfeksiyonu oranlan belirgin bir şeklide yüksek olduğu için beş yıllık bir sürede, üç yüz yirmi yanık hastası üzerinde, yanık merkezine gecikmiş erişimin yara enfeksiyonu ve kontaminasyonuna etkisinin retrospektif olarak incelenmesini amaçladık. GEREÇ VE YÖNTEM Yanık hastaları, orta ve ağır derecede yanıklar olmak üzere iki gruba ayrıldı. Yara enfeksiyonlarının ve yara kontaminasyonlarımn sıklığı her iki grup için de hospitalizasyon süreleri ve yanık merkezine erişimdeki gecikme zamanı bakımından analiz edildi. BULGULAR Yanık merkezine erişimdeki gecikmenin, yara enfeksiyon ve kontaminasyon sıklığım artıran önemli bir faktör olduğu görüldü. Bu fark özellikle orta derecede yamklı hasta grubunda daha çok belirginleşmişti.. Ağır yamklı hasta grubunda yara enfeksiyon ve kontaminasyon sıklığının tüm başvuru zamanları için yüksek düzeyde olduğu saptanmıştır. SONUÇ Orta derecede yamklı hastalarda, yanık olayından en az yetmiş sekiz saat geçtikten sonra yanık merkezine erişmiş olanlara, sistemik antibiyotik profilaksisi başlanması tartışmaya açılmalıdır. Ağır yamklı tüm hastalarda başvuru zamanından bağımsız olarak yara kontaminasyon ve enfeksiyon sıklığı yüksek bulunmuştur. Bu nedenle, bu gurup hastalarda da antibiyotik profilaksisi, her ne kadar normal deri florası için zararlı olsa da, tartışmaya açılmalıdır.
Anahtar Kelime: Antibiyotik proflaksisi Yara enfeksiyonu Yanıklar

Yanık merkezlerine gecikmiş erişiminin yara kontaminasyon ve enfeksiyonuna etkisi

Öz:
BACKGROUND Since wound infection rates in patients with delayed admission seemed to be significantly higher, a retrospective study of bacteriology in 320 burn patients, over a 5-year period was carried out in order to analyze the relation between delayed admission and wound infection rates in our Burn unit of Uludağ University, Faculty of Medicine.. METHODS The patients were separated into moderate or major burn groups according to burn severity. Wound infection and contamination frequencies were analyzed according to time-delay between burn injury and hospitalization time. RESULTS Delayed admission was found to be an important factor that causes an increase in wound infection and contamination frequency. This increase was significant especially among patients with moderate burn wounds. In patients with severe burns, wound infection and contamination frequencies were found to be higher for all admission time points. CONCLUSION Systemic antibiotic prophylaxis should be discussed in patients with moderate burns whose admission-delay is more than 78 hours. Wound infection and contamination rates were high in patients with major burns independent of the admission time. Therefore, systemic antibiotic prophylaxis should also be discussed in this group of patients, although it results in elimination of the normal skin flora.
Anahtar Kelime: Wound Infection Burns Antibiotic Prophylaxis

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Özbek S, ÖZGENEL Y, ETÖZ A, AKIN S, kahveci r, HEPER Y, Ercan I, ÖZCAN M (2005). The effect of delayed admission in burn centers on wound contamination and infection rates. , 230 - 237.
Chicago Özbek Serhat,ÖZGENEL Yeşim,ETÖZ Abdullah,AKIN Selçuk,kahveci ramazan,HEPER YASEMIN,Ercan Ilker,ÖZCAN Mesut The effect of delayed admission in burn centers on wound contamination and infection rates. (2005): 230 - 237.
MLA Özbek Serhat,ÖZGENEL Yeşim,ETÖZ Abdullah,AKIN Selçuk,kahveci ramazan,HEPER YASEMIN,Ercan Ilker,ÖZCAN Mesut The effect of delayed admission in burn centers on wound contamination and infection rates. , 2005, ss.230 - 237.
AMA Özbek S,ÖZGENEL Y,ETÖZ A,AKIN S,kahveci r,HEPER Y,Ercan I,ÖZCAN M The effect of delayed admission in burn centers on wound contamination and infection rates. . 2005; 230 - 237.
Vancouver Özbek S,ÖZGENEL Y,ETÖZ A,AKIN S,kahveci r,HEPER Y,Ercan I,ÖZCAN M The effect of delayed admission in burn centers on wound contamination and infection rates. . 2005; 230 - 237.
IEEE Özbek S,ÖZGENEL Y,ETÖZ A,AKIN S,kahveci r,HEPER Y,Ercan I,ÖZCAN M "The effect of delayed admission in burn centers on wound contamination and infection rates." , ss.230 - 237, 2005.
ISNAD Özbek, Serhat vd. "The effect of delayed admission in burn centers on wound contamination and infection rates". (2005), 230-237.
APA Özbek S, ÖZGENEL Y, ETÖZ A, AKIN S, kahveci r, HEPER Y, Ercan I, ÖZCAN M (2005). The effect of delayed admission in burn centers on wound contamination and infection rates. Ulusal Travma Dergisi, 11(3), 230 - 237.
Chicago Özbek Serhat,ÖZGENEL Yeşim,ETÖZ Abdullah,AKIN Selçuk,kahveci ramazan,HEPER YASEMIN,Ercan Ilker,ÖZCAN Mesut The effect of delayed admission in burn centers on wound contamination and infection rates. Ulusal Travma Dergisi 11, no.3 (2005): 230 - 237.
MLA Özbek Serhat,ÖZGENEL Yeşim,ETÖZ Abdullah,AKIN Selçuk,kahveci ramazan,HEPER YASEMIN,Ercan Ilker,ÖZCAN Mesut The effect of delayed admission in burn centers on wound contamination and infection rates. Ulusal Travma Dergisi, vol.11, no.3, 2005, ss.230 - 237.
AMA Özbek S,ÖZGENEL Y,ETÖZ A,AKIN S,kahveci r,HEPER Y,Ercan I,ÖZCAN M The effect of delayed admission in burn centers on wound contamination and infection rates. Ulusal Travma Dergisi. 2005; 11(3): 230 - 237.
Vancouver Özbek S,ÖZGENEL Y,ETÖZ A,AKIN S,kahveci r,HEPER Y,Ercan I,ÖZCAN M The effect of delayed admission in burn centers on wound contamination and infection rates. Ulusal Travma Dergisi. 2005; 11(3): 230 - 237.
IEEE Özbek S,ÖZGENEL Y,ETÖZ A,AKIN S,kahveci r,HEPER Y,Ercan I,ÖZCAN M "The effect of delayed admission in burn centers on wound contamination and infection rates." Ulusal Travma Dergisi, 11, ss.230 - 237, 2005.
ISNAD Özbek, Serhat vd. "The effect of delayed admission in burn centers on wound contamination and infection rates". Ulusal Travma Dergisi 11/3 (2005), 230-237.