Bacterial infections in burn patients at a burn hospital in Iran.

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dc.contributor.authorEkrami, Alirezaen_US
dc.contributor.authorKalantar, Enayaten_US
dc.date.accessioned2007-12-26en_US
dc.date.accessioned2009-05-27T08:36:29Z
dc.date.available2007-12-26en_US
dc.date.available2009-05-27T08:36:29Z
dc.date.issued2007-12-26en_US
dc.description.abstractBACKGROUND & OBJECTIVE: The major challenge for a burn team is nosocomial infection in burn patients, which is known to cause over 50% of burn deaths. Most studies on infection in burn patients focus on burn wound infection, whereas other nosocomial infections in these patients are not well described. We undertook this study to determine three types of nosocomial infections viz., burn wound infection, urinary tract infection, and blood stream infection in burn patients in a burn hospital in Iran. METHODS: During the one year period (May 2003 to April 2004), 182 patients were included in this study. Blood, urine and wound biopsy samples were taken 7 and 14 days after admission to Taleghani Burn hospital. Isolation and identification of microorganisms was done using the standard procedure. Disk diffusion test were performed for all the isolates for antimicrobial susceptibility. RESULTS: Of the 182 patients, 140 (76.9%) acquired at least one type of infection of the 140, 116 patients (82.8%) were culture positive on day 7 while 24 (17.2%) on 14 days after admission. Primary wound infection was most common (72.5%), followed by blood stream (18.6%) and urinary tract infections (8.9 %). The microorganisms causing infections were Pseudomonas aeruginosa (37.5%), Staphylococcus aureus (20.2%), and Acinetobacter baumanni (10.4%). Among these isolates P. aeruginosa was found to be 100 per cent resistant to amikacin, gentamicin , carbenicillin, ciprofloxacin, tobramycin and ceftazidime; 58 per cent of S. aureus and 60 per cent of coagulase negative Staphylococcus were methicillin resistant. INTERPRETATION & CONCLUSION: High prevalence of nosocomial infections and the presence of multidrug resistant bacteria, and methicillin resistant S. aureus in patients at Taleghani Burn Hospital suggest continuous surveillance of burn infections and develop strategies for antimicrobial resistance control and treatment of infectious complications.en_US
dc.description.affiliationDepartment of Laboratory Medical Sciences, Ahvaz Jundi-Shapour University of Medical Sciences, Ahvaz, Iran.en_US
dc.identifier.citationEkrami A, Kalantar E. Bacterial infections in burn patients at a burn hospital in Iran. Indian Journal of Medical Research. 2007 Dec; 126(6): 541-4en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/25034
dc.language.isoengen_US
dc.source.urihttps://icmr.nic.in/ijmr/ijmr.htmen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAgeden_US
dc.subject.meshBacterial Infections --etiologyen_US
dc.subject.meshBurns --complicationsen_US
dc.subject.meshChilden_US
dc.subject.meshChild, Preschoolen_US
dc.subject.meshCross Infection --etiologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshHospitals, Specialen_US
dc.subject.meshHumansen_US
dc.subject.meshInfanten_US
dc.subject.meshIranen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshWound Infection --etiologyen_US
dc.titleBacterial infections in burn patients at a burn hospital in Iran.en_US
dc.typeJournal Articleen_US
dc.typeResearch Support, Non-U.S. Gov'ten_US
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