title: Nosocomial infections in a Brazilian Burn Unit.
abstract: In 1-year prospective study, bacterial and fungal infections presenting in burned patients were registered. Two-hundred and seventy-eight patients were included. The median total body surface area burned was 14% (range 1-100%). The median length of hospital stay was 12 days (range 1-86 days). Eighty-six patients had in all 148 infections. Seventy-two bloodstream infections (BSI) occurred in 57 patients; most common microorganisms were coagulase-negative staphylococci and methicillin-sensitive Staphylococcus aureus. Forty-nine (17.6%) patients had burn wound infections and 18 (6.5%) had pneumonia. Antibiotics were given to only 30% of the burn patients. Overall mortality rate was 5.0% (14/278). The database can be used to evaluate the effects of changes in burn treatment, staffing and design of burn units, and antimicrobial resistance development in relation to antibiotic usage.
authors.affiliation: Hospital Regional da Asa Norte, Secretaria de Saúde do Distrito Federal, SMHN, AE 1, Bloco A, 70000-000, Brasília, DF, Brasil. jlsmacedo@yahoo.com.br
authors.forename: Jefferson Lessa
authors.initials: JL
authors.lastname: Soares de Macedo
authors.forename: João Barberino
authors.initials: JB
authors.lastname: Santos
mesh_terms: D000328:Adult; D001938:Brazil / Q000453:epidemiology; D002053:Burn Units; D002056:Burns / Q000453:epidemiology* / Q000382:microbiology; D003428:Cross Infection / Q000453:epidemiology*; D005260:Female; D006801:Humans; D007902:Length of Stay; D008297:Male; D011446:Prospective Studies; D014946:Wound Infection / Q000453:epidemiology* / Q000382:microbiology