Risk Factors for Nosocomial Infection and Mortality in Burn Patients

Alp, Emine; Çoruh, Atilla; Günay, Galip K.; Yontar, Yalçın; Doğanay, Mehmet

doi:10.1097/bcr.0b013e318234966c

Cited by 93 publications

(73 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A. baumannii was the most frequently detected, followed by P. aeruginosa. Among the detected G -rod bacteria from burn patients, A. baumannii exhibited an annually increasing trend that showed a higher detection rate compared with previous reports in literature (Xu et al, 2001(Xu et al, , 2002Essayagh et al, 2011;Alp et al, 2012). A. baumannii is a G -rod bacterium that is not fermented by carbohydrates, and is widely distributed in nature, hospital environments, and human skin.…”

Section: Discussionmentioning

confidence: 41%

Drug resistance analysis of bacterial strains isolated from burn patients

Wang¹,

Li²,

Ma³

et al. 2014

Genet. Mol. Res.

View full text Add to dashboard Cite

ABSTRACT.This study aimed to analyze the spectrum and drug resistance of bacteria isolated from burn patients to provide a reference for rational clinical use of antibiotics. Up to 1914 bacterial strain specimens isolated from burn patients admitted to hospital between 2001 and 2010 were subjected to resistance monitoring by using the K-B paper disk method. Retrospective analysis was performed on drug resistance analysis of burn patients. 9727-9734 (2014) resistance, respectively. Antibacterial drugs that had drug resistance rates to MRSE and MRSA higher than 90% accounted for 38.9 and 72.2%, respectively, whereas those with lower than 30% drug resistance rates accounted for 11.1 and 16.7%, respectively. The burn patients enrolled in the study were mainly infected with G -bacteria. These results strongly suggest that clinicians should practice rational use of antibiotics based on drug susceptibility test results.

show abstract

Section: Discussionmentioning

confidence: 41%

Drug resistance analysis of bacterial strains isolated from burn patients

Wang¹,

Li²,

Ma³

et al. 2014

Genet. Mol. Res.

View full text Add to dashboard Cite

show abstract

“…Moreover, advanced age, underlying diseases, and higher TBSA percentage were the most significant risk factors for mortality in the study. [11] Zarei et al have found that non-work-related burns, burnt TBSA, and body surface area affected by second-or third-degree burns are independent predictors of mortality. [12] Although variables like age, type of injuries, TBSA percentage, co-morbidity, leukocyte, and serum albumin parameters may have affected mortality, only age over 65, TBSA percentage and serum albumin levels were found to be independent risk factors for mortality.…”

Section: Discussionmentioning

confidence: 99%

Mortality risk factors in burn care units considering the clinical significance of acinetobacter infections

Atilla¹,

Tomak²,

Katrancı³

et al. 2015

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

show abstract

“…This finding is in agreement with the most of previous studies. 61,89,90 The highest level of death caused by infection is probably due to the lack of early wound swab and blood culture for bacteria and sensitivity of organism which is leading to septicemia and then death. Furthermore, a study by Ramakrishnan, M., et al showed that early management and empirical antibiotic regimes decrease wound sepsis resulting to the increase of survival.…”

Section: Mortalitymentioning

confidence: 99%

Characteristics of Burn Injury and Factors in Relation to Infection among Pediatric Patients

Babakir‐Mina¹

2017

MOJGG

View full text Add to dashboard Cite

Burn injury is one of the most common and devastating forms of trauma and a major health problem of pediatric morbidity and mortality worldwide. The risk of infection in pediatric burns is well-known. An observational checklist was used by the researcher to assess the patients' characteristics and factors related to burn injury and infection from 1037 pediatric patients. The observational data collection showed that 56.5% of patients were males. The highest risk groups for burn injury are preschool stages. The most frequent places for burns were home 97.5%. The mechanism of burn includes scalds 72.5%, flame 22.8%, contact 2.1%, electrical 1.8%, chemical 0.8% and friction 0.2%. The prevalence of infection was 23.4%. Patients from flame burns more likely get infections 39.1% (p=0.001). Other factors associated with infection such as degree of burns, extent of body burn surface and length of hospital stay. Regarding etiology of scald burn injury, hot water is a predominant cause of burn injury 78.99%. There was a significant relation between Total Body Surface Area (TBSA) and mortality p<0.001. Patients with >40% of TBSA has a high proportion rate for death 55.7%. The majority of died patients caused by flame 65.6% and statistically highly significant P<0.001. Infection and inhalation injury are the main factors related to death 37.7% vs. 58.0%. From 748 positive samples, the most common found organism was MethicillinResistant Staphylococcus aureus (MRSA) 34.2%, followed by Pseudomonas aerogenosa and Acienetobacter baumannii 16.7%, 16.4% respectively. Patients with greater mean TBSA and prolonged hospital stay more likely to get Gram-negative bacterial and fungal infections and highly statistically significant p<0.001. Many other studies are need to determine the epidemiology and factors related to microbiological infection among pediatric burn patients. Keywords: pediatric, burn patient, nosocomial infection, tbsa & mrsa MOJ Gerontology & Geriatrics Research ArticleOpen Access Source of organisms are found in the patient's own endogenous, from exogenous in the environment, and from healthcare personal or parents. The most common type of Nosocomial infections in burned children's is bloodstream infections, pneumonia, UTI, skin and surgical site infections. Organisms such as gram-negative bacteria, gram-positive bacteria, viral and yeast/fungal are the main causes of burn nosocomial infections. 16,17 Burn centers and burn hospitals should routinely determine and observe the specific pattern of burn microbial infection, time-related changes in the predominant microbial flora of the burn patient, the antimicrobial susceptibility profiles of microorganisms implicated in burn wound infections in a given time period, and trends in the nosocomial spread of these agents. Characteristics of burn injury and factors in relation to infection among pediatric patients 18,19 Methods Study design and settingThe study was conducted at Sulaimani Burn and Plastic Surgery Hospital, Kurdistan Region, Iraq. The data collection w...

show abstract

Risk Factors for Nosocomial Infection and Mortality in Burn Patients

Cited by 93 publications

References 15 publications

Drug resistance analysis of bacterial strains isolated from burn patients

Drug resistance analysis of bacterial strains isolated from burn patients

Mortality risk factors in burn care units considering the clinical significance of acinetobacter infections

Characteristics of Burn Injury and Factors in Relation to Infection among Pediatric Patients

Contact Info

Product

Resources

About