Bacteriology of the burn wound at the Bai Jerbai Wadia Hospital for children, Mumbai, India-A 13-year study, Part I-Bacteriological profile
15 January 2020 (online)
Aim: To study which organisms were prevalent in our burn unit and their antibiotic sensitivity pattern in brief. Method: Microbiological data of 1534 patients admitted to the burns unit of the Bai Jerbai Wadia Hospital for Children, Mumbai over a period of 13 years (1994-2006) was reviewed retrospectively. A total of 9333 swabs were cultured and antibiotic sensitivities to the isolated organisms determined. The age group of patients admitted to our facility ranged from one month to 15 years. Result: Klebsiella was the predominant organism in our set-up (33.91%), closely followed by Pseudomonas (31.84%). The antibiotic sensitivities of the isolated organisms are discussed in detail in the text. Conclusion: Every treatment facility has microorganisms unique to it and these change with time. It is therefore of paramount importance to have an in-depth knowledge of the resident organisms and their antibiotic sensitivity pattern so that infection-related morbidity and mortality are improved.
- 1 Vindenes, Jerknes. Microbial colonization of large wounds. Burns 1995;21:575-9.
- 2 Luterman A, Dasco CC, Curreri PW. Infection in burn patients. Am J Med 1986;81:45-52.
- 3 Mooney DP, Gamelli RL. Sepsis following thermal injury. Comp Ther 1989;15:22-9.
- 4 Monafo WW, Freedman B. Topical therapy for burns. Surg Clin North Am 1987;67:133-45.
- 5 Hansbrough JF. Burn wound sepsis. J Intensive Care Med 1987;2:313-27.
- 6 Pruitt BA Jr, McManus AT. Oppurtounistic infections in severely burnt patients. Am J Med 1984;76:146-54.
- 7 Manson WL, Pernot PC, Fidler V, Sauer EW. Colonisation of burns and duration of hospital stay of severely burned patients. J Hosp Infect 1992;22:55-63.
- 8 Revathi G, Puri J, Jain BK. Bacteriology of burns. Burns 1998;24:347-9.
- 9 Mehta M, Dutta P, Gupta V. Bacterial isolates from burn wound infections and their antibiograms. Indian J Plast Sugr 2007;40: 25-8.
- 10 Agnihotri N, Gupta V, Joshi RM. Aerobic bacterial isolates from burn wound infections and their antibiograms: A 5 year study. Burn 2004;30:241-3.
- 11 Ahmad M, Shahid Hussain S, Ibrahim Khan M, Malik SA. Pattern of bacterial invasion in burn patients at the Pakistan institute of medical sciences, Islamabad. Ann Burns Fire Disasters 2006;19:18-21.
- 12 Pezzino T, Cucchiara B, Vitale R, Benigno A, Cucchiara P, D'Arpa N, et al. Analysis of bacteriological monitoring in patients at the Palermo Burns Centre-A 5 yr experience. Annals of the MBC-vol 2-n2-June 1989. p. 72-8.
- 13 Ozumba UC, Jiburum BC. bacteriology of burn wounds in Enugu, Nigeria. Burns 2000;26:178-80.
- 14 Kehinde AO, Ademola SA, Okesola AO, Oluwatosin OM, Bakare RA. Pattern of bacterial pathogens in burn wound infections in Ibadan, Nigeria. Ann Burns Fire Disasters 2004;18:12-5.
- 15 Thomsen M. The Burns unit in Copenhagen. Scand J Plast Reconst Surg 1970;4:126-39.
- 16 Edward-Jones V, Greenwood JE. What's new in burn microbiology? James laing Memorial Prize Essay 2000. Burns 2003;29:15-24.
- 17 Steer JA, Papini RP, Wilson AP, McGrouther DA, Parkhouse N. Quantitative microbiology in the management of burn patients, I: Correlation between quantitative and qualitative burn wound biopsy culture and surface alginate swab culture. Burns 1996;22:173-6.
- 18 Bairy I, Shivananda PG. Aerobic bacterial flora of burn wound infection. Indian J Surg 1997;59:215-8.
- 19 Nasser S, Mabrouk AM, Maher A. Colonisation of burn wounds in Ain Shams Univ Burns Unit. Burns 2003;29:229-33.
- 20 Bauer, Kirby, Sherris and Turck, 1996, Am.J.Clin.Path., 45:493.
- 21 Performance Standards for Antimicrobial Disk Susceptibility Test, CLSI Vol. 28 No. 1, Jan. 2008.