Infestations and chronic infections in foreign pediatric patients with burns: Is there a role for specific protocols?

Juan P. Barret, Anthony N. Dardano, John P. Heggers, Robert L. McCauley

    Research output: Contribution to journalArticle

    6 Citations (Scopus)

    Abstract

    Infestations by parasites such as Mycobacterium tuberculosis and other vital infections are common in third world countries. Consequently, the admission of a significant number of foreign patients to burn centers in the United States may pose new problems, not only for inpatients but also for health care workers. To document infestations in patients from third world countries and to determine the need for specific protocols, we studied 62 consecutive foreign patients admitted to our pediatric burn reconstruction service between July 1997 and December 1998. All patients were evaluated with chest X-ray, hemogram with differential count, clinical and laboratory nutritional assessment, and skin test for tuberculosis, and stool samples were evaluated for ova and parasites. No pathologic findings were seen on chest radiographs. Only I patient had a positive skin test for tuberculosis, as a result of previous bacille Calmette-Guerin vaccine. Yet, 10 patients (16%) had positive stool cultures for ova and parasites that contained 29 isolates. The most frequently identified organism was Blastocystis hominis. All amoebas identified were nonpathogenic according to Centers for Disease Control criteria. Ascaris lumbricoides and 1 case of cysticercosis were found. None of the patients with parasites had clinical manifestations of parasitosis or chronic infections. However, parasite infestations had a positive correlation with eosinophilia, altered nutritional status, and altered mean corpuscular hemoglobin concentration, as defined by multiple linear regression. Although foreign patients admitted to burn centers from third world countries have a low rate of infestations, patients at risk can be identified by laboratory findings and studies of nutritional status. Simple hand washing prevents the spread of disease and protects health providers.

    Original languageEnglish (US)
    Pages (from-to)482-486
    Number of pages5
    JournalJournal of Burn Care and Rehabilitation
    Volume20
    Issue number6
    StatePublished - Nov 1999

    Fingerprint

    Burns
    Pediatrics
    Infection
    Parasites
    cutaneous Tuberculosis
    Developing Countries
    Burn Units
    Skin Tests
    Nutritional Status
    Ovum
    Thorax
    Blastocystis hominis
    Ascaris lumbricoides
    BCG Vaccine
    Cysticercosis
    Hand Disinfection
    Nutrition Assessment
    Amoeba
    Erythrocyte Indices
    Eosinophilia

    ASJC Scopus subject areas

    • Rehabilitation
    • Surgery
    • Nursing(all)
    • Health Professions(all)
    • Emergency Medicine

    Cite this

    Infestations and chronic infections in foreign pediatric patients with burns : Is there a role for specific protocols? / Barret, Juan P.; Dardano, Anthony N.; Heggers, John P.; McCauley, Robert L.

    In: Journal of Burn Care and Rehabilitation, Vol. 20, No. 6, 11.1999, p. 482-486.

    Research output: Contribution to journalArticle

    Barret, Juan P. ; Dardano, Anthony N. ; Heggers, John P. ; McCauley, Robert L. / Infestations and chronic infections in foreign pediatric patients with burns : Is there a role for specific protocols?. In: Journal of Burn Care and Rehabilitation. 1999 ; Vol. 20, No. 6. pp. 482-486.
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