The effect of delayed admission in burn centers on wound contamination and infection rates.
BACKGROUND
Since wound infection rates in patients with delayed admission seemed to be significantly higher, a retrospective study of bacteriology in 320 burn patients, over a 5-year period was carried out in order to analyze the relation between delayed admission and wound infection rates in our Burn unit of Uludağ University, Faculty of Medicine.


METHODS
The patients were separated into moderate or major burn groups according to burn severity. Wound infection and contamination frequencies were analyzed according to time-delay between burn injury and hospitalization time.


RESULTS
Delayed admission was found to be an important factor that causes an increase in wound infection and contamination frequency. This increase was significant especially among patients with moderate burn wounds. In patients with severe burns, wound infection and contamination frequencies were found to be higher for all admission time points.


CONCLUSIONS
Systemic antibiotic prophylaxis should be discussed in patients with moderate burns whose admission-delay is more than 78 hours. Wound infection and contamination rates were high in patients with major burns independent of the admission time. Therefore, systemic antibiotic prophylaxis should also be discussed in this group of patients, although it results in elimination of the normal skin flora.
Ozbek
Serhat
S
Department of Plastic, Reconstructive, and Aesthetic Surgery, Medical Faculty of Uludağ University, Görükle, Bursa, Turkey. sezbek@uludag.edu.tr
Ozgenel
Yeşim
Y
Etöz
Abdullah
A
Akin
Selçuk
S
Kahveci
Ramazan
R
Heper
Yasemin
Y
Ercan
Ilker
I
Ozcan
Mesut
M
D019072:Antibiotic Prophylaxis / Q000706:statistics & numerical data; D002053:Burn Units / Q000706:statistics & numerical data*; D002056:Burns / Q000150:complications / Q000453:epidemiology* / Q000382:microbiology / Q000473:pathology; D006801:Humans; D015601:Injury Severity Score; D008499:Medical Records; D010343:Patient Admission / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D013997:Time Factors; D014421:Turkey / Q000453:epidemiology; D014946:Wound Infection / Q000150:complications / Q000453:epidemiology* / Q000382:microbiology / Q000473:pathology