Bacteriologic Study in Burn Patients Admitted to Burn Ward of Sina Hospital of Tabriz During 2012 - 2013: A Cross-Sectional Study

Abstract

Background:One of the important causes of mortality and morbidity in burn wards is infection. There are several reasons which make burn patients disposed to infection. Objectives: The current study aimed to investigate the role of different factors that affect bacteremia occurrence in burn patients and factors relevant with mortality in these patients. Patients and Methods:This cross-sectional study was performed in one year on 81 burn patients. We collected patient data regarding age, body weight and height, cause of burn, lesion color and place and percentage of burn. Then we documented all interventions, blood tests and cultures and recorded colonies criteria. Results: Thirty-nine males (48.1%) and 42 females (51.9%) included with a mean age of 32.06 ± 17.46 years. In patients without bacteremia, 57 patients did not need catheterization (89.1%), however in patients with bacteremia, nine needed a catheter (52.9%).. In this survey, in patients with bacteremia, 12 survived (70.9%), however in those without bacteremia, 56 patients survived (92.2%). Then, the relativity between the type of burn and wound infection bacteria species was investigated, but analysis found a P value of 0.65, which was not significant. Conclusions: Invasive interventions increased bacteremia susceptibility in burn wards. Mortality rate had a direct association with bacteremia prevalence and increased by larger burn area.

Exploring heterogeneity in reported venous thromboembolism risk in COVID-19 and comparison to other viral pneumonias: a systematic review and meta-regression

“…A further 436 articles were excluded, mainly because of the inclusion of a selected patient population (eg, population confined to patients with cancer or liver disease), not having VTE as outcome, duplicates of cohorts and inclusion of outpatients. Eventually, 115 articles were included in this review ( Figure 1 ) [ 4 , 6 , [12] , [13] , [14] , [25] , [26] , [27] , [28] , [33] , [34] , [35] , [36] , [37] , [38] , [39] , [40] , [41] , [42] , [43] , [44] , [45] , [46] , [47] , [48] , [49] , [50] , [51] , [52] , [53] , [54] , [55] , [56] , [57] , [58] , [59] , [60] , [61] , [62] , [63] , [64] , [65] , [66] , [67] , [68] , [69] , [70] , [71] , [72] , [73] , [74] , [75] , [76] , [77] , [78] , [79] , [80] , [81] , [82] , [83] , [84] , [85] ,…”

“…In 2 seasonal influenza articles setting was unclear, as these concerned population-based registry studies [ 37 , 59 ]. Regarding articles on H1N1 influenza, 2 included ICU patients [ 14 , 33 ] and in 2 a mix of ICU and ward patients [ 13 , 34 ]. The sole study on SARS-CoV-1 included ICU patients [ 12 ].…”

“…In 14 COVID-19 articles, a screening strategy for DVT was implemented [ 27 , 54 , 62 , 71 , 72 , 74 , 88 , 92 , 95 , 100 , 113 , 114 , 117 , 130 ], Definitions used for VTE varied from articles reporting on PE only [ 34 , 39 , 44 , 60 , 61 , 66 , 70 , 76 , 81 , 83 , 93 , 103 , 104 , 107 , 109 , 118 , 123 , 126 , 127 , 129 , 133 , 134 ] or DVT only [ 54 , 56 , 72 , 90 ] to a combination of both [ 6 , [12] , [13] , [14] , 27 , 28 , 37 , [46] , [47] , [48] , [49] , [50] , [51] , 53 , 55 , [57] , [58] , [59] , [67] , [68] , [69] , 71 , 73 , 74 , 77 , 80 ,…”

“…Overall, study quality was mediocre with median 3 (IQR, 3–4) stars awarded ( Supplementary Table S2 ) according to a modified version of the Newcastle Ottowa Scale. In 66 out of 115 papers 3 or less stars were awarded [ [12] , [13] , [14] , 29 , 30 , 33 , 36 , 38 , 39 , 43 , 45 , 46 , [48] , [49] , [50] , [51] , [53] , [54] , [55] , [59] , [60] , [61] , [62] , [65] , [66] , [67] , 72 , [74] , [75] , [76] , [78] , [79] , [80] , [81] , 85 , 86 , 92 , 93 , 96 , 100 , 101 , 103 , [105] , [106] , [107] , [108] , [109] , 111 , 113 , [119] , [120] , [121] , 124 , [126] , [127] , [128] , 130 , 131 , 34 , [133] , [134] , [135] ]. Main concerns were that it could not be assured that all participants were free of the outcome of...…”

“…Definitions used for VTE varied from articles reporting on PE only [34,39,44,60,61,66,70,76,81,83,93,103,104,107,109,118,123,126,127,129,133,134] or DVT only [54,56,72,90] to a combination of both [6,[12][13][14]27,28,37,[46][47][48][49][50][51]53,55,[57][58][59][67][68][69]71,73,74,77,…”