Abstract
After Super Typhoon Haiyan, a category 5 tropical cyclone, insufficient resources were available for medical management. Many patients in the Philippines were wounded as a result of the disaster. We examined the prevalence, risk factors, and consequences of disaster-related wounds and wound infection in the post-disaster period. We performed a retrospective review of consecutive patients admitted to a Korean Disaster Relief Team clinic at St. Paul's Hospital, Tacloban City, Republic of Philippines, between December 9 and 13, 2013. Traumatic injury patients were included; patients not exhibiting a wound were excluded. Of the 160 patients enrolled in the study, 71 (44.4%) had infected wounds. There were no significant differences in the age, sex, past medical history, wound site, wound depth, injury mechanism, or inducer of injury between the uninfected and infected groups. In the univariate analysis, a foreign-body-contaminated wound, a chronic wound, elapsed time from injury to medical contact, an inadequately cared for wound, and need for subsequent wound management were associated with wound infection (P<0.05). The multivariate analysis revealed that foreign body contamination and having an inadequately cared for wound were a...Continue Reading
References
Oct 4, 1975·British Medical Journal·G SchernthanerG Kolarz
Oct 4, 1975·British Medical Journal·A G Whyte
Nov 1, 1990·AACN Clinical Issues in Critical Care Nursing·S O NorrisN A Stotts
Oct 1, 1994·Epidemiology and Infection·K B PoulsenJ V Petersen
Sep 1, 1993·European Journal of Epidemiology·A A VegasM L García
Jun 1, 1997·The Surgical Clinics of North America·M C Robson
Dec 2, 1999·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·K B KirklandD J Sexton
May 11, 2002·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·James D WhitehouseDaniel J Sexton
Feb 27, 2003·Emerging Infectious Diseases·Eli N PerencevichRichard Platt
Apr 6, 2006·Critical Care : the Official Journal of the Critical Care Forum·Marc MaegeleBertil Bouillon
Jul 21, 2009·Prehospital and Disaster Medicine·Junko OkumuraYasushiro Yamamoto
Oct 13, 2009·The Journal of Trauma·Lori Uscher-PinesThomas A Burke
Feb 26, 2010·BMC Research Notes·Agung Budi SutionoToshizumi Ohta
Mar 2, 2011·Annals of Internal Medicine·Majid AfsharThomas P Bleck
Jul 30, 2011·Global Health Action·Revati PhalkeyMichael Marx
Jul 27, 2012·Emergency Medicine Journal : EMJ·Yinglong XuYong Zeng
Mar 19, 2013·Atlas of the Oral and Maxillofacial Surgery Clinics of North America·Steven V DrydenJae H Kim
Aug 21, 2013·Anesthesia and Analgesia·Andres MissairRalf E Gebhard
Dec 24, 2013·Prehospital and Disaster Medicine·Matthew J Levy, Nelson Tang