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입원화상환자의 특성과 항생제 사용 현황
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  • 입원화상환자의 특성과 항생제 사용 현황
  • An Evaluation of Antibiotic Use in the Hospitalized Burn Patients
저자명
강소욱,이혜자,이숙향,Kang. So Ouk,Rhee. Hye Ja,Lee. Suk Hyang
간행물명
한국임상약학회지
권/호정보
2002년|12권 2호|pp.55-64 (10 pages)
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한국임상약학회
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

Infection is one of the main causes of death in severe burn cases. Treatment of burn patient includes fluid therapy, wound care, complication care and antibiotic therapy for infection. The objective of this study was to evaluate the characteristics of burn patients, the type of isolated microorganisms and their susceptibility, and the systemic antibiotics used. This is a retrospective study of 126 burn patients treated in the Hanil General Hospital from January to December 2001. Total 126 patients were assessed with 103 males and 23 females (4.5:1). The average age was $34.8pm17.6$ years and extent of burn $(TBSA;\%);was;24.5pm18.5\%$. The burn was caused by electric accident $(47.6\%),;flame;(29.4\%),;scalding;(21.4\%),;and;chemical;accident;(1.6\%)$. The overall mortality rate was $7.14\%$ (9/126) and all expired patients were males. The average age (n=9) was $48.8pm15.6$ yrs and the extent of burn was $65.0pm19.0\%$. The causes of death were due to flame burns $(13.5\%)$ and electric burns $(6.7\%)$. The culture sites of the isolated microorganisms were wound $(85.3\%),;sputum;(9.3\%),;urine;(2.7\%),;blood;(1.3\%);and;catheter;tip;(1.3\%)$. Pseudomonas aeruginosa was the most commonly isolated organism $(35\%)$, followed by Staphylococcus aureus $(30.1\%)$, Acinetobacter baumannii $(21.4\%)$, and Enterococcus spp. $(3.9\%)$. The number of systemic antibiotics administered was 4.5. The classes of the antibiotics were cephalosporines $(38.5\%)$, aminoglycosides $(31\%)$, quinolones $(13.3\%)$, penicillins $(12.4\%)$, carbapenems $(2.4\%)$, glycopeptides $(1.9\%)$ and others $(0.6\%)$. In conclusion, most of burn patients had wound infection and Pseudomonas aeruginosa was the most commonly isolated organism. Cephalosporins were administered the most frequently among antibiotics.