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Pojavnost okužb opeklinskih ran : magistrsko delo
ID Blažić, Tatjana (Author), ID Godič Torkar, Karmen (Mentor) More about this mentor... This link opens in a new window, ID Kermavnar, Nataša (Co-mentor)

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MD5: 934F537FA053DA1998F2AB22ADEE9A79
PID: 20.500.12556/rul/f489e827-e1ba-46f9-bfc7-f81d213c77e1

Abstract
Uvod: Opekline nastanejo zaradi sevanja ali delovanja toplotne, kemične in električne energije na tkiva. Večkrat se končajo s kroničnimi težavami, invalidnostjo in smrtjo. Po začetnem obdobju šoka je okužba rane pogost zaplet in glavni vzrok smrti pri pacientih z opeklinami. Namen: Želeli smo ugotoviti pogostost okužb opeklinskih ran glede na njihovo stopnjo poškodbe kože, dobo hospitalizacije in njihovo oskrbo. Pri pacientih z okužbo opeklinske rane smo nato ugotavljali, kateri so najpogosteje zastopani povzročitelji okužbe in kateri antibiotiki so bili pri zdravljenju uporabljeni. Želeli smo predstaviti vlogo medicinske sestre pri zdravstveni negi pacientov z opeklinskimi ranami. Metode dela: V magistrskem delu je bila uporabljena deskriptivna metoda dela s kritičnim branjem in analiziranjem domače in tuje literature. Empirični del vsebuje spremljanje okužb opeklinskih ran od leta 2005 do 2012 v Univerzitetnem kliničnem centru Ljubljana. V raziskavi smo uporabili podatke o 179 pacientih ter s pomočjo programa SPSS analizirali, kako se z leti spreminja število pacientov z opeklinskimi ranami in incidenco okužb teh opeklinskih ran med zdravljenjem v bolnišnici. Rezultati: Okužbe opeklinskih ran so najpogosteje povzročili koagulaza negativni stafilokoki vrste Pseudomonas aeruginosa, Acinetobacter baumannii in Staphylococcus aureus. Odstotek okuženih pacientov je bil večji pri daljši hospitalizaciji, ki pa je bila sorazmerna s stopnjo opekline. V primeru okužbe se je pacientu predpisalo zdravljenje z antibiotiki, najpogosteje z amoksicilinom s klavulansko kislino, ciprofloksacinom, vankomicinom in imipinemom. Razprava in sklep: V Univerzitetnem kliničnem centru Ljubljana se odstotek pacientov z dokazano okužbo opeklinske rane v novejšem času zmanjšuje, kljub dejstvu, da število in trajanje hospitalizacij ostajata konstantna. Kljub temu pa obstajajo možnosti za dodatne izboljšave pri zdravstveni negi teh pacientov in s tem za bolj učinkovito preprečevanje in obvladovanje tovrstnih okužb.

Language:Slovenian
Keywords:opeklinska rana, bakterijske okužbe opeklinskih ran, zdravljenje opeklin, oskrba opeklinske rane
Work type:Master's thesis/paper
Organization:ZF - Faculty of Health Sciences
Year:2017
PID:20.500.12556/RUL-98558 This link opens in a new window
COBISS.SI-ID:5363563 This link opens in a new window
Publication date in RUL:06.12.2017
Views:2281
Downloads:942
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Secondary language

Language:English
Title:Incidence of infections in burn wounds : master's thesis
Abstract:
Introduction: A burn occurs due to radiation, friction, contact with chemicals and electricity to the skin or other tissues. Burns are often a significant cause of disability and death. After an initial period of shock, wound infection is a common complication and the leading cause of death in patients with burns. Purpose: The purpose of this master's thesis is to present the most common causes of burn wounds, possible complications in the treatment, including infections and methods of medical treatment and care. We would also like to highlight the role of nurses in the nursing care of patients with burn wounds. Methods: The descriptive method with critical reading and analyzing of Slovenian and foreign literature was used. The empirical part contains monitoring infection of burn wounds from 2005 to 2012 in University Medical Centre Ljubljana. In our research we used data of 179 patients with burn wounds. With the help of SPSS we analyzed how the number of patients with burn wounds changes over the years and how frequency of burn wounds infections changes during treatment at the hospital. Results: Most common infections, found in patients with burn wounds, are caused by coagulase-negative staphylococci, Pseudomonas aeruginosa, Acinetobacter baumannii and Staphylococcus aureus. The percentage of infected patients was higher in longer hospitalization, which is proportional to the burn degree. Most commonly prescribed antibiotics for the treatment of these infections are areamoxicillin with clavulanic acid, ciprofloxacin, vancomycin and imipenem. Discussion and conclusion: In University Medical Centre Ljubljana, the percentage of patients with documented infection of burn wounds decreases in recent years, despite the fact that the number of hospitalizations and length of stay did not change significantly. The situation is improving, but there are opportunities for further progress in nursing care of these patients.

Keywords:burn wound, bacterial contamination of burn wounds, burn wound treatment, burn wound care

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