Predominance of staphylococcal organisms in infections occurring in a burns intensive care unit

Taylor, Geoffrey; Kibsey, Pamela; Kirkland, Teresa; Burroughs, Eric; Tredget, Edward E.

doi:10.1016/0305-4179(92)90158-q

Cited by 90 publications

(28 citation statements)

References 11 publications

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“…Our finding that S. aureus was the most common isolate coincides with previous reports (Taylor et al 1992, Vindenes & Bjerknes 1995, Lesseva & Hadjiiski 1996, Komolafe et al 2003 but is in contrast to other studies which report P. aeruginosa as predominant organism (Atoyebi et al 1992, Revathi et al 1998, Singh et al 2003, Nasser et al 2003, Agnihotri et al 2004). …”

Section: Discussionsupporting

confidence: 88%

Bacterial and fungal colonization of burn wounds

Macedo¹,

Santos

2005

Mem. Inst. Oswaldo Cruz

115

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Section: Discussionsupporting

confidence: 88%

Bacterial and fungal colonization of burn wounds

Macedo¹,

Santos

2005

Mem. Inst. Oswaldo Cruz

115

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“…Furthermore, the epidemiology of these syndromes has not been defined in a non-selected adult Canadian population [8][9][10][11].The objectives of this study were to use a surveillance cohort design to define the incidence, microbiology and outcomes of adult patients with SIRS, BSIassociated sepsis and BSI-associated septic shock admitted to multidisciplinary ICUs in a large, fully integrated health region in Canada. …”

Section: Introductionmentioning

confidence: 99%

Bloodstream Infection-Associated Sepsis and Septic Shock in Critically Ill Adults: A Population-Based Study

et al. 2004

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“…The maximum number of septicaemic episodes by MRSA (table 4) might have been due to the fact that burn units are a major source of MRSA, and it has been found that our burn unit also is endemic for this organism [21][22][23]. The long hospital stay and exposure to numerous antibiotics might have favoured MRSA nosocomial infection in these patients.…”

Section: Discussionmentioning

confidence: 96%

Burn Septicaemia in Kuwait: Associated Demographic and Clinical Factors

Bang

Sanyal²,

Bang³

et al. 2004

Med Princ Pract

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Objective: To study the demographic and clinical factors associated with burn septicaemia patients in Kuwait. Materials and Methods: All burn in-patients, who developed septicaemia at the Burns Unit, Al-Babtain Centre for Burns and Plastic Surgery, Kuwait, during a 9-year period (June 1992 to May 2001) were included in the study. The data were recorded for age, sex, nationality, cause and percentage of burns, inhalation injury, resuscitation, number of episodes, septicaemia on post-burn day, the microorganisms responsible in each episode, treatment and outcome for statistical analysis. Using SPSS (PC version 11.0) software, a probability level of p < 0.05 was considered significant. Results: Of the 2,082 patients treated in the Burns Unit, 166 [8%; 99 (60%) males and 67 (40%) females] with a mean age of 26 years (range 1–70) had septicaemia. Significantly higher (p < 0.001) cases were recorded among Kuwaiti children (≤14 years) and non-Kuwaitis (25–59 years) than other corresponding age groups. The total body surface area burned ranged from 2 to 95% (mean 42%) and the main cause of burn was flame (77.1%). Inhalation injury was diagnosed in 39 (23.5%) patients. A total of 253 septicaemic episodes occurred in all patients. The majority, 123 (74.1%), had a single episode and the remaining 43 (25.6%) had multiple (2–10) episodes. One hundred and fifty-five (61.3%) episodes were due to gram-positive organisms, mainly methicillin-resistant Staphylococcus aureus, and 32 (12.7%) were polymicrobial. One hundred and twenty-four (74.7%) patients had wound excision and skin grafting procedures and their survival was significantly higher (OR = 4.3; 95% CI: 1.98–9.31) than non-surgically treated patients. Thirty-nine (23.5%) patients died mainly due to multi-organ failure. Conclusion: The findings indicate that the patients with extensive flame burns were prone to developing septicaemia due mainly to gram-positive bacteria. The surgical excision of eschar and wound covering improved the outcome of the patients while prophylactic antibiotic treatment had no role in the incidence and outcome of the burn patients.

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Predominance of staphylococcal organisms in infections occurring in a burns intensive care unit

Cited by 90 publications

References 11 publications

Bacterial and fungal colonization of burn wounds

Bacterial and fungal colonization of burn wounds

Bloodstream Infection-Associated Sepsis and Septic Shock in Critically Ill Adults: A Population-Based Study

Burn Septicaemia in Kuwait: Associated Demographic and Clinical Factors

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