The effect of endogenous skin bacteria on burn wound infection

Linda Phillips, J. P. Heggers, M. C. Robson, J. A. Boertman, T. Meltzer, D. J. Smith

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Burn wound sepsis can be due to exogenous or endogenous bacteria. When rare organisms cause infection, exogenous sources are implicated. This sets into motion hospital infection control team searches, which are both exhausting and harassing to patients and staff. This study examines the skin bacteria present at admission and the frequency of endogenous infection in burn patients. Sixty-two patients with burns up to 92% of the total body surface area underwent unburned skin bacterial surveillance on admission and at weekly intervals using RODAC contact plates. Burn wounds were biopsied for quantitative and qualitative analyses. Morphologically dissimilar colonies were isolated and identified using standard gram-positive and gram-negative identification strips (Analytab Products, Inc. [API]). On admission, the patients harbored Staphylococcus species, many of which were unusual and virulent strains. Ten of 11 patients with burn wound sepsis were infected with the same organisms cultured from their unburned skin on admission. A subset of patients (14) grew methicillin-resistant Staphylococcus aureus from their wounds or other sites. A comparison with admission isolates showed identical susceptibilities. These data suggest skin is an endogenous source of infection in the burned patient.

Original languageEnglish (US)
Pages (from-to)35-38
Number of pages4
JournalAnnals of Plastic Surgery
Volume23
Issue number1
StatePublished - 1989

Fingerprint

Wound Infection
Bacteria
Skin
Wounds and Injuries
Sepsis
Infection
Body Surface Area
Methicillin-Resistant Staphylococcus aureus
Infection Control
Cross Infection
Burns
Staphylococcus

ASJC Scopus subject areas

  • Surgery

Cite this

Phillips, L., Heggers, J. P., Robson, M. C., Boertman, J. A., Meltzer, T., & Smith, D. J. (1989). The effect of endogenous skin bacteria on burn wound infection. Annals of Plastic Surgery, 23(1), 35-38.

The effect of endogenous skin bacteria on burn wound infection. / Phillips, Linda; Heggers, J. P.; Robson, M. C.; Boertman, J. A.; Meltzer, T.; Smith, D. J.

In: Annals of Plastic Surgery, Vol. 23, No. 1, 1989, p. 35-38.

Research output: Contribution to journalArticle

Phillips, L, Heggers, JP, Robson, MC, Boertman, JA, Meltzer, T & Smith, DJ 1989, 'The effect of endogenous skin bacteria on burn wound infection', Annals of Plastic Surgery, vol. 23, no. 1, pp. 35-38.
Phillips L, Heggers JP, Robson MC, Boertman JA, Meltzer T, Smith DJ. The effect of endogenous skin bacteria on burn wound infection. Annals of Plastic Surgery. 1989;23(1):35-38.
Phillips, Linda ; Heggers, J. P. ; Robson, M. C. ; Boertman, J. A. ; Meltzer, T. ; Smith, D. J. / The effect of endogenous skin bacteria on burn wound infection. In: Annals of Plastic Surgery. 1989 ; Vol. 23, No. 1. pp. 35-38.
@article{430634fa61524e28b3ba3e682cca77b1,
title = "The effect of endogenous skin bacteria on burn wound infection",
abstract = "Burn wound sepsis can be due to exogenous or endogenous bacteria. When rare organisms cause infection, exogenous sources are implicated. This sets into motion hospital infection control team searches, which are both exhausting and harassing to patients and staff. This study examines the skin bacteria present at admission and the frequency of endogenous infection in burn patients. Sixty-two patients with burns up to 92{\%} of the total body surface area underwent unburned skin bacterial surveillance on admission and at weekly intervals using RODAC contact plates. Burn wounds were biopsied for quantitative and qualitative analyses. Morphologically dissimilar colonies were isolated and identified using standard gram-positive and gram-negative identification strips (Analytab Products, Inc. [API]). On admission, the patients harbored Staphylococcus species, many of which were unusual and virulent strains. Ten of 11 patients with burn wound sepsis were infected with the same organisms cultured from their unburned skin on admission. A subset of patients (14) grew methicillin-resistant Staphylococcus aureus from their wounds or other sites. A comparison with admission isolates showed identical susceptibilities. These data suggest skin is an endogenous source of infection in the burned patient.",
author = "Linda Phillips and Heggers, {J. P.} and Robson, {M. C.} and Boertman, {J. A.} and T. Meltzer and Smith, {D. J.}",
year = "1989",
language = "English (US)",
volume = "23",
pages = "35--38",
journal = "Annals of Plastic Surgery",
issn = "0148-7043",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - The effect of endogenous skin bacteria on burn wound infection

AU - Phillips, Linda

AU - Heggers, J. P.

AU - Robson, M. C.

AU - Boertman, J. A.

AU - Meltzer, T.

AU - Smith, D. J.

PY - 1989

Y1 - 1989

N2 - Burn wound sepsis can be due to exogenous or endogenous bacteria. When rare organisms cause infection, exogenous sources are implicated. This sets into motion hospital infection control team searches, which are both exhausting and harassing to patients and staff. This study examines the skin bacteria present at admission and the frequency of endogenous infection in burn patients. Sixty-two patients with burns up to 92% of the total body surface area underwent unburned skin bacterial surveillance on admission and at weekly intervals using RODAC contact plates. Burn wounds were biopsied for quantitative and qualitative analyses. Morphologically dissimilar colonies were isolated and identified using standard gram-positive and gram-negative identification strips (Analytab Products, Inc. [API]). On admission, the patients harbored Staphylococcus species, many of which were unusual and virulent strains. Ten of 11 patients with burn wound sepsis were infected with the same organisms cultured from their unburned skin on admission. A subset of patients (14) grew methicillin-resistant Staphylococcus aureus from their wounds or other sites. A comparison with admission isolates showed identical susceptibilities. These data suggest skin is an endogenous source of infection in the burned patient.

AB - Burn wound sepsis can be due to exogenous or endogenous bacteria. When rare organisms cause infection, exogenous sources are implicated. This sets into motion hospital infection control team searches, which are both exhausting and harassing to patients and staff. This study examines the skin bacteria present at admission and the frequency of endogenous infection in burn patients. Sixty-two patients with burns up to 92% of the total body surface area underwent unburned skin bacterial surveillance on admission and at weekly intervals using RODAC contact plates. Burn wounds were biopsied for quantitative and qualitative analyses. Morphologically dissimilar colonies were isolated and identified using standard gram-positive and gram-negative identification strips (Analytab Products, Inc. [API]). On admission, the patients harbored Staphylococcus species, many of which were unusual and virulent strains. Ten of 11 patients with burn wound sepsis were infected with the same organisms cultured from their unburned skin on admission. A subset of patients (14) grew methicillin-resistant Staphylococcus aureus from their wounds or other sites. A comparison with admission isolates showed identical susceptibilities. These data suggest skin is an endogenous source of infection in the burned patient.

UR - http://www.scopus.com/inward/record.url?scp=0024370498&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0024370498&partnerID=8YFLogxK

M3 - Article

VL - 23

SP - 35

EP - 38

JO - Annals of Plastic Surgery

JF - Annals of Plastic Surgery

SN - 0148-7043

IS - 1

ER -