Incidence and bacteriology of burn infections at a military burn center

Edward F. Keen, Brian J. Robinson, Duane R. Hospenthal, Wade K. Aldous, Steven Wolf, Kevin K. Chung, Clinton K. Murray

Research output: Contribution to journalArticle

72 Citations (Scopus)

Abstract

Considerable advancements in shock resuscitation and wound management have extended the survival of burned patients, increasing the risk of serious infection. We performed a 6-year review of bacteria identification and antibiotic susceptibility records at the US Army Institute of Surgical Research Burn Center between January 2003 and December 2008. The primary goal was to identify the bacteria recovered from patients with severe burns and determine how the bacteriology changes during extended hospitalization as influenced by population and burn severity. A total of 460 patients were admitted to the burn ICU with 3507 bacteria recovered from 13,727 bacteriology cultures performed. The most prevalent organisms recovered were Acinetobacter baumannii (780), Pseudomonas aeruginosa (703), Klebsiella pneumoniae (695) and Staphylococcus aureus (469). A. baumannii was most often recovered from combat-injured (58%) and S. aureus the most frequent isolate from local (46%) burn patients. Culture recovery rate of A. baumannii and S. aureus was highest during the first 15 hospital days (73% and 71%); while a majority of P. aeruginosa and K. pneumoniae were recovered after day 15 (63% and 53%). All 4 pathogens were recovered throughout the course of hospitalization. A. baumannii was the most prevalent pathogen recovered from patients with total body surface area (TBSA) burns less than 30% (203) and 30-60% (338) while P. aeruginosa was most prevalent in patients with burns greater than 60% TBSA (292). Shifting epidemiology of bacteria recovered during extended hospitalization, bacteriology differences between combat-injured and local burn patients, and impact of % TBSA may affect patient management decisions during the course of therapy.

Original languageEnglish (US)
Pages (from-to)461-468
Number of pages8
JournalBurns
Volume36
Issue number4
DOIs
StatePublished - Jun 1 2010
Externally publishedYes

Fingerprint

Burn Units
Bacteriology
Acinetobacter baumannii
Incidence
Infection
Body Surface Area
Pseudomonas aeruginosa
Bacteria
Staphylococcus aureus
Hospitalization
Klebsiella pneumoniae
Burns
Resuscitation
Shock
Epidemiology
Anti-Bacterial Agents
Survival
Wounds and Injuries

Keywords

  • Acinetobacter
  • Antibiotic resistance
  • Burn
  • Infection
  • Klebsiella
  • Pseudomonas
  • Staphylococcus

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine
  • Critical Care and Intensive Care Medicine

Cite this

Keen, E. F., Robinson, B. J., Hospenthal, D. R., Aldous, W. K., Wolf, S., Chung, K. K., & Murray, C. K. (2010). Incidence and bacteriology of burn infections at a military burn center. Burns, 36(4), 461-468. https://doi.org/10.1016/j.burns.2009.10.012

Incidence and bacteriology of burn infections at a military burn center. / Keen, Edward F.; Robinson, Brian J.; Hospenthal, Duane R.; Aldous, Wade K.; Wolf, Steven; Chung, Kevin K.; Murray, Clinton K.

In: Burns, Vol. 36, No. 4, 01.06.2010, p. 461-468.

Research output: Contribution to journalArticle

Keen, EF, Robinson, BJ, Hospenthal, DR, Aldous, WK, Wolf, S, Chung, KK & Murray, CK 2010, 'Incidence and bacteriology of burn infections at a military burn center', Burns, vol. 36, no. 4, pp. 461-468. https://doi.org/10.1016/j.burns.2009.10.012
Keen EF, Robinson BJ, Hospenthal DR, Aldous WK, Wolf S, Chung KK et al. Incidence and bacteriology of burn infections at a military burn center. Burns. 2010 Jun 1;36(4):461-468. https://doi.org/10.1016/j.burns.2009.10.012
Keen, Edward F. ; Robinson, Brian J. ; Hospenthal, Duane R. ; Aldous, Wade K. ; Wolf, Steven ; Chung, Kevin K. ; Murray, Clinton K. / Incidence and bacteriology of burn infections at a military burn center. In: Burns. 2010 ; Vol. 36, No. 4. pp. 461-468.
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