Epidemiology and bacterial colonization of burn injuries in Blantyre

Liwimbi, Olive M; Komolafe, Isaac

doi:10.4314/mmj.v19i1.10929

Cited by 21 publications

(31 citation statements)

References 17 publications

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“…59 Other reasons for this finding may be due to delay excision which increase the reservoir of bacteria made up by the collective burn wound surfaces of patients in a burn management, which is mentioned by Mayhall, C.G. 60 However, in our study the proportion of infection decreased with increasing TBSA burnt when more than 40% which accounted 35.4% (Table 4).…”

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confidence: 51%

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

Babakir‐Mina¹

2017

MOJGG

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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...

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confidence: 51%

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

Babakir‐Mina¹

2017

MOJGG

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“…7,8 In present study, most common age group involved was 31-40 years (28.04%) with female (56.09%) preponderance. In agreement to present study Mundhada et al reported most common age group as 20-30 years with females (54%) preponderance.…”

Section: Discussionmentioning

confidence: 49%

Prospective Study of Burn Wound for Microbial Involvement and Antimicrobial Susceptibility from a Tertiary Center of Gwalior

Mudgal¹

2017

jmscr

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“…Such initial colonisation always carries the potential to cause overt burn wound infection and subsequent invasion of the Bloodstream. Therefore, identifying the burn wound isolates and testing their susceptibility to antimicrobial agents are important in the management of the burn wound sepsis (13). Female preponderance in burn patients in India may be due to their confinement to the Home, their loose outfits and unfortunate practice of bride-burning for dowry .We found that to start with, the burn wounds were mostly sterile as surface microbial are destroyed by heat.…”

Section: Discussionmentioning

confidence: 90%

“…Colonisation may occur initially from normal resident flora in skin and throat, like staphylococci andstreptococci; later organisms from the gastrointestinal tract, likeE. coli, Klebsiella, Proteus, etc., may also become involved (12,13). In addition, infection may also be transmitted by fomites or the hands of personnel (12).…”

Section: Discussionmentioning

confidence: 99%

Bacteriological Profile and Antibiogram of Aerobic Burn Wound Isolates At A Tertiary Care Institute in Northern India

Sharma¹,

Kaur²,

Sambyal³

2016

IOSR

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Background: Infection is the commonest and the most serious problem in patients who survive the initial shock phase of major thermal injury. It is an important cause of mortality in burns. Rapidly emerging nosocomial pathogens and the problem of multi-drug resistance in burn patients providing a important periodic review of isolation patterns and Antibiograms in the burn ward. Aim and Objective: The present retrospective study from wounds of patients admitted to burns unit was undertaken to determine the bacteriological profile and the resistance pattern from the burn ward over a period of one year and four months (January 2012 to April 2013). Materials and Methods: 450 wound swabs were taken from burn patients and were cultured on Blood-agar and MacConkey-agar .Out of 450 samples only 400 showed growth and so its isolates were identified by conventional biochemical methods and antimicrobial susceptibility was performed. Isolates were tested for susceptibility to antimicrobials using the Kirby Bauer Disc diffusion method. Result: During the period from January2012 to April 2013 study is done.450 aerobic bacterial isolates were recovered from 400 patients. Pseudomonasaeruginosa was the commonest pathogen isolated (35.55%) followed by Klebsiellaspecies (23.34%),Acinetobacter species (22.22%), Staph. aureus (9.11%), (5.56%), Proteus species (1.78%), Citrobacter species (1.33%) and E.coli (1.11%). Ampicillin, Piperacillin was most resistant drugs in case of Gram-negative bacteria.Piperacillin-tazobactum was (100%) sensitive antibiotic in all Gram negative bacteria. Amoxicillin and Penicillin G were the resistant antibiotics in case of Gram-positive bacteria. Conclusion: The growth of multidrug-resistant organisms should be considered as a serious risk in burn units. Aggressive infection control measures should be applied to limit the emergence and spread of multidrugresistant pathogens.

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Epidemiology and bacterial colonization of burn injuries in Blantyre

Cited by 21 publications

References 17 publications

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

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

Prospective Study of Burn Wound for Microbial Involvement and Antimicrobial Susceptibility from a Tertiary Center of Gwalior

Bacteriological Profile and Antibiogram of Aerobic Burn Wound Isolates At A Tertiary Care Institute in Northern India

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