Turkish Journal of Nephrology
Original Article

Crush Sendromunda Enfeksiyonların ve Bakteriyel Spektrumun Dağılımı

1.

Fırat University, Faculty of Medicine, Department of Internal Medicine, Elazığ, Turkey

2.

Fırat University, Faculty of Medicine, Department of Nephrology, Elazığ, Turkey

3.

Fırat University, Faculty of Medicine, Department of Plastic and Reconstructive Surgery, Elazığ, Turkey

Turkish J Nephrol 2015; 24: 93-97
DOI: 10.5262/tndt.2015.1001.13
Read: 1110 Downloads: 646 Published: 04 February 2019

OBJECTIVE: This research was designed as a therapeutic and prognostic study to assess the clinical and bacteriological examination findings of crush syndrome patients admitted to our hospital after the Bingol earthquake.

MATERIAL and METHODS: A retrospective assessment was carried out on the medical records of the patients with Crush syndrome. Sixteen patients were admitted to the nephrology department after the earthquake. The patients had a mean age of 23 ± 13 years and a mean time spent under rubble of 10.3 ± 7 hours. A total of 16 fasciotomy procedures were carried out in 16 of 11 cases (68%), while 9 of these cases had surgical wounds complicated by infection.

RESULTS: Microbiology tests detected bacteriological agents in 88 of 43 (49%) specimens collected from 16 of 13 (81%) patients. The major bacterial isolatesfrom wound infectionsincludedAcinetobacter (46%), Escherichia coli (23%) and coagulase negative Staphylococci (14%). Increased length of hospitalization resulted in supervening of secondary bacterial infections. No patients who received treatment died, however a patient surviving a cardiac arrest later developed ischemic encephalopathy.

CONCLUSION: Infections are a major problem in crush syndrome, but we suggest that early and vigorous care and appropriate prophylactic antibiotic treatment play a key role in decreased mortality.

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