Wound Infection Rates and the Results of Antibiotic Susceptibility Tests in Severely Burned Patients

Infection of burn wound is an important cause of mortality in burns Units in hospitals. The types of bacterial isolates and rapidly emerging antibiotics resistance are important factor in treatment of patients. The aim of this study was to demonstrate the types of bacterial isolated from burns and antibiotics resistance. A cross -sectional case control study included 220 Iraqi Arab Muslims patients who had burn (third degree) and admitted in the burn Department at Al-Kindy Teaching Hospital between January-June 2013. Age of the patients group was ranged from 1-70 years. Females were 124 and the rest were males. Swabs from burn area were collected and cultured on Blood Agar (Oxoid) and MacConkey Agar (oxoid) and other swabs were collected for Gram staining. Identification of bacteria and antibiotic susceptibility test were done using VITEK 2 Compact Device (Biomeruiex Company -France). This study showed that burn is more common in females than males and females with infected burn (28.63%) were more common than males (11.36%). Klebsiella pneumonia is the most frequent bacterial isolated from burn (44%) and in both sexes, females and males, 41% and 45.56% respectively from burn patients. Klebsiella pneumonia is the most frequent bacterial isolated from burn (80.9%). Pseudomonas aeruginosa is also resistance to these antibiotics (93.75%). Acinetobacter spp. and Bruckholderia spp.were also resistance to gentamycine, Ceftriaxone and Cefotaxime (100%). In case of Grame + bacteria, Staphylococcus aureus was resistance to impenime (90.75%) and Enterococcus fecalis is resistance to all antibiotics. Klebsiella pneumonia is the most frequent bacterial isolated from burn and it is the most frequent bacterial isolated from burn.

___

1. Latenser BA, Miller SF, Bessey PQ, Browning SM, Caruso DM, Gomez M, Jeng JC, Krichbaum JA, Lentz CW, Saffle JR, Schurr MJ, Greenhalgh DG, Kagan RJ. National Burn Repository 2006: a ten-year review. J Burn Care Res. 2007;28(5):635-58.

2. Church D, Elsayed S, Reid O, Winston B, Lindsay R. Burn wound infections. Clin Microbiol Rev. 2006;19(2):403-34.

3. Backstein R, Peters W and Neligan P. Burns in the disabled. Burns.1993;19:192-7.

4. Keen EF 3rd, Robinson BJ, Hospenthal DR, Aldous WK, Wolf SE, Chung KK, Murray CK. Prevalence of multidrug-resistant organisms recovered at a military burn center. Burns. 2010;36(6):819-25.

5. Agnihotri N, Gupta V, Joshi RM. Aerobic bacterial isolates from burn wound infections and their antibiograms-a five-year study. Burns. 2004;30(3):241-3.

6. Sarabahi S, Tiwari VK, Arora S, Capoor MR, Pandey A. Changing pattern of fungal infection in burn patients. Burns. 2012;38(4):520-8.

7. Yali G, Jing C, Chunjiang L, Cheng Z, Xiaoqiang L, Yizhi P. Comparison of pathogens and antibiotic resistance of burn patients in the burn ICU or in the common burn ward. Burns. 2014;40(3):402-7.

8. Yali G, Jing C, Chunjiang L, Cheng Z, Xiaoqiang L, Yizhi P. Comparison of pathogens and antibiotic resistance of burn patients in the burn ICU or in the common burn ward. Burns. 2013(21) S0305-4179(13)00232-5.

9. Sun FJ, Zhang XB, Fang Y, Chen J, Xing H, Shi H, Feng W, Xia P. Spectrum and drug resistance of pathogens from patients with burns. Burns. 2012;38(8):1124-30.

10. Rastegar Lari AR, Alaghehbandan R, Akhlaghi L. Burn Wound Infections and Antimicrobial Resistance in Tehran, Iran: an Increasing Problem. Ann Burns Fire Disasters. 2005;18(2):68-73.

11. Dayoub A, Zeidan F, Radidy S. Infection in burns: Experience of a teaching hospital in Syria. Ann Burns and Fire Disasters. 1995;8(1):17-9.

12. Song W, Lee KM, Kang HJ, Shin DH, Kim DK. Microbiologic aspects of predominant bacteria isolated from burn patients in Korea. Burns. 2001;27(2):136-9.

13. Al-Akayleh AT. Invasive burn wound infection. Ann Burns and Fire Disasters. 1999;12(4):204-6.

14. Husain MT, Karim QN, Tajuri S. Analysis of infection in a burn ward. Burns. 1989;15(5):299-302.

15. Revathi G, Puri J, Jain BK. Bacteriology of burns. Burns. 1998;24(4):347-9.

16. Arslan E, Dalay C, Yavuz M, Göcenler L, Acartürk S. Gramnegative bacterial surveillance in burn patients. Ann Burns and Fire Disasters. 1999;12(2):81-3.

17. Shankowsky HA, Callioux LS, Tredget EE. North America survey of hydrotherapy in modern burn care. J Burn Care Rehabil. 1994;15(2):143-6.

18. Cremer R, Ainaud P, Le Bever H, Faber N, Carsin H. Nosocomial infections in a burns unit. Results of a prospective study over a year. Ann Fr Anesth Reanim. 1996;15(5):599- 607.

19. Calvario A, Di Lonardo A, Larocca AMV, Parisi D, Montagna MT, Ressa M, Silvestri A, Maggio G. Microbiological monitoring of severely burned patients admitted to the burns centre in Bari (Italy) in the period 1989-92. Ann Medit Burns Club. 1994;7:73-9.

20. Namvar AE, Afshar M, Asghhari B, Lari AR. Characterisation of SCCmec elements in methicillin-resistant Staphylococcus aureus isolated from burn patients. Burns. 2014;40(4):708-12.

21. Ojo SK, Sargin BO and Esumeh FI. Plasmid curing analysis of antibiotic resistance in beta-lactamase producing Staphylococci from wounds and burns patients. Pakistan Journal of Biological Sciences: PJBS. 2014;17(1):130-3.
Medicine Science-Cover
  • ISSN: 2147-0634
  • Yayın Aralığı: 4
  • Başlangıç: 2012
  • Yayıncı: Effect Publishing Agency ( EPA )
Sayıdaki Diğer Makaleler

Bilateral Nevoid Hyperkeratosis of the Nipple and/or Areola: A Case Report

SERPİL ŞENER, Sezai ŞAŞMAZ

Auto-Immune Pancreatitis in Rheumatoid Arthritis

Oğuzhan YILDIRIM, Tülay YILDIRIM

An Unusual Case of Tracheobronchial Foreign Body Aspiration in a Laryngectomized Patient: Rolled Tissue

NİLAY TAŞ, Hakan KORKMAZ, ÖZGÜR YAĞAN, Mukadder KORKMAZ, Recep AKGEDİK

The First Finding of Cirrhosis: Hepatic Hydrothorax Caused by Absence of Ascites

Yahya ATAYAN, Mehmet Ali ERDOĞAN, Yasir Furkan ÇAĞIN, Yılmaz BİLGİÇ, Murat ALADAĞ, Murat HARPUTLUOĞLU, Melih KARINCAOĞLU, Yüksel SEÇKİN

Üniversite Öğrencilerinde Hemoglobin A1c Taraması ve Olası Yeme Bozukluğu Sıklığı

BİRCAN ULAŞ KADIOĞLU, ERKAN PEHLİVAN

İntratiroidal Ektopik Timus Olgusu

Gonul Varan KOC, Neşe Ersöz GÜLÇELİK, CAVİT ÇULHA, Esra CİVGİN², Muzaffer ÇAYDERE, Yalçın ARAL

Adrenal İnsidentalomalı 78 Hastanın Demografik ve Klinik Özellikleri

FARUK KILINÇ, Mazhar Müslüm TUNA, SEZGİN BARUTÇU, ZAFER PEKKOLAY, Hikmet SOYLU, Alpaslan Kemal TUZCU

Is Irisin an Anticarcinogenic Peptide?

SUAT TEKİN, YAVUZ ERDEN, SÜLEYMAN SANDAL, Bayram YILMAZ

Multidisipliner Yaklaşımla Amputasyon Endikasyonu Olan Ekstremite Kurtarılabilir: Olgu Sunumu ve Literatür Derlemesi

Gökay GÖRMELİ, Cemile Ayşe GÖRMELİ, MUSTAFA KARAKAPLAN, REŞİT SEVİMLİ, Mehmet Cengiz ÇOLAK, Cemal FIRAT, KAYA SARAÇ, YÜKSEL ERSOY

Comparative Study of Oral Daily Amoxicillin, Long Acting Intramuscular Penicillin, and Tonsillectomy in Prevention of Recurrent Pharyngitis

Amira S. AHMED, Engy A WAHSH, Essam Eldin G. AHMED