Risk Factors for Nosocomial Burn Wound Infection Caused by Multidrug Resistant Acinetobacter baumannii

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dc.contributor.authorTekin, Recep
dc.contributor.authorDal, Tuba
dc.contributor.authorBozkurt, Fatma
dc.contributor.authorDeveci, Ozcan
dc.contributor.authorPalanci, Yilmaz
dc.contributor.authorArslan, Eyup
dc.contributor.authorSelcuk, Caferi Tayyar
dc.date.accessioned2024-04-24T17:08:15Z
dc.date.available2024-04-24T17:08:15Z
dc.date.issued2014
dc.departmentDicle Üniversitesien_US
dc.description.abstractAcinetobacter baumannii infections in burn patients may lead to delays in wound healing, graft losses, and development of sepsis. Determining the risk factors for multidrug resistant A. baumannii (MDR-AB) infections is essential for infection control. In the present study, the authors aimed to evaluate risk factors for wound infections caused by A. baumannii in burn patients. The study was conducted at Dicle University Hospital Burn Center, from April 2011 to July 2012, to investigate the risk factors for MDR-AB infections. The data of both the case and control group patients and the result of wound cultures were recorded on a daily basis, on individual forms given for each patient, and analyzed. A total of 30 cases infected with MDR-AB, and 60 uninfected control patients, were included in the study. The mean age (+/- SD) was 7.7 +/- 15.4 years in infected patients and 11.4 +/- 16.5 years in uninfected patients. The mean total burn surface area was 13.5 +/- 10.9% in uninfected patients and 34.7 +/- 16.2% in infected patients. The mean total burn surface area, the abbreviated burn severity index, acute physiological and chronic health evaluation II score, day of admission to hospital, length of hospital stay, first excision day, prior usage of third-generation cephalosporins, and stay in intensive care unit of the infected patients were significantly higher (P < .001) than those of patients without infection. Univariate analysis found that high acute physiological and chronic health evaluation II score, first excision time of wound, invasive device usage, admission day to hospital, and prior usage of broad-spectrum antibiotics were risk factors for nosocomial infections. This study showed that multiple factors contribute to multidrug resistance in A. baumannii. A combination of an early diagnosis of wound infections, appropriate antimicrobial treatments, surgical debridement, and early wound closure may be effective in the management.en_US
dc.identifier.doi10.1097/BCR.0b013e31828a493f
dc.identifier.endpageE80en_US
dc.identifier.issn1559-047X
dc.identifier.issn1559-0488
dc.identifier.issue1en_US
dc.identifier.pmid23799478
dc.identifier.scopus2-s2.0-84892832845
dc.identifier.scopusqualityQ2
dc.identifier.startpageE73en_US
dc.identifier.urihttps://doi.org/10.1097/BCR.0b013e31828a493f
dc.identifier.urihttps://hdl.handle.net/11468/17270
dc.identifier.volume35en_US
dc.identifier.wosWOS:000329298000021
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal of Burn Care & Research
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subject[No Keyword]en_US
dc.titleRisk Factors for Nosocomial Burn Wound Infection Caused by Multidrug Resistant Acinetobacter baumanniien_US
dc.titleRisk Factors for Nosocomial Burn Wound Infection Caused by Multidrug Resistant Acinetobacter baumannii
dc.typeArticleen_US

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