medigraphic.com

2020, Number 3

<< Back Next >>

Rev Hum Med 2020; 20 (3)

Infection by burn injury

Moya CY, Moya REJ

Language: Spanish
References: 16
Page: 65-75
PDF size: 161.43 Kb.


ABSTRACT

Background: Infection by burn injury is one of the main causes of morbidity and mortality in burn patients, and one of the most dreadful complications in these patients, so the microbiological diagnosis of infection represents an important step at the timely treatment.
Objective: To determine through qualitative microbiological study and quantitative analysis of the burn injury the diagnosis of infection in burn patients.
Methodology: A descriptive, cross-sectional study was carried out to determine through the microbiological study of the burn injury the presence of infection in burn inpatients from the Caumatology service at Manuel Ascunce Domenech University Hospital in Camagüey. 34 burn patients were studied, their nutritional status upon admission, pre-hospital resuscitation, positivity of the quantitative and qualitative crops and the most common isolated germs were also evaluated.
Results: In 8 of the underweight classified patients, their injuries were colonized by microorganisms. In 12 of the 79.42 % of patients who had an appropriate resuscitation, qualitative crops were found positive. In 44.12 % of injured patients found the presence of germs with a quantification greater than 105 bacteria per gram of tissue. Pseudomonas aeruginosa was isolated in the 38.23 % of the studied patients.
Conclusions: The quantitative bacteriological study constitutes an important element in the diagnosis of infection in the burn wound. The Pseudomonas aeruginosa is one of the main germs that colonize and infect these lesions.


REFERENCES

  1. Troche Zaracho M, Maidana de Larrosa G, Lugo Rodríguez G, Vera Galván Z, Samaniego Silva L. Utilización de antibióticos en el Centro Nacional del Quemado, Paraguay. Mem Inst Investig Cienc Salud [Internet]. 2017 [citado 15 Abr 2020];15 (2):97-103. Disponible en: http://scielo.iics.una.py/pdf/iics/v15n2/1812-9528-iics-15-02-00097.pdf

  2. Chávez-Velarde TJ, Lona-Reyes JC, Riebeling-Dueñas A, Orozco-Alatorre LG. Incidencia y factores de riesgo para bacteriemia en pacientes pediátricos con quemaduras en un Centro de Atención Especializado en México. Rev Chilena Infectol [Internet]. 2017 [citado 15 Abr 2020];34(3):221-6. Disponible en: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0716-10182017000300003

  3. Gorordo-Del sol LA, Hernández-López GD, Zamora-Gómez SE, Arizbeth García-Román MT, Jiménez-Ruiz A, Tercero-Guevara BI. Atención inicial del paciente quemado en UCI: revisión y algoritmo. Rev Hosp Jua Mex [Internet]. 2015 [citado 02 Ene 2020];82(1):43-48. Disponible en: https://www.medigraphic.com/pdfs/juarez/ju-2015/ju151g.pdf

  4. Olivares Louhau EM, Sánchez Figuereo B, Bonne Falcón D, Costafreda Vásquez M, Dembelé B. Características clínico epidemiológicas de niños con quemaduras y evolución hacia el síndrome de respuesta inflamatoria sistémica. Medisan [Internet]. 2017 [citado 11 Abr 2019];21(12):3324-32. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30192017001200006

  5. Fitzpatrick F, Skally M, O'Hanlon C, Foley M, Houlihan J, Gaughan L, et al. Food for thought. Malnutrition risk associated with increased risk of healthcare-associated infection. J Hosp Infect [Internet]. 2019 [cited 2020 Abr 20];101(3):300-4. Available from: https://www.clinicalkey.es/service/content/pdf/watermarked/1-s2.0-S0195670118307175.pdf?locale=es_ES&searchIndex=

  6. Miquet Romero LM, Rodríguez Garcell R, Llorente Brunet N, Hernández Collado M, González Reyes H. Infección local de la quemadura y estado nutricional. Rev Cubana Aliment Nutr [Internet]. 2015 [citado 15 Abr 2020];25(2):301-13. Disponible en: http://www.revalnutricion.sld.cu/index.php/rcan/article/view/136/pdf_8

  7. García Urquijo A, Rodríguez Rodríguez JA, Rodríguez Pérez R, Lorenzo Manzanas R, Hernández González G. Comportamiento y pronóstico de la sepsis por Pseudomonas aeruginosa en heridas por quemaduras. Acta Médica Centro [Internet]. 2014 [citado 11 Dic 2019];8(3):57-62. Disponible en: http://www.revactamedicacentro.sld.cu/index.php/amc/article/view/146/196

  8. Palacio Sánchez AF, Hoyos Franco MA. Reanimación del paciente quemado. Iatreia [Internet]. 2008 [citado 11 Dic 2019];21(2):153-65. Disponible en: http://www.redalyc.org/articulo.oa?id=180513863005

  9. Hamerly T, Everett JA, Paris N, Fisher ST, Karunamurthy A, James GA, et al. Detection of Pseudomonas aeruginosa biomarkers from thermally injured mice in situ using imaging mass spectrometry. Anal Biochem [Internet]. 2017 [cited 2020 Jan 15]; 539:144-8. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5696085/

  10. Alrawi M, Crowley TP, Pape SA. Bacterial colonisation of the burn wound: a UK experience. J Wound Care [Internet]. 2014 [cited 2020 Jan 15];23(5):274-7. Available from: https://www.magonlinelibrary.com/doi/abs/10.12968/jowc.2014.23.5.274?rfr_dat=cr_pub%3Dpubmed&url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.org&journalCode=jowc

  11. Kwei J, Halstead FD, Dretzke J, Oppenheim BA, Moiemen NS. Protocol for a systematic review of quantitative burn wound microbiology in the management of burns patients. Syst Rev [Internet]. 2015 [cited 2020 Jan 15];4:150. Available from: https://systematicreviewsjournal.biomedcentral.com/articles/10.1186/s13643-015-0137-9

  12. Decraene V, Ghebrehewet S, Dardamissis E, Huyton R, Mortimer K, Wilkinson D et al. An outbreak of multidrug-resistant Pseudomonas aeruginosa in a burns service in the North of England: challenges of infection prevention and control in a complex setting. J Hosp Infect [Internet]. 2018 [cited 2020 Jun 15];100(4):239-45. Available from: https://www.clinicalkey.es/service/content/pdf/watermarked/1-s2.0-S0195670118303761.pdf?locale=es_ES&searchIndex

  13. Jault P, Leclerc T, Jennes S, Pirnay JP, Que YA, Resch G, et al. Efficacy and tolerability of a cocktail of bacteriophages to treat burn wounds infected by Pseudomonas aeruginosa (PhagoBurn): a randomised, controlled, double-blind phase 1/2 trial. Lancet Infectious Diseases [Internet]. 2019 [cited 2020 Jun 15];19(1):35-45. Available from: https://www.clinicalkey.es/service/content/pdf/watermarked/1-s2.0-S1473309918304821.pdf?locale=es_ES&searchIndex=

  14. Meskini M, Khaledi A, Esmaeili D. Inhibitory Effects of a Herbal Ointment against Pseudomonas aeruginosa. Medical Laboratory Journal [Internet]. 2019 [cited 2020 Jun 15];13(1):1-5. Available from: https://www.researchgate.net/publication/330813190_Inhibitory_Effects_of_a_Herbal_Ointment_against_Pseudomonas_aeruginosa

  15. García Urquijo A, Rodríguez Rodríguez JA, Rodríguez Pérez R, Lorenzo Manzanas R, Hernández González G. Staphylococcus aureus en quemaduras: estudio de incidencia, tendencia y pronóstico. Cir plást iberolatinoam [Internet]. 2015 [citado 15 Jan 2020];41(2):127-134. Disponible en: http://scielo.isciii.es/pdf/cpil/v41n2/original2.pdf

  16. Herruzo Cabrera R, Pintado Otero R, Rey Calero J, García Torres V. Complicaciones infecciosas de los enfermos quemados. Cir plást iberolatinoam [Internet]. 1988 [citado 21 Jul 2020];14(4). Disponible en: http://www.medbc.com/meditline/review/chir_es/vol_14/num_4/text/vol14n4p257.asp




2020     |     www.medigraphic.com