1. Microbiology and Infection Profile of Electric Burned Patients in a Referral Burn Hospital in Mexico City.
- Author
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López-Jácome LE, Chávez-Heres T, Becerra-Lobato N, García-Hernández ML, Vanegas-Rodríguez ES, Colin-Castro CA, Hernández-Durán M, Cruz-Arenas E, Cerón-González G, Cervantes-Hernández MI, Ortega-Peña S, Mondragón-Eguiluz JA, and Franco-Cendejas R more...
- Subjects
- Adult, Amputation, Surgical statistics & numerical data, Anti-Infective Agents therapeutic use, Burns, Electric epidemiology, Burns, Electric mortality, Catheter-Related Infections drug therapy, Catheter-Related Infections epidemiology, Catheter-Related Infections microbiology, Catheter-Related Infections mortality, Comorbidity, Female, Humans, Length of Stay statistics & numerical data, Male, Mexico epidemiology, Microbial Sensitivity Tests, Pneumonia drug therapy, Pneumonia epidemiology, Pneumonia microbiology, Pneumonia mortality, Retrospective Studies, Urinary Tract Infections drug therapy, Urinary Tract Infections epidemiology, Urinary Tract Infections microbiology, Urinary Tract Infections mortality, Wound Infection drug therapy, Wound Infection epidemiology, Wound Infection mortality, Burns, Electric surgery, Wound Infection microbiology
- Abstract
Electrical burn injuries are one of the most severe forms of trauma. This study aims to investigate the infection complications in electrical burn patients in a referral hospital in Mexico City. A longitudinal retrospective study was conducted, involving electrical burn patients admitted from April 2011 to December 2016. Demographic and clinical data including type of electric burns, infection complications, and mortality was sought. Data were collected at admission and daily until discharge. Number and type of infections and microorganism isolations were sought. Risk factors for death were analyzed. A total of 111 patients were included, of which 96.4% were males, mean age of 31.6±16.22, most injuries were high voltage associated. The total body surface area average was 27.8% ± 19.63. The overall infection rate was 72.9 cases per 100 patients. Mortality was observed in 4 (3.6%) patients. About 59.1% (443/749) had growth for Gram-negative bacteria. Multidrug-resistant Pseudomonas aeruginosa was the most frequent microorganism isolated. Fungi were present in 4.9% of cases. Electrical burn injuries occurred in young males in our study. Infection was frequent, most of them caused by Gram-negative rods with an important rate of antimicrobial resistance; however, an important microbial diversity was present., (© American Burn Association 2019. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.) more...
- Published
- 2020
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