RESUMO
The management of pain is a primary issue in burn care. Patients hospitalized for burn injuries experience severe pain on a daily basis, immediately after the injury and during the healing of the burn wound. Our clinical experience is that the intensity of pain is increased by wound infection. The purpose of this study was to investigate retrospectively whether patients experience increased pain intensity in conjunction with wound infection. A total of 165 patients with burn injuries were included, 60 of whom were diagnosed with infection. The results of this study showed a significant increase in pain intensity in association with infection. An increase in pain is one of the factors to be considered among the many assessments, tests, and treatments for patients with burn injuries.
Assuntos
Queimaduras/complicações , Infecção Hospitalar/complicações , Dor/etiologia , Índice de Gravidade de Doença , Infecção dos Ferimentos/complicações , Escala Resumida de Ferimentos , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Atitude Frente a Saúde , Queimaduras/classificação , Infecção Hospitalar/classificação , Feminino , Hospitais Universitários , Humanos , Masculino , Pessoa de Meia-Idade , Papel do Profissional de Enfermagem , Avaliação em Enfermagem , Pesquisa em Avaliação de Enfermagem , Pesquisa Metodológica em Enfermagem , Dor/classificação , Dor/diagnóstico , Dor/psicologia , Medição da Dor , Estudos Retrospectivos , Fatores de Risco , Suécia , Infecção dos Ferimentos/classificaçãoRESUMO
In a 3-year prospective study, all infections presenting in the burns unit of a university hospital were registered in a specially designed database. Two-hundred and thirty adult patients were included. Eighty-three patients had in all 176 infections, giving an infection rate of 48 per 1000 patient days including both nosocomial and community-acquired infections. Thirty-five blood-stream infections (BSI) occurred in 22 patients; most common micro-organisms were coagulase-negative staphylococci and methicillin-sensitive Staphylococcus aureus. The device-specific BSI rate was 6 per 1000 central venous catheter days, which is low compared to other burn units. The pneumonia rate was 41 per 1000 ventilator days. Seventy-two patients had 107 burn wound infections. Antibiotics were given to only 50% of the burn patients, including 96% of the patients with infection and 26% of those without infection. Most frequently used antimicrobials were cloxacillin, penicillin and gentamicin. The antibiotic resistance rates were low, and multi-resistant bacteria or fungi were rare. The database can be used to evaluate the effects of changes in burn treatment, staffing and design of burn units, and antimicrobial resistance development in relation to antibiotic usage.