کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
3104261 | 1191646 | 2015 | 7 صفحه PDF | دانلود رایگان |
• This study was performed in a specialist burns unit in Johannesburg, South Africa.
• Flame injuries were the commonest mechanism of burn.
• The mortality rate was 44.6%.
• More than half of the sample population (52.5%) had a positive blood cultures.
• A. baumannii, P. aeruginosa and MRSA were the most common organisms cultured.
BackgroundInfections are a major problem in burns patients. Knowledge of the incidence and antimicrobial sensitivities of the microorganisms commonly encountered within each institution's burns unit is important as it informs and directs empiric antibiotic therapy.MethodsThis was a retrospective review of patients admitted from 1 January 2008 to 31 December 2012 to an adult burns intensive care unit. Specimens chosen for analysis were wound swabs, blood cultures, venous catheter tips, tracheal aspirates, sputum, urine and wound tissue. Records were accessed from the admission register and laboratory information system to obtain the relevant data.ResultsDuring the study period, 352 patients were admitted to the adult burns intensive care unit, of which, 341 patients were included. The mortality rate was 44.6%. Flame burns were the commonest. Mortality rate amongst patients with bacteremia was 46.9%. Acinetobacter baumannii, Pseudomonas aeruginosa and methicillin resistant Staphylococcus aureus (MRSA) were found to be the most common organisms cultured in most specimens.ConclusionThe main three organisms identified in specimen cultures in our adult burns intensive care unit were A. baumannii, P. aeruginosa and MRSA. This study has helped establish a better empiric approach to the management of our septic burns patients.
Journal: Burns - Volume 41, Issue 7, November 2015, Pages 1536–1542