Pseudomonas aeruginosa burn wound infection in a dedicated paediatric burns unit

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dc.contributor.authorCoetzee, Emile
dc.contributor.authorRode, Heinz
dc.contributor.authorKAHN, DELAWIR
dc.date.accessioned2021-10-08T07:17:47Z
dc.date.available2021-10-08T07:17:47Z
dc.date.issued2013
dc.description.abstractBACKGROUND: Pseudomonas aeruginosa infection is a major cause of morbidity in burns patients. There is a paucity of publications dealing with this infection in the paediatric population. We describe the incidence, microbiology and impact of P. aeruginosa infection in a dedicated paediatric burns unit. METHODS: A retrospective review of patients with clinically significant P. aeruginosa infection between April 2007 and January 2010 in the burns unit at Red Cross War Memorial Children's Hospital in Cape Town, South Africa, was performed. RESULTS: During the 36-month study period, 2 632 patients were admitted. Of 2 791 bacteriology samples sent for microscopy, culture and sensitivity, 406 (14.5%) were positive for P. aeruginosa. Thirty-four patients had clinically significant P. aeruginosa wound infection, giving an incidence of 1.3%. Three patients had loss of Biobrane or allografts, and 23 cases of skin graft loss occurred in 18 patients. An average of 12 dressing days was needed to obtain negative swabs. All isolates were sensitive to chlorhexidine, whereas 92.5% were resistant to povidone-iodine. Piperacillin-tazobactam was the systemic antimicrobial to which there was most resistance (36.1%), and tobramycin had least resistance (3.3%). CONCLUSIONS: The incidence of clinically significant burn wound infection is low in our unit, yet the morbidity due to debridement and re-grafting is significant. We observed very high resistance to topical povidone-iodine. Resistance to systemic antimicrobials is lower than that reported from other burns units.
dc.identifier.apacitationCoetzee, E., Rode, H., & KAHN, D. (2013). Pseudomonas aeruginosa burn wound infection in a dedicated paediatric burns unit. <i>South African Journal of Surgery</i>, 51(2), 50 - 177. http://hdl.handle.net/11427/34817en_ZA
dc.identifier.chicagocitationCoetzee, Emile, Heinz Rode, and DELAWIR KAHN "Pseudomonas aeruginosa burn wound infection in a dedicated paediatric burns unit." <i>South African Journal of Surgery</i> 51, 2. (2013): 50 - 177. http://hdl.handle.net/11427/34817en_ZA
dc.identifier.citationCoetzee, E., Rode, H. & KAHN, D. 2013. Pseudomonas aeruginosa burn wound infection in a dedicated paediatric burns unit. <i>South African Journal of Surgery.</i> 51(2):50 - 177. http://hdl.handle.net/11427/34817en_ZA
dc.identifier.issn0038-2361
dc.identifier.issn2078-5151
dc.identifier.ris TY - Journal Article AU - Coetzee, Emile AU - Rode, Heinz AU - KAHN, DELAWIR AB - BACKGROUND: Pseudomonas aeruginosa infection is a major cause of morbidity in burns patients. There is a paucity of publications dealing with this infection in the paediatric population. We describe the incidence, microbiology and impact of P. aeruginosa infection in a dedicated paediatric burns unit. METHODS: A retrospective review of patients with clinically significant P. aeruginosa infection between April 2007 and January 2010 in the burns unit at Red Cross War Memorial Children's Hospital in Cape Town, South Africa, was performed. RESULTS: During the 36-month study period, 2 632 patients were admitted. Of 2 791 bacteriology samples sent for microscopy, culture and sensitivity, 406 (14.5%) were positive for P. aeruginosa. Thirty-four patients had clinically significant P. aeruginosa wound infection, giving an incidence of 1.3%. Three patients had loss of Biobrane or allografts, and 23 cases of skin graft loss occurred in 18 patients. An average of 12 dressing days was needed to obtain negative swabs. All isolates were sensitive to chlorhexidine, whereas 92.5% were resistant to povidone-iodine. Piperacillin-tazobactam was the systemic antimicrobial to which there was most resistance (36.1%), and tobramycin had least resistance (3.3%). CONCLUSIONS: The incidence of clinically significant burn wound infection is low in our unit, yet the morbidity due to debridement and re-grafting is significant. We observed very high resistance to topical povidone-iodine. Resistance to systemic antimicrobials is lower than that reported from other burns units. DA - 2013 DB - OpenUCT DP - University of Cape Town IS - 2 J1 - South African Journal of Surgery LK - https://open.uct.ac.za PY - 2013 SM - 0038-2361 SM - 2078-5151 T1 - Pseudomonas aeruginosa burn wound infection in a dedicated paediatric burns unit TI - Pseudomonas aeruginosa burn wound infection in a dedicated paediatric burns unit UR - http://hdl.handle.net/11427/34817 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/34817
dc.identifier.vancouvercitationCoetzee E, Rode H, KAHN D. Pseudomonas aeruginosa burn wound infection in a dedicated paediatric burns unit. South African Journal of Surgery. 2013;51(2):50 - 177. http://hdl.handle.net/11427/34817.en_ZA
dc.language.isoeng
dc.publisher.departmentDepartment of Surgery
dc.publisher.facultyFaculty of Health Sciences
dc.sourceSouth African Journal of Surgery
dc.source.journalissue2
dc.source.journalvolume51
dc.source.pagination50 - 177
dc.source.urihttps://dx.doi.org/10.7196/sajs.1134
dc.subject.otherAnti-Bacterial Agents
dc.subject.otherBurn Units
dc.subject.otherBurns
dc.subject.otherChild
dc.subject.otherChild, Preschool
dc.subject.otherFemale
dc.subject.otherHumans
dc.subject.otherInfant
dc.subject.otherMale
dc.subject.otherMicrobial Sensitivity Tests
dc.subject.otherPseudomonas Infections
dc.subject.otherPseudomonas aeruginosa
dc.subject.otherWound Infection
dc.subject.otherAnti-Bacterial Agents
dc.titlePseudomonas aeruginosa burn wound infection in a dedicated paediatric burns unit
dc.typeJournal Article
uct.type.publicationResearch
uct.type.resourceJournal Article
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