Prevalence of infectious complications in burn patients requiring intensive care: data from a pan-European study
Language English Country Czech Republic Media print
Document type Journal Article, Multicenter Study
PubMed
27246641
PII: 58295
Knihovny.cz E-resources
- Keywords
- burns - infectious complications - bacteria - inhalation injury - Europe.,
- MeSH
- Length of Stay MeSH
- Child MeSH
- Adult MeSH
- Urinary Tract Infections epidemiology etiology MeSH
- Wound Infection epidemiology microbiology MeSH
- Catheter-Related Infections epidemiology etiology MeSH
- Middle Aged MeSH
- Humans MeSH
- Adolescent MeSH
- Young Adult MeSH
- Random Allocation MeSH
- Critical Care MeSH
- Pneumonia epidemiology etiology MeSH
- Burns complications epidemiology microbiology MeSH
- Burn Units MeSH
- Prevalence MeSH
- Risk Factors MeSH
- Aged MeSH
- Check Tag
- Child MeSH
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Adolescent MeSH
- Young Adult MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Multicenter Study MeSH
- Geographicals
- Europe epidemiology 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
