Abstract
Objective To investigate the infected features of opened scalp injury after Wenchuan earthquake in 2008. Method A retrospective analysis of the pathogenic bacteria and medical records of 82 opened scalp injury patients after earthquake was studied. The patients' germ culture data, diagnosis, treatment and prognosis were reviewed. Results 52.4% (43/82) cases were infected in opened scalp injury such as scalp laceration and avulsion. 59 strains of pathogenic bacteria were isolated from 43 cases of wound secretion. The pathogens were: gram-positive staphylococcus aureus (44.06%), staphylococcus epidermidis (20.33%); gram-negative enterobacter cloacae (22.06%), klebsiella pneumoniae (5.08%), and serratia rubidea (8.47%). All wounds were healed after debridement, replacing dressing and antibiotic treatment. Conclusions The infective rate of opened scalp injury was relatively high. The staphylococcus aureus was the most common pathogen. Early and thoroughly debridement, nutritional support and applying sensitive antibiotics may further improve clinical effects. Key words: Earthquake; Craniocerebral trauma; Bacterial infections; Germ culture
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