Prevalence of infectious complications in burn patients requiring intensive care: data from a pan-European study
Jazyk angličtina Země Česko Médium print
Typ dokumentu časopisecké články, multicentrická studie
PubMed
27246641
PII: 58295
Knihovny.cz E-zdroje
- Klíčová slova
- burns - infectious complications - bacteria - inhalation injury - Europe.,
- MeSH
- délka pobytu MeSH
- dítě MeSH
- dospělí MeSH
- infekce močového ústrojí epidemiologie etiologie MeSH
- infekce v ráně epidemiologie mikrobiologie MeSH
- katétrové infekce epidemiologie etiologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- náhodné rozdělení MeSH
- péče o pacienty v kritickém stavu MeSH
- pneumonie epidemiologie etiologie MeSH
- popálení komplikace epidemiologie mikrobiologie MeSH
- popáleninové jednotky MeSH
- prevalence MeSH
- rizikové faktory MeSH
- senioři MeSH
- Check Tag
- dítě MeSH
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mladiství MeSH
- mladý dospělý MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- multicentrická studie MeSH
- Geografické názvy
- Evropa epidemiologie MeSH
UNLABELLED: The objective of this study was to determine the prevalence of infectious complications in burn patients requiring intensive care in a one-day multicenter study encompassing burn centers in various European countries. MATERIAL AND METHODS: The European Burns Association database identified 87 centers in Western and Eastern Europe, 27 of which agreed to cooperate. American Burn Association recommendations were used for diagnosis of various infectious complications in patients with thermal trauma. RESULTS: From those centers, we randomly assigned 134 patients (44 women) to the analysis. Mean age of the group was 40.39 ± 22.17(SD) years. Mean abbreviated burn severity index was 7.5±2.54, mean size of burned area was 30.49 ± 20.14% of total body surface area. Mean length of hospitalization to date was 24.32 ± 30.64 days. Infectious complications were observed in 92 patients (68.7%), 76 (56.7%) of whom met the criteria for infection of the burned area, 26 patients (19.4%) for bloodstream infection, 21 (15.7%) for pneumonia, and 13 (9.7%) for urinary system infection. Multifocal infections were found in 29 patients (21.6%). Gram-positive bacterial strains as potentially pathogenic microorganisms were identified in 67 patients (50.0%), Gram-negative bacterial strains in 73 (54.5%), and yeasts in 18 (13.4%) patients. Filamentous fungi were not isolated from any patient in the group. CONCLUSION: Cornerstone future standards in individual burn centers should be to monitor the occurrence of infectious complications in burn patients, prevent the spread of these complications, and report resistant pathogens. This work constitutes an important project in this area.
Porcine model of a complicated skin and soft tissue infection caused by Pseudomonas aeruginosa