- Poster presentation
- Open Access
The 2004 tsunami disaster: injury pattern and microbiological aspects
© Biomed central limited 2006
- Published: 21 March 2006
- Candida Albicans
- Injury Pattern
- Thoracic Trauma
- Flood Wave
- Acinetobacter Species
On 26 December 2004, a giant earthquake shocked south-east Asia triggering deadly flood waves (tsunami) across the Indian Ocean. More than 300,000 people have been reported dead and millions left destitute. Shortly thereafter, the German government organized airborne home transfer of the most severely injured tourists using 'MedEvac' aircraft (Medical Evacuation). Upon arrival, patients were distributed to various medical centers. One cohort was admitted to the Cologne-Merheim Medical Center (Germany) for further surgical and ICU treatment.
To describe the unique pattern of injuries and microbiological findings associated with the 2004 Tsunami disaster.
Seventeen severely injured tsunami victims were screened upon arrival for characteristic injury patterns. In parallel, multilocal microbiological assessment was performed to identify pathogens responsible for high-level wound contamination.
The predominant pattern of injury comprised multiple large-scale soft-tissue wounds (range: 2 × 3–60 × 60 cm2) located at lower (88%) and upper extremities (29%), but also the head (18%). Additional injuries included thoracic trauma with hemopneumothorax and serial rib fractures (41%) and peripheral bone fractures (47%). A major problem associated with wound management was significant contamination. Microbiological assessment identified a variety of common (Pseudomonas 54%, Enterobacteriae 36%, Aeromonas hydrophilia/veronii 27%) but also uncommon isolates with high resistances (multiresistant Acinetobacter and ESBL-positive E. coli 18% each). Upper respiratory tract specimens contained an unusual high rate of multiresistant Acinetobacter species, but also MRSA, A. hydrophilia, Pseudomonas and Candida albicans.