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Microbiological monitoring in the epidemiological surveillance system for purulent-septic infections in case of burn injury

Written by Fomicheva T.D., Turkutyukov V.B., Sotnichenko S.A., Terekhov S.M., Skurikhina Yu.E., Okrokov M.V.

  UDK: 617–001.17–002.3:614.44–047.36 | Pages: 72–74 | Full text PDF | Open PDF 

Annotation:

Objective. Study objective is to monitor the microbial wound secretion in patients with burn injury and to assess the safety of risk-oriented technologies providing medical care.
Methods. A retrospective epidemiological study was conducted based on cases of patients with thermal trauma treated in the burn department of Far Eastern Regional Medical Center of FMBA of Russia from 2008 to 2017.
Results. The average annual record of purulent-septic infections for 1000 burned patients was 431.8 (95 % CI: 382.8-480.8). The highest record was in 2012 and it exceeded the average annual almost by 1.5: 625.0 and 431.8 ‰, respectively. The identical situation (1.3 times higher) was noted in 2009. From 2008 to 2012, in addition to the above-mentioned periods, the dynamics of the indicator was in the range of the average annual. By 2017 the frequency of the purulent-septic infections decreased to 319.3 ‰. Representatives of the genus Staphylococcus were sown as much as possible in 2008 (79.8 ± 1.5 % of observations), with a decrease to 37.4 ± 1.3 % of observations in 2017. The reverse trend is determined by non-fermenting gram-negative microorganisms (Pseudomonas aeruginosa, Acinetobacter baumannii): an increase from 20.2 ± 1.5 % (2008) to 62.6 ± 1.1 % (2017). Conclusion. Risk-based technologies for providing medical care in thermal trauma, increasing epidemiological safety and improving rational antibiotic therapy, reduced the risk of purulent-septic infections in patients of burn hospital.

Links to authors:

T.D. Fomicheva1, V.B. Turkutyukov1, S.A. Sotnichenko2, S.M. Terekhov2, Yu.E. Skurikhina1, V.G. Okrokov1
1 Pacific State Medical University (2 Ostryakova Ave. Vladivostok 690002 Russian Federation), 2 Far Eastern Regional Medical Center of FMBA of Russia (161, 100 let Vladivostoku Ave. Vladivostok 690000 Russian Federation)


1. Akselrov M.A., Razin M.P., Belan Yu.B. [et al.]. The medico-social aspects of thermal injury in children // Vyatka Medical Bulletin, 2015. No. 4. P. 32–35.
2. WHO. Burns: Information Bulletin. 2012. No. 365. URL: http:// www.who.int/mediacentre/factsheets/fs365/ru/index.html (date of access: 14.03.2018).
3. Lavrentyeva A., Shlyk I.V., Panafidina V.A. Diagnosis and therapy of infectious complications in victims with thermal injury // Herald of Anesthesiology and Reanimatology. 2014. No. 2. P. 56–63.
4. Sabirova E.V., Gordinskaja N.A., Abramov N.V. [et al.]. Microecology burn hospitals // Clinical Laboratory Diagnostics. 2017. No. 5. P. 310–312.
5. Samartsev V.A., Encheva, Yu.A., Kuznetsova M.V., Karpunina T.N. Features burn wounds infection // Surgery News. 2014. No. 2. P. 199–205.
6. Sokolov V.A., Efimenko N.A., Admakin A.L. [et al.]. Burns in peacetime. Sources of danger // Сlinical Medicine. 2015. No. 6. P. 30–35.
7. Unizhaeva A.Yu., Martynchik S.A. Medico-economic evaluation of the costs and the quality of inpatient care in burn injury // Social Aspects of Health. 2012. No. 5. URL: http://vestnik.mednet.ru/ content/view/447/30/lang,ru/ (date of access: 30.04.2018).
8. Bahemia I.A., Muganza A., Moore R. [et al.]. Microbiology and antibiotic resistance in severe burns patients: A 5 year review in an adult burns unit // Burns. 2015. Vol. 41, No. 7. P. 1536–1542.
9. Wardhana A., Djan R., Halim Z. Bacterial and antimicrobial susceptibility profile and the prevalence of sepsis among burn patients at the burn unit of Cipto Mangunkusumo Hospital // Ann. Burns Fire Disasters. 2017. Vol. 30, No. 2. P. 107–115.

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