耐多药鲍曼不动杆菌所致烧伤后脓毒症

O. Jimoh, J. Ejembi, S. Aliyu, Muhammed S. Abubakar, M. Ibrahim, A. Olayinka
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引用次数: 1

摘要

医疗保健相关感染是现代医疗的主要并发症之一,原因是患者年龄和复杂性的增加,侵入性设备的使用增加,以及抗菌治疗的不当使用。不动杆菌种类与卫生保健相关感染有关,因为它能够在物体表面长时间存活并产生耐药性。耐多药(MDR)不动杆菌是临床管理的一个挑战,与高达35%的死亡率相关。我们报告了一位25岁的家庭主妇,由于多重耐药鲍曼不动杆菌导致烧伤创面败血症,他先后通过药物治疗和适当的感染预防控制措施进行了管理。我们建议在高依赖病房尽量减少侵入性装置,扩大感染控制实践,并进一步研究环丙沙星、利福平和阿米卡星联合治疗耐多药鲍曼不动杆菌烧伤创面败血症的疗效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Postburns sepsis caused by multidrug-resistant Acinetobacter baumannii
Healthcare-associated infections are among the major complications of modern medical treatment due to the increasing age and complexity of patients, increasing usage of invasive devices, and often inappropriate use of antimicrobial therapy. Acinetobacter species is associated with healthcare-associated infections due to its ability to survive for long periods of time on surfaces and its capacity to develop drug resistance. Multidrug-resistant (MDR) Acinetobacter is a challenge to manage clinically and is associated with mortality rates as high as 35%. We present a 25-year-old home maker with burns wound sepsis due to multidrug-resistant Acinetobacter baumannii which was successively managed with combination of drug regimen and institution of proper infection prevention control practices. We recommend minimization of invasive device in high dependency unit, scaling up of infection control practices, and further research into the efficacy of combination of ciprofloxacin, rifampicin, and amikacin in the treatment of MDR A. baumannii burns wound sepsis.
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