Multi drug resistance in severe burn patients by air isolation / 中国实用护理杂志

ABSTRACT

Objective To study the difference between multi-drug resistant bacteria in patients with severe bums under air isolation and non-air isolation measures.Methods Sixty severe burn patients were selected and randomly divided into non air isolation group and air separation group by random digits table method with 30 cases each.At 0 days and 14 days in the group,the sputum,the air and the material table in the ward were sampled in the two sets of warp,the multidrug resistant bacteria and the drug resistance were identified.Results At the time of enrollment,31.67％ (19/60) patients were infected with Acinetobacter baumannii and 33.33％ (20/60) with Klebsiella pneumoniae.There was no significant difference between the two groups (P ＞ 0.05).Acinetobacter baumannii and Klebsiella pneumoniae were multidrug-resistant bacteria.The results of group,air,surface and sputum culture had significant influence on the infection of multidrug-resistant bacteria (odds ratio1.582,1.265,2.314,0.100,95％ confidence interval,P＜ 0.05).At the 14th day,the infection rate of drug-resistant bacteria cultured in sputum was 50.00％ (15/30) in air isolation group and 40.00％ (12/30) in non-air isolation group.The difference between the two groups was statistically significant (x2 =-3.962,P ＜ 0.05).Conclusions Air isolation measures can reduce multidrug-resistant bacteria in the surface and air of the ward,and air isolation measures can reduce the incidence of multidrug resistance in severe burn patients.