Blood stream infections (BSI) in severe burn patients—Early and late BSI: A 9-year study
作者： Ayelet Raz-Pasteur , Khetam Hussein , Renato Finkelstein , Yehuda Ullmann , Dana Egozi
DOI: 10.1016/J.BURNS.2012.09.015
关键词: Severe burn 、 Pediatrics 、 Retrospective cohort study 、 Young adult 、 Sepsis 、 Incidence (epidemiology) 、 Bacteremia 、 Blood stream 、 Pseudomonas aeruginosa 、 Medicine
摘要: Bloodstream infections (BSI) and sepsis are among the most common complications occurring in severe burn patients. This study was designed to evaluate changes BSI pathogens over almost a decade patients at Rambam Healthcare Campus, occurrence during early late hospitalization periods. Retrospective computerized data retrieved from all hospitalized our institution years 2001-2009. first week defined as BSI, second beyond, BSI. Of 159 burns patients, 74 had least one episode. Most episodes were diagnosed of hospitalization. In an increased prevalence resistant bacteria (methicillin-resistant Staphylococcus aureus [MRSA], carbapenem-resistant Klebsiella pneumoniae [CRKP], imipenem-resistant Pseudomonas aeruginosa [PSE-IMP]) Candida spp. observed. However, 9-year period, only CRKP significantly. summary, except for sudden appearance increase (8% increase; p=0.045), we did not observe significant change pathogen profile period. Nevertheless, there is clear profile, especially after 4 weeks
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