Microbiology and Infection Profile of Electric Burned Patients in a Referral Burn Hospital in Mexico City

Abstract

Electrical burn injuries are one of the most severe forms of trauma. This study aims to investigate the infection complications in electrical burn patients in a referral hospital in Mexico City. A longitudinal retrospective study was conducted, involving electrical burn patients admitted from April 2011 to December 2016. Demographic and clinical data including type of electric burns, infection complications, and mortality was sought. Data were collected at admission and daily until discharge. Number and type of infections and microorganism isolations were sought. Risk factors for death were analyzed. A total of 111 patients were included, of which 96.4% were males, mean age of 31.6±16.22, most injuries were high voltage associated. The total body surface area average was 27.8% ± 19.63. The overall infection rate was 72.9 cases per 100 patients. Mortality was observed in 4 (3.6%) patients. About 59.1% (443/749) had growth for Gram-negative bacteria. Multidrug-resistant Pseudomonas aeruginosa was the most frequent microorganism isolated. Fungi were present in 4.9% of cases. Electrical burn injuries occurred in young males in our study. Infection was frequent, most of them caused by Gram-negative rods with an important rate of antimicrobial resistance; however, an important microbial diversity was present.

Solution-Blown Poly(hydroxybutyrate) and ε-Poly-l-lysine Submicro- and Microfiber-Based Sustainable Nonwovens with Antimicrobial Activity for Single-Use Applications

“…Patients with a weak immunogenic system or a burn injury are very susceptible to a variety of infections, which are frequently related to the cause of death. 46 Given all these infections and environmental concerns, the development of biodegradable, biocompatible, and antimicrobial nonwovens is highly desirable. Such a product is possible by combining the biodegradable features of PHB with the exceptional antimicrobial action of ε-PLL.…”

“…However, the recurrence of the infection and the repeated use of this drug resulted in new strands of Candida resistant to the treatment (e.g., C. krusei , C. glabrata ). − This infection is not limited to genitals and can also occur on the skin, in the mouth, and in inner organs. Patients with a weak immunogenic system or a burn injury are very susceptible to a variety of infections, which are frequently related to the cause of death …”

Epidemiology and Early Bacteriology of Extremely Severe Burns from an LPG Tanker Explosion in Eastern China

“…should be disinfected at least three times a day and be dedicated, ( 5) and final disinfection of ward following the discharge of patient, should be entire, and so on. Moreover, the study observed that fungal infections appeared earlier (after 1.75 days) than those previously reported [6,24] to present 2 or 3 weeks after admission. In this study, the most common fungus isolated from wounds was Fusarium.…”

“…These infections may in turn lead to a high cost of treatment and prolonged periods of hospitalization [6]. Moreover, it should be noted that infections are currently among the most dangerous complications in burn patients, especially those with extremely severe burns [6][7][8]. Therefore, proactive and empirical control of infections is critical for the management of burn patients.…”

“…In addition, given the lack of a skin barrier and immunosuppression, burn patients are more vulnerable to bacterial infections. These infections may in turn lead to a high cost of treatment and prolonged periods of hospitalization [ 6 ]. Moreover, it should be noted that infections are currently among the most dangerous complications in burn patients, especially those with extremely severe burns [ 6 – 8 ].…”