Nosocomial infections in a Brazilian Burn Unit.
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.
Soares de Macedo
Jefferson Lessa
JL
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
Santos
João Barberino
JB
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