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Sporogenic Aspergillus Infections: A Geographical Influence in an Invariable Trauma Population
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Journal Article
Sporogenic Aspergillus Infections: A Geographical Influence in an Invariable Trauma Population
2021
Overview
Data Age at presentation, mean years (SD) [range] 51 (18.5) [24-82] Sex Male, n (%) 12 (92.3) Race White, n (%) 11 (84.6) Mechanism Motor vehicle collision, n (%) 4 (30.8) Motorcycle collision, n (%) 3 (23.1) Moped collision, n (%) 1 (7.7) Boat collision, n (%) 1 (7.7) Fall, n (%) 4 (30.8) Emergent surgery Damage control laparotomy, n (%) 4 (30.8) Craniectomy, n (%) 1 (7.7) ISS at presentation, mean (SD) [range] 30.5 (14.9) [17-41] GCS score at presentation, mean (SD) [range] 13.2 (2.9) [7-15] Hospital stay, mean days (SD) [range] 67 (145.4) [3-533] ICU admission, n (%) 10 (76.9) ICU days, mean (SD) [range] 12 (17) [3-55] Ventilatory support, n (%) 9 (69.2) Ventilatory days, mean, n (SD) [range] 74 (116.7) [3-516] Abbreviations: ISS, Injury Severity Score; GCS, Glascow Coma Score Scale; ICU, intensive care unit. Data Concomitant infection, N (%) 8 (62) Open fracture, n (%) 5 (38) Albumin (mg/dL) mean (SD) [range] 2.3 (0.78) [1.4-3.8] Prealbumin (mg/dL) mean (SD) (range)] 11 (5.2) [4-18] CPK (U/L), mean (SD) [range] 8478 (9 849) [212 – 23 461] Transfusion requirements, n (%) 10 (76.9) Total red blood cells units, mean (SD) 103, 10.3 (7.8) Total fresh frozen plasma units, mean (SD) 43, 7.1 (8.2) Total platelets units, mean (SD) 17, 3.4 (2.7) Total cryoprecipitate units, mean (SD) 4, 2 (1.4) Abbreviation: CPK, creatine phosphokinase. Like other studies, we found the most commonly implicated traumatic injuries among our patient group to be motor vehicle collisions. 1 Prior research has identified risk factors and indicators that furnish a predictive value for estimating infectious complications in trauma patients: rhabdomyolysis, open, grossly contaminated comminuted fractures, massive blood transfusion, ISS >15, penetrating abdominal trauma, and retained orthopedic hardware.1,4 Our patients with positive Aspergillus isolates had similar risk factors for such infectious complications.
Publisher
SAGE Publications,SAGE PUBLICATIONS, INC
Subject
/ Adult
/ Aged
/ Albumins
/ Aspergillosis - epidemiology
/ Aspergillosis - microbiology
/ Creatine
/ Female
/ Humans
/ Invasive Fungal Infections - epidemiology
/ Invasive Fungal Infections - etiology
/ Invasive Fungal Infections - microbiology
/ Male
/ Patients
/ Seasons
/ South Carolina - epidemiology
/ Trauma
/ Trauma Centers - statistics & numerical data
/ Wounds, Nonpenetrating - complications
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