A prospective study of infections in burn patients
In a 3-year prospective study, all infections presenting in the burns unit of a university hospital were registered in a specially designed database. Two-hundred and thirty adult patients were included. Eighty-three patients had in all 176 infections, giving an infection rate of 48 per 1000 patient...
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| Veröffentlicht in: | Burns 2002-02, Vol.28 (1), p.39-46 |
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| creator | Appelgren, Pia Björnhagen, Viveca Bragderyd, Katarina Jonsson, Carl Evert Ransjö, Ulrika |
| description | In a 3-year prospective study, all infections presenting in the burns unit of a university hospital were registered in a specially designed database. Two-hundred and thirty adult patients were included. Eighty-three patients had in all 176 infections, giving an infection rate of 48 per 1000 patient days including both nosocomial and community-acquired infections. Thirty-five blood-stream infections (BSI) occurred in 22 patients; most common micro-organisms were coagulase-negative staphylococci and methicillin-sensitive
Staphylococcus aureus. The device-specific BSI rate was 6 per 1000 central venous catheter days, which is low compared to other burn units. The pneumonia rate was 41 per 1000 ventilator days. Seventy-two patients had 107 burn wound infections. Antibiotics were given to only 50% of the burn patients, including 96% of the patients with infection and 26% of those without infection. Most frequently used antimicrobials were cloxacillin, penicillin and gentamicin. The antibiotic resistance rates were low, and multi-resistant bacteria or fungi were rare. 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. |
| doi_str_mv | 10.1016/S0305-4179(01)00070-5 |
| format | Article |
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Staphylococcus aureus. The device-specific BSI rate was 6 per 1000 central venous catheter days, which is low compared to other burn units. The pneumonia rate was 41 per 1000 ventilator days. Seventy-two patients had 107 burn wound infections. Antibiotics were given to only 50% of the burn patients, including 96% of the patients with infection and 26% of those without infection. Most frequently used antimicrobials were cloxacillin, penicillin and gentamicin. The antibiotic resistance rates were low, and multi-resistant bacteria or fungi were rare. 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.</description><identifier>ISSN: 0305-4179</identifier><identifier>EISSN: 1879-1409</identifier><identifier>DOI: 10.1016/S0305-4179(01)00070-5</identifier><identifier>PMID: 11834328</identifier><identifier>CODEN: BURND8</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Antibiotic ; Biological and medical sciences ; Burn ; Burn Units - statistics & numerical data ; Burns - complications ; Burns - epidemiology ; Burns - therapy ; Child ; Child, Preschool ; Computer Systems ; Emergency and intensive care: burns ; Female ; Hospitals, University - statistics & numerical data ; Humans ; Infection ; Intensive care medicine ; Male ; Medical sciences ; Middle Aged ; Prospective ; Prospective Studies ; Registries - statistics & numerical data ; Wound Infection - epidemiology ; Wound Infection - etiology ; Wound Infection - therapy</subject><ispartof>Burns, 2002-02, Vol.28 (1), p.39-46</ispartof><rights>2002 Elsevier Science Ltd and ISBI</rights><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c457t-1c3c3499b3d973b095ab03cf5f0bd53fa7824c7bac3ab962855e0e28151c36f93</citedby><cites>FETCH-LOGICAL-c457t-1c3c3499b3d973b095ab03cf5f0bd53fa7824c7bac3ab962855e0e28151c36f93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0305417901000705$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=13554137$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11834328$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Appelgren, Pia</creatorcontrib><creatorcontrib>Björnhagen, Viveca</creatorcontrib><creatorcontrib>Bragderyd, Katarina</creatorcontrib><creatorcontrib>Jonsson, Carl Evert</creatorcontrib><creatorcontrib>Ransjö, Ulrika</creatorcontrib><title>A prospective study of infections in burn patients</title><title>Burns</title><addtitle>Burns</addtitle><description>In a 3-year prospective study, all infections presenting in the burns unit of a university hospital were registered in a specially designed database. Two-hundred and thirty adult patients were included. Eighty-three patients had in all 176 infections, giving an infection rate of 48 per 1000 patient days including both nosocomial and community-acquired infections. Thirty-five blood-stream infections (BSI) occurred in 22 patients; most common micro-organisms were coagulase-negative staphylococci and methicillin-sensitive
Staphylococcus aureus. The device-specific BSI rate was 6 per 1000 central venous catheter days, which is low compared to other burn units. The pneumonia rate was 41 per 1000 ventilator days. Seventy-two patients had 107 burn wound infections. Antibiotics were given to only 50% of the burn patients, including 96% of the patients with infection and 26% of those without infection. Most frequently used antimicrobials were cloxacillin, penicillin and gentamicin. The antibiotic resistance rates were low, and multi-resistant bacteria or fungi were rare. 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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Antibiotic</subject><subject>Biological and medical sciences</subject><subject>Burn</subject><subject>Burn Units - statistics & numerical data</subject><subject>Burns - complications</subject><subject>Burns - epidemiology</subject><subject>Burns - therapy</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Computer Systems</subject><subject>Emergency and intensive care: burns</subject><subject>Female</subject><subject>Hospitals, University - statistics & numerical data</subject><subject>Humans</subject><subject>Infection</subject><subject>Intensive care medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Prospective</subject><subject>Prospective Studies</subject><subject>Registries - statistics & numerical data</subject><subject>Wound Infection - epidemiology</subject><subject>Wound Infection - etiology</subject><subject>Wound Infection - therapy</subject><issn>0305-4179</issn><issn>1879-1409</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkE9LwzAYh4Mobk4_gtKLoofqmyZZmpOM4T8YeFDPIUkTiHTtTNrBvr3ZVtzRU0J4fu_7y4PQJYZ7DHj68AEEWE4xF7eA7wCAQ86O0BiXXOSYgjhG4z9khM5i_E4QsBJO0QjjklBSlGNUzLJVaOPKms6vbRa7vtpkrct847ZPbRPTNdN9aLKV6rxtuniOTpyqo70Yzgn6en76nL_mi_eXt_lskRvKeJdjQwyhQmhSCU40CKY0EOOYA10x4hQvC2q4VoYoLaZFyZgFW5SYpeTUCTJBN_u5qeBPb2Mnlz4aW9eqsW0fJceUcAI0gWwPmvSTGKyTq-CXKmwkBrmVJXey5NaEBCx3siRLuathQa-XtjqkBjsJuB4AFY2qXVCN8fHAEcYoTh0m6HHP2aRj7W2Q0SRVxlY-JIuyav0_VX4B0jeEyQ</recordid><startdate>20020201</startdate><enddate>20020201</enddate><creator>Appelgren, Pia</creator><creator>Björnhagen, Viveca</creator><creator>Bragderyd, Katarina</creator><creator>Jonsson, Carl Evert</creator><creator>Ransjö, Ulrika</creator><general>Elsevier Ltd</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20020201</creationdate><title>A prospective study of infections in burn patients</title><author>Appelgren, Pia ; Björnhagen, Viveca ; Bragderyd, Katarina ; Jonsson, Carl Evert ; Ransjö, Ulrika</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c457t-1c3c3499b3d973b095ab03cf5f0bd53fa7824c7bac3ab962855e0e28151c36f93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Antibiotic</topic><topic>Biological and medical sciences</topic><topic>Burn</topic><topic>Burn Units - statistics & numerical data</topic><topic>Burns - complications</topic><topic>Burns - epidemiology</topic><topic>Burns - therapy</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Computer Systems</topic><topic>Emergency and intensive care: burns</topic><topic>Female</topic><topic>Hospitals, University - statistics & numerical data</topic><topic>Humans</topic><topic>Infection</topic><topic>Intensive care medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Prospective</topic><topic>Prospective Studies</topic><topic>Registries - statistics & numerical data</topic><topic>Wound Infection - epidemiology</topic><topic>Wound Infection - etiology</topic><topic>Wound Infection - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Appelgren, Pia</creatorcontrib><creatorcontrib>Björnhagen, Viveca</creatorcontrib><creatorcontrib>Bragderyd, Katarina</creatorcontrib><creatorcontrib>Jonsson, Carl Evert</creatorcontrib><creatorcontrib>Ransjö, Ulrika</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Burns</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Appelgren, Pia</au><au>Björnhagen, Viveca</au><au>Bragderyd, Katarina</au><au>Jonsson, Carl Evert</au><au>Ransjö, Ulrika</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A prospective study of infections in burn patients</atitle><jtitle>Burns</jtitle><addtitle>Burns</addtitle><date>2002-02-01</date><risdate>2002</risdate><volume>28</volume><issue>1</issue><spage>39</spage><epage>46</epage><pages>39-46</pages><issn>0305-4179</issn><eissn>1879-1409</eissn><coden>BURND8</coden><abstract>In a 3-year prospective study, all infections presenting in the burns unit of a university hospital were registered in a specially designed database. Two-hundred and thirty adult patients were included. Eighty-three patients had in all 176 infections, giving an infection rate of 48 per 1000 patient days including both nosocomial and community-acquired infections. Thirty-five blood-stream infections (BSI) occurred in 22 patients; most common micro-organisms were coagulase-negative staphylococci and methicillin-sensitive
Staphylococcus aureus. The device-specific BSI rate was 6 per 1000 central venous catheter days, which is low compared to other burn units. The pneumonia rate was 41 per 1000 ventilator days. Seventy-two patients had 107 burn wound infections. Antibiotics were given to only 50% of the burn patients, including 96% of the patients with infection and 26% of those without infection. Most frequently used antimicrobials were cloxacillin, penicillin and gentamicin. The antibiotic resistance rates were low, and multi-resistant bacteria or fungi were rare. 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.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>11834328</pmid><doi>10.1016/S0305-4179(01)00070-5</doi><tpages>8</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Aged, 80 and over Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Antibiotic Biological and medical sciences Burn Burn Units - statistics & numerical data Burns - complications Burns - epidemiology Burns - therapy Child Child, Preschool Computer Systems Emergency and intensive care: burns Female Hospitals, University - statistics & numerical data Humans Infection Intensive care medicine Male Medical sciences Middle Aged Prospective Prospective Studies Registries - statistics & numerical data Wound Infection - epidemiology Wound Infection - etiology Wound Infection - therapy |
| title | A prospective study of infections in burn patients |
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