Pseudomonas infections in Tohid Burn Center, Iran

Burn injury is a major public health problem in many areas of the world. Pseudomonas aeruginosa is one of the most common causes of burn wound infection in burn patients. Septicemia due to this organism is a major cause of mortality among burn patients. This study analyzed P. aeruginosa infections i...

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Veröffentlicht in:Burns 1998-11, Vol.24 (7), p.637-641
Hauptverfasser: Rastegar Lari, A, Bahrami Honar, H, Alaghehbandan, R
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creator Rastegar Lari, A
Bahrami Honar, H
Alaghehbandan, R
description Burn injury is a major public health problem in many areas of the world. Pseudomonas aeruginosa is one of the most common causes of burn wound infection in burn patients. Septicemia due to this organism is a major cause of mortality among burn patients. This study analyzed P. aeruginosa infections in the Tohid Burn Center in Tehran during 1995–1997 in order to estimate their frequency, antibiotic susceptibility and their role in burn morbidity. Among 2122 patients who were admitted during this study period, 3365 bacterial strains were isolated and the frequency of P. aeruginosa was 73.9%. This was followed by Staphylococcus aureus (9.1%) and other organisms (17%) in frequency. The frequency of P. aeruginosa resistant to gentamicin, carbenicillin, co-trimoxazole, ceftizoxime and tetracycline was over 95% and resistance to amikacin which was 49% in 1995, increased to 90% in 1997. With the introduction of ciprofloxacin at our burn center, the frequency of P. aeruginosa resistance increased from 45% in 1995, to 82% in 1997. P. aeruginosa was found more frequently in the ICU than in the wards. These findings show that P. aeruginosa remains the leading cause of nosocomial infections in our burn center. It is necessary to introduce urgent measures for restriction of the spread of P. aeruginosa infections in our burn center.
doi_str_mv 10.1016/S0305-4179(98)00090-4
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Pseudomonas aeruginosa is one of the most common causes of burn wound infection in burn patients. Septicemia due to this organism is a major cause of mortality among burn patients. This study analyzed P. aeruginosa infections in the Tohid Burn Center in Tehran during 1995–1997 in order to estimate their frequency, antibiotic susceptibility and their role in burn morbidity. Among 2122 patients who were admitted during this study period, 3365 bacterial strains were isolated and the frequency of P. aeruginosa was 73.9%. This was followed by Staphylococcus aureus (9.1%) and other organisms (17%) in frequency. The frequency of P. aeruginosa resistant to gentamicin, carbenicillin, co-trimoxazole, ceftizoxime and tetracycline was over 95% and resistance to amikacin which was 49% in 1995, increased to 90% in 1997. With the introduction of ciprofloxacin at our burn center, the frequency of P. aeruginosa resistance increased from 45% in 1995, to 82% in 1997. 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Pseudomonas aeruginosa is one of the most common causes of burn wound infection in burn patients. Septicemia due to this organism is a major cause of mortality among burn patients. This study analyzed P. aeruginosa infections in the Tohid Burn Center in Tehran during 1995–1997 in order to estimate their frequency, antibiotic susceptibility and their role in burn morbidity. Among 2122 patients who were admitted during this study period, 3365 bacterial strains were isolated and the frequency of P. aeruginosa was 73.9%. This was followed by Staphylococcus aureus (9.1%) and other organisms (17%) in frequency. The frequency of P. aeruginosa resistant to gentamicin, carbenicillin, co-trimoxazole, ceftizoxime and tetracycline was over 95% and resistance to amikacin which was 49% in 1995, increased to 90% in 1997. With the introduction of ciprofloxacin at our burn center, the frequency of P. aeruginosa resistance increased from 45% in 1995, to 82% in 1997. 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It is necessary to introduce urgent measures for restriction of the spread of P. aeruginosa infections in our burn center.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anti-Bacterial Agents - therapeutic use</subject><subject>Bacterial diseases</subject><subject>Bacterial diseases of the skin</subject><subject>Biological and medical sciences</subject><subject>Burn</subject><subject>Burn Units - statistics &amp; numerical data</subject><subject>Burns - complications</subject><subject>Burns - epidemiology</subject><subject>Burns - microbiology</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Drug Resistance, Microbial</subject><subject>Drug Resistance, Multiple</subject><subject>Human bacterial diseases</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant</subject><subject>Infectious diseases</subject><subject>Iran - epidemiology</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Pseudomonas aeruginosa - drug effects</subject><subject>Pseudomonas aeruginosa - isolation &amp; 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subjects Adolescent
Adult
Aged
Aged, 80 and over
Anti-Bacterial Agents - therapeutic use
Bacterial diseases
Bacterial diseases of the skin
Biological and medical sciences
Burn
Burn Units - statistics & numerical data
Burns - complications
Burns - epidemiology
Burns - microbiology
Child
Child, Preschool
Drug Resistance, Microbial
Drug Resistance, Multiple
Human bacterial diseases
Humans
Incidence
Infant
Infectious diseases
Iran - epidemiology
Medical sciences
Middle Aged
Pseudomonas aeruginosa - drug effects
Pseudomonas aeruginosa - isolation & purification
Pseudomonas aeruginosa - pathogenicity
Pseudomonas infection
Pseudomonas Infections - drug therapy
Pseudomonas Infections - epidemiology
Pseudomonas Infections - microbiology
Retrospective Studies
Skin - injuries
Skin - microbiology
Survival Rate
Tropical medicine
Wound Infection - drug therapy
Wound Infection - epidemiology
Wound Infection - microbiology
title Pseudomonas infections in Tohid Burn Center, Iran
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