Prevalence of infectious complications in burn patients requiring intensive care: data from a pan-European study

LIPOVÝ, Břetislav, Pavel BRYCHTA, Hana ŘÍHOVÁ, Markéta HANSLIANOVÁ, Anna LOSKOTOVÁ, Jiří JARKOVSKÝ, Y. KALOUDOVÁ and Ivan SUCHÁNEK. Prevalence of infectious complications in burn patients requiring intensive care: data from a pan-European study. Čs. epidemiologie, mikrobiologie, imunologie. Praha: ČSL JEP, 2016, vol. 65, No 1, p. 25-32. ISSN 1210-7913.

Basic information

Original name

Prevalence of infectious complications in burn patients requiring intensive care: data from a pan-European study

Authors

LIPOVÝ, Břetislav (203 Czech Republic, guarantor, belonging to the institution), Pavel BRYCHTA (203 Czech Republic, belonging to the institution), Hana ŘÍHOVÁ (203 Czech Republic), Markéta HANSLIANOVÁ (203 Czech Republic), Anna LOSKOTOVÁ (203 Czech Republic, belonging to the institution), Jiří JARKOVSKÝ (203 Czech Republic, belonging to the institution), Y. KALOUDOVÁ (203 Czech Republic) and Ivan SUCHÁNEK (203 Czech Republic)

Edition

Čs. epidemiologie, mikrobiologie, imunologie, Praha, ČSL JEP, 2016, 1210-7913

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Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30000 3. Medical and Health Sciences

Country of publisher

Czech Republic

Confidentiality degree

není předmětem státního či obchodního tajemství

Impact factor

Impact factor: 0.500

RIV identification code

RIV/00216224:14110/16:00093851

Organization unit

Faculty of Medicine

UT WoS

000377135900004

Keywords (in Czech)

popáleniny; infekční komplikace; bakterie; inhalační trauma; Evropa

Keywords in English

burns; infectious complications; bacteria; inhalation injury; Europe

Tags

EL OK

Tags

International impact, Reviewed

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Abstract

V originále

The objective of this study was to determine the prevalence of infectious complications in burn patients requiring intensive care in a one-day multicenter study encompassing burn centers in various European countries. Material and methods: The European Burns Association database identified 87 centers in Western and Eastern Europe. 27 or which agreed to cooperate. American Burn Association recommendations were used for diagnosis of various infectious complications in patients with thermal trauma. Results: From those centers, we randomly assigned 134 patients (14 women) to the analysis. Mean age of the group was 40.39 +/- 22.17(SD) years. Mean abbreviated burn severity index was 7.5 +/- 2.54, mean size or hurried area was 30.49 +/- 20.14% of total body surface area. Mean length or hospitalization to date was 24.32 +/- 30.64 days. Infectious complications were observed in 92 patients (68.7%), 76 (56.7%) of whom met the criteria for of the burned area, 26 patients (19.4%) for bloodstream infection. 21 (15.7%) for pneumonia, and 13 (9.7%) for urinary system infection. Multifocal infections were found in 29 patients (21.6%). Gram-positive bacterial strains as potentially pathogenic microorganisms were identified in 67 patients (50.0%), Gram-negative bacterial strains in 73 (54.5%), and yeasts in 18 (13.1%) patients. Filamentous fungi were not isolated from any patient in the group. Conclusion: Cornerstone future standards in individual burn centers should be to monitor the occurrence of infectious complications in burn patients, prevent the spread of these complications, and report resistant pathogens. This word constitutes an important project in this area.