Infection in burn patients in a referral center in Colombia

Ramirez-Blanco, Carlos Enrique; Ramírez-Rivero, Carlos E.; Díaz‐Martínez, Luis Alfonso; Ávila, Luis Miguel Sosa

doi:10.1016/j.burns.2016.07.008

Cited by 46 publications

(45 citation statements)

References 32 publications

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“…Several reports indicated that the most common genera isolated from wound or burn units were GPC, followed by GNB [1,2,6,7]. However, the results from this study differed from previously published reports.…”

Section: Microbes and Drug-resistant Bacteriacontrasting

confidence: 99%

“…spp. and P. aeruginosa, which is consistent with a majority of other published reports [1,2,7,9]. Interestingly, those two bacteria along with Stenotrophomonas maltophilia were isolated within 3 days of hospitalization.…”

Section: Microbes and Drug-resistant Bacteriasupporting

confidence: 92%

“…This result was in contradiction with another study that monitored all hospitalized burn patients for 1 year and found only 16.7% S. aureus strains resistant to methicillin. However, burn patients in that study merely had a median TBSA of 7% (interquartile range 4-14%) and a median hospital stay of 14 days [7]. Apart from MRSA, care and treatment of burn patients infected with VRE has also become increasingly challenging.…”

Section: Microbes and Drug-resistant Bacteriamentioning

confidence: 97%

“…The most common Gram-positive bacteria implicated in burn wound infections include Staphylococcus spp., Enterococcus spp., and beta-hemolytic Streptococcus group A. Among that group, Staphylococcus aureus continues to be one of the most important bacterial cause of burn wound infections [4][5][6][7]. The most frequently isolated Gram-negative bacteria from patients with burn wounds include Pseudomonas aeruginosa, Acinetobacter baumannii, Klebsiella spp., Stenotrophomonas spp., Escherichia coli, and Enterobacter cloacae [1,2,5,7,8].…”

Section: Introductionmentioning

confidence: 99%

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Trends in microbial profile of burn patients following an event of dust explosion at a tertiary medical center

Chen

et al. 2020

BMC Infect Dis

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Background: Microbial infection is the main cause of increased morbidity and mortality in burn patients, especially infections caused by multiple drug-resistant organisms (MDRO). The purpose of this study was to explore major microbial trends in burn patients. Methods: This retrospective study was conducted at burn wards and intensive care units, where burn patients were admitted following an event of dust explosion. Data were collected for a number of variables including severity of burns, demographic and clinical characteristics, laboratory data, and therapeutic devices.Results: A total of 1132 specimens were collected from 37 hospitalized burn patients with mean TBSA of 46.1%.The most commonly isolated species were Staphylococcus spp. (22.4%). The highest rate of antibiotic resistance was observed in carbapenem-resistant A. baumannii (14.6%), followed by methicillin-resistant S. aureus (11.3%). For each additional 10% TBSA, the isolation of MDRO increased 2.58-17.57 times (p < 0.05); for each additional 10% of the third-degree burn severity, the risk of MDRO significantly decreased by 47% (95% CI, 0.38-0.73, p < 0.001) by Cox model. Conclusions:The proportion of overall microbial isolates increased with the increase in TBSA and duration of time after burns. The extent of TBSA was the most important factor affecting MDRO.

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Section: Microbes and Drug-resistant Bacteriacontrasting

confidence: 99%

Section: Microbes and Drug-resistant Bacteriasupporting

confidence: 92%

Section: Microbes and Drug-resistant Bacteriamentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

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Trends in microbial profile of burn patients following an event of dust explosion at a tertiary medical center

Chen

et al. 2020

BMC Infect Dis

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“…Early pathogenic colonization in acute burn wounds may also influence infection rate 26. In addition, deep burns promote the risk of developing an infection 27. In a study, a high level of blood glucose elevation was discovered in patients with severe burn injury, which suggested that airway secretion also contained a high concentration of glucose.…”

Section: Discussionmentioning

confidence: 99%

Risk of pneumonia in patients with burn injury: a population-based cohort study

Chan¹,

Yang²,

Yeh³

et al. 2018

CLEP

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BackgroundBurns are the main cause of accidental injury, and pneumonia is a common respiratory disease in humans.AimThe purpose of this study was to investigate the relationship between burn injury and pneumonia.Patients and methodsA nationwide population-based cohort study was conducted using data from the National Health Insurance Research Database in Taiwan. We identified and enrolled 2,893 subjects with burn injury, who were individually matched to 2,893 subjects in the comparison group by using the propensity score. Furthermore, we used a self-controlled case-series design to estimate the temporal association between burn injury and pneumonia.ResultsExposure to burn injury revealed a higher risk of pneumonia than that to non-burn injury within 1 year. The Cox proportional hazards model revealed that, compared with the non-burn injury, burn injury yielded a 2.39-fold (95% CI=1.44–3.96) increase in risk of pneumonia. The exposure period of burn injury within 30 days showed 2.76-fold increase in risk of pneumonia (95% CI=1.44–3.96) compared with that in the baseline period.ConclusionBurn injury was associated with a significant increased risk of pneumonia, especially occurring within 30 days.

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