Epidemic of Surgical Wound Infections in Wartime Sarajevo
Autor: | Sead Jazic, Branko Vujovic, Zeljko Ler |
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Rok vydání: | 1994 |
Předmět: |
Warfare
medicine.medical_specialty Sodium Hypochlorite Emergency Nursing Hospitals State Asepsis Military medicine Pseudomonas infection medicine Humans Surgical Wound Infection Longitudinal Studies Povidone-Iodine State hospital Bosnia and Herzegovina Infection Control business.industry Surgical wound infections medicine.disease Surgery Cross-Sectional Studies Pseudomonas species Emergency medicine Anti-Infective Agents Local Emergency Medicine business Limited resources Disinfectants Surgical patients |
Zdroj: | Prehospital and Disaster Medicine. 9:S35-S37 |
ISSN: | 1945-1938 1049-023X |
DOI: | 10.1017/s1049023x00041169 |
Popis: | Background:An epidemic of surgical wound infections observed at the State Hospital of Sarajevo during June-September 1992 is reported.Methods:A cross-sectional survey of 138 surgical patients with wound infection treated by the Department of Surgery of the State Hospital of Sarajevo was performed in mid-September and again in mid-November 1992. A preliminary evaluation of the bactericidal effectiveness of a new antiseptic preparation called DI-ASEPT also was done.Results:The frequency of wound infection was 24.4% in September and 19.2% in November. Pseudomonas species was the primary etiologic agent in this epidemic. DI-ASEPT was as effective as povidone-iodine in producing wound asepsis.Conclusions:Because of limited resources large numbers of casualties, and an extremely adverse environment as a result of war that has affected hygienic conditions at the State Hospital of Sarajevo, a high frequency of contaminated or dirty operations were performed. This was the primary reason for the observed increase in wound infections. After hygienic conditions were restored, the epidemic of wound infections was terminated. |
Databáze: | OpenAIRE |
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