Evaluation of healthcare-associated skin and soft tissue infections developed after the February 6, 2023, Kahramanmaraş-Türkiye earthquakes
American Journal of Infection Control, cilt.54, sa.5, ss.565-570, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 54 Sayı: 5
- Basım Tarihi: 2026
- Doi Numarası: 10.1016/j.ajic.2025.11.005
- Dergi Adı: American Journal of Infection Control
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, CINAHL, EMBASE, MEDLINE, Health Research Premium Collection (ProQuest)
- Sayfa Sayıları: ss.565-570
- Anahtar Kelimeler: Epidemiology, Antibiotic therapy, Outcome, Infection control, Gram-negative bacteria, Multi-drug resistance
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Introduction Skin and soft tissue infections are among the most common complications seen in patients with musculoskeletal injuries following devastating earthquakes. Method Seventy-five patients who developed healthcare-associated skin and soft tissue infections and surgical site infections among 1,143 hospitalized trauma patients were evaluated to determine the outcomes, the frequency of causative microorganisms, and their antimicrobial susceptibilities. Results The average age of the patients was 35%, and 53.3% were female. Surgical site infections was found in 33 of the 75 patients. Causative microorganisms were isolated in 51 (68%) of the patients, and 85.5% of these were Gram-negative. The most frequently isolated pathogen was Klebsiella pneumoniae (n = 18, 23.6%), with an 83.3% carbapenem resistance rate. While 68% of the patients recovered with sequelae, 9.3% of them died. Central venous catheterization, mechanical ventilation, and the presence of CRUSH syndrome were found as risk factors for mortality (P ' .005). Conclusions Preventing infections following traumatic injuries after an earthquake is of great importance. Implementation of infection control measures played a critical role in preventing infections and limiting their spread among high-risk patients. Along with epidemiological data, the appropriateness of empirical antibiotherapy decreases morbidity and mortality. It is also important to identify the risk factors associated with mortality and sequelae and to take preventive measures.