Infections in Pediatric Burn Patients: An Analysis of One Hundred Eighty-One Patients

This study was performed at the Pediatric Burn Unit of Ankara Child Health and Diseases Hematology Oncology Training and Research Hospital during the period between January 2014 and June 2017. The patients were evaluated for age, sex, burn etiology, burned body surface area (BSA), the presence of inhalation injury, sepsis, positive cultures, the micro-organisms cultured samples, and septic focus. Result(s): A total of 181 patients were included in the study. The most common cause of burns was scalds in 120 patients (66.3%). Forty-one patients (22.7%) developed health-care-associated infection and sepsis. Gram-negative micro-organisms were isolated in 40 (97.6%) patients (Acinetobacter spp., Pseudomonas aeruginosa, Klebsiella pneumonia) with sepsis. Carbapenem resistance was detected in 31 (93.8%) of 40 patients. Mortality was observed in 11 patients (6.1%) in the group with sepsis. Burn surface area, burn depth, C-reactive protein (CRP) values, mortality, Garces index, and Baux index were higher in the group with sepsis (p=25%, C-reactive protein>=6 mg/dL (area under the curve [AUC]: 0.76 p=6 mg/dL were risk factors for developing sepsis in pediatric burn patients.
Source: Current Awareness Service for Health (CASH) - Category: Consumer Health News Source Type: news