Invasive Infection and Outcomes in a Humanitarian Surgical Burn Program in Haiti

Background Compare to high-income settings, survival in burn units in low-income settings is lower with invasive infections one leading cause of death. Médecins Sans Frontières is involved in the treatment of large burns in adults and children in Haiti. Methods In 2014, we performed a review of 228...

Full description

Saved in:
Bibliographic Details
Published in:World journal of surgery 2016-07, Vol.40 (7), p.1550-1557
Main Authors: Murphy, Richard A., Nisenbaum, Luba, Labar, Amy S., Sheridan, Robert L., Ronat, Jean-Baptiste, Dilworth, Kelly, Pena, Jade, Kilborn, Erin, Teicher, Carrie
Format: Article
Language:English
Subjects:
Abdominal Surgery
Acinetobacter Baumannii
Adolescent
Adult
Anti-Bacterial Agents - therapeutic use
Bacteria - drug effects
Bacteria - isolation & purification
Bacterial Infections - drug therapy
Burns - complications
Burns - mortality
Burns - surgery
Cardiac Surgery
Child
Child, Preschool
Colistin
Drug Resistance, Bacterial
Female
General Surgery
Haiti
Humans
Inhalation Injury
Inpatient Mortality
Male
Medicine
Medicine & Public Health
Original Scientific Report
Pseudomonas aeruginosa
Retrospective Studies
Staphylococcus aureus
Surgery
Thoracic Surgery
Total Body Surface Area
Vascular Surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Background Compare to high-income settings, survival in burn units in low-income settings is lower with invasive infections one leading cause of death. Médecins Sans Frontières is involved in the treatment of large burns in adults and children in Haiti. Methods In 2014, we performed a review of 228 patients admitted consecutively with burn injury during a 6-month period to determine patient outcomes and infectious complications. Microbiology was available through a linkage with a Haitian organization. Regression analysis was performed to determine covariates associated with bloodstream infection and mortality. Results 102 (45 %) patients were male, the median age was 8 years (IQR, 2–28), and the majority of patients (60 %) were admitted to the unit within 6 h of injury. There were 20 patients (9 %) with culture-proven bacteremia. Among organisms in blood, common isolates were Staphylococcus aureus (42 %), Pseudomonas aeruginosa (23 %), and Acinetobacter baumannii (15 %). Among patients with burns involving
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-016-3458-5