Epidemiology and etiology of blood stream infections in a Belgian burn wound center

Strachinaru, Diana Isabela Costescu; Gallez, Jean-Luc; François, P; Baekelandt, Dries; Paridaens, Marie-Sophie; Pirnay, Jean-Paul; Vos, Daniël De; Djebara, Sarah; Vanbrabant, Peter; Strachinaru, Mihai; Soentjens, Patrick

doi:10.1080/17843286.2021.1872309

Cited by 4 publications

(6 citation statements)

References 29 publications

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“…The decrease in ARDS (13.7%) is striking, and may be due to improvements in critical care, a decrease in flame burns, and advances in mechanical ventilation. The incidence of sepsis-related deaths has also declined, and it is now the cause of death in 9.5% of patients, 50% lower than the figure reported by Barret et al 21 and in line with the findings of a Belgian study 65 . The decrease in mortality due to sepsis is a promising development, and may be due to the implementation of strict care protocols in critically ill patients 68 , together with improvements in the use of antibiotics and in the management of septic shock.…”

Section: Discussionsupporting

confidence: 79%

“…Burn patients are at increased risk of suffering potentially fatal infection of any cause in the first 5 years after the burn 63 , and sepsis increases LOS and ICULOS 64 . In our study, 16.3% of patients were diagnosed with sepsis, somewhat higher than the figures published in Belgium 65 .…”

Section: Discussioncontrasting

confidence: 71%

“…Mortality remained at 3.5% (0% in children under 16 years of age and 4.3% in adults). This rate is somewhat higher than that reported in most developed European countries 6 , 10 , 15 , 65 , 66 .…”

Section: Discussioncontrasting

confidence: 60%

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Epidemiology and mortality in patients hospitalized for burns in Catalonia, Spain

Abarca,

Guilabert,

Martin

et al. 2023

Sci Rep

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Burn injuries are one of the leading causes of morbidity worldwide. Although the overall incidence of burns and burn-related mortality is declining, these factors have not been analysed in our population for 25 years. The aim of this study has been to determine whether the epidemiological profile of patients hospitalized for burns has changed over the past 25 years. We performed a retrospective cohort study of patients hospitalised between 1 January 2011 and 31 December 2018 with a primary diagnosis of burns. The incidence of burns in our setting was 3.68/105 population. Most patients admitted for burns were men (61%), aged between 35 and 45 years (16.8%), followed by children aged between 0 and 4 years (12.4%). Scalding was the most prevalent mechanism of injury, and the region most frequently affected was the hands. The mean burned total body surface (TBSA) area was 8.3%, and the proportion of severely burned patients was 9.7%. Obesity was the most prevalent comorbidity (39.5%). The median length of stay was 1.8 days. The most frequent in-hospital complications were sepsis (16.6%), acute kidney injury (7.9%), and cardiovascular complications (5.9%). Risk factors for mortality were advanced age, high abbreviated burn severity index score, smoke inhalation, existing cardiovascular disease full-thickness burn, and high percentage of burned TBSA. Overall mortality was 4.3%. Multi-organ failure was the most frequent cause of death, with an incidence of 49.5%. The population has aged over the 25 years since the previous study, and the number of comorbidities has increased. The incidence and severity of burns, and the percentage of burned TBSA have all decreased, with scalding being the most prevalent mechanism of injury. The clinical presentation and evolution of burns differs between children and adults. Risk factors for mortality were advanced age, smoke inhalation, existing cardiovascular disease, full-thickness burn, and high percentage of burned TBSA.

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Section: Discussionsupporting

confidence: 79%

Section: Discussioncontrasting

confidence: 71%

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Epidemiology and mortality in patients hospitalized for burns in Catalonia, Spain

Abarca,

Guilabert,

Martin

et al. 2023

Sci Rep

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“…Soleymanzadeh-Moghadam et al and Strachinaru et al indicated that P. aeruginosa was the most prevalent isolated species in blood cultures. 15,16 Hu et al and Chim et al found that Acinetobacter baumannii was the most frequently detected organism in blood culture from burn patients. 12,17 These variations in the prevalence of microorganisms might be due to the differences in countries and facilities.…”

Section: Discussionmentioning

confidence: 99%

“…and Strachinaru et al . indicated that P. aeruginosa was the most prevalent isolated species in blood cultures 15,16 . Hu et al .…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of bloodstream infections and surface swab cultures in burn patients

Kaita

Otsu

Tanaka

et al. 2022

Acute Medicine & Surgery

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Aim For infection control in burn patients, it is essential to understand the epidemiology of bloodstream infection (BSI) and the local microbiological situation. There are few studies on blood and swab culture results among burn patients in Japan. The purpose of this study was to investigate the epidemiology of BSI and swab cultures in burn patients. Methods Data from 355 burn patients over 13 years from 2008 were analyzed retrospectively. Bloodstream infection was defined as the isolation of bacteria or fungi from two or more blood cultures. The characteristics of burn patients and microorganisms detected from various cultures were analyzed. Results The mortality rate among burn patients with BSI was 37.8%, which was more than twice that among burn patients without BSI. The univariate analysis showed that inhalation injury, total burn surface area (TBSA), and mortality were associated with BSI. The multivariate logistic analysis indicated that TBSA was an independent risk factor for BSI. The most frequently isolated organism from blood and swab cultures were Candida species and Pseudomonas aeruginosa, respectively. Seventy‐five percent of the microorganisms isolated from blood were detected previously in swab cultures performed within 1 week from blood cultures. Conclusions The prognosis of burn patients with BSI was poor, and TBSA was an independent risk factor for BSI. The predominant organisms isolated from blood and swab cultures were Candida species and P. aeruginosa, respectively. Surveillance wound swab cultures could be utilized for monitoring the local microbiological situation in burn patients.

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A case of Flavonifractor plautii blood stream infection in a severe burn patient and a review of the literature

Strachinaru

Gallez

Daras

et al. 2021

Acta Clinica Belgica

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Epidemiology and etiology of blood stream infections in a Belgian burn wound center

Cited by 4 publications

References 29 publications

Epidemiology and mortality in patients hospitalized for burns in Catalonia, Spain

Epidemiology and mortality in patients hospitalized for burns in Catalonia, Spain

Epidemiology of bloodstream infections and surface swab cultures in burn patients

A case of Flavonifractor plautii blood stream infection in a severe burn patient and a review of the literature

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