Diagnosis for quantitative bacteriological study of the infection in the injury by burn
Abstract
Background: the infectious processes are one of the main causes of morbidity and mortality in the burned patients, which is why the early diagnosis of the infection through the bacteriological quantitative study represents a forward-motion step for the opportune treatment of these patients.
Objective: to determine the diagnosis of infection in the burned patients by means of the bacteriological quantitative study of the injury by burn.
Methods: a descriptive, cross-section study was carried out to determine by means of the bacteriological quantitative study of the injury by burn the diagnosis of infection in the burned patients entered in the service of Burn at Manuel Ascunce Domenech Universitary Hospital of the province Camagüey, from September 2015 to November 2017. 34 patients were studied in those who were evaluated the following variables: age, sex, severity rate, positivity or no of the qualitative and quantitative study relating to the clinical public demonstrations of infection.
Results: in this study the feminine sex became represented by 70.59 %, predominating ages between 48- 67 years, the 38.23 % of injured persons were classified as very grave, and colonization was the predominant on the infection in the quantitative cultivation with a 26.47 %. In patients with clinical demonstrations of infection, the quantitative culture was positive in 11 of them for a 32.35 %. It was found in 44.12 % of patients, the presence from germs to a concentration of over 105 germen per gram of fabric.
Conclusions: determining factors in the appearing of infection in the injury by burn were age, extension and depth of the injuries. There was a correlation between the positivity of the bacteriological quantitative study and the presence of clinical demonstrations of infection in these patients. Greater number of quantitative cultivations with positive results and their correlation with the presence of germs in the qualitative cultivations were documented.
DeCS: WOUND INFECTION/diagnosis; WOUND INFECTION/microbiology; BURNS/complications; BACTERIOLOGICAL TECHNIQUES; EPIDEMIOLOGY, DESCRIPTIVE.
Downloads
References
1. Carrillo-Esper R, Porras-Méndez CMV, Taméz-Coyotzin EA, Garnica-Escamilla MA. Fusariosis en el paciente quemado. Una infección emergente. Med Int Méx [Internet]. Feb 2017 [citado 03 Dic 2019];33(1):[aprox. 7 p.]. Disponible en: http://www.scielo.org.mx/pdf/mim/v33n1/0186-4866-mim-33-01-00084.pdf
2. Palmieri TL. Infection Prevention: Unique Aspects of Burn Units. Surg Infect (Larchmt). 2019;20(2):111-114.
3. 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 03 Dic 2019];8(3):[aprox. 6 p.]. Disponible en: http://www.revactamedicacentro.sld.cu/index.php/amc/article/view/146
4. 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]. Jun 2015 [citado 03 Dic 2019];41(2):[aprox. 8 p.]. Disponible en: http://scielo.isciii.es/pdf/cpil/v41n2/original2.pdf
5. 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 Chil Infectol. 2017;34(3):221-22.
6. León Rodríguez Y. Caracterización de la Sepsis en la unidad de quemados. [Internet]. Sep 2010 [citado 03 Dic 2019];24(14):[aprox. 27 p.]. Disponible en: http://www.portalesmedicos.com/publicaciones/articles/2467/1/Caracterizacion-de-la-Sepsis-en-la-unidadde-quemados.html
7. Fadeyibi IO, Raji MA, Ibrahim NA, Ugburo AO, Ademiluyi S. Bacteriology of infected burn wounds in the burn wards of a teaching hospital in Southwest Nigeria. Burns [Internet]. 2013 [citado 03 Dic 2019];39(1):[aprox. 6 p.]. Disponible en: https://www.clinicalkey.es/service/content/pdf/watermarked/1-s2.0-S0305417912000472.pdf?locale=es_ES&searchIndex
8. Alrawi M, Crowley TP, Pape SA. Bacterial colonisation of the burn wound: a UK experience. J Wound Care. 2014 May;23(5):274-7.
9. De los Santos González CE. Guía básica para el tratamiento del paciente quemado [Internet]. República Dominicana: INDEXER; 2003 [citado 2 Dic 2019]. Disponible en: http://www.indexer.net/quemados
10. Heggrs JP. Microbiología. En: Bendlin A, Linares HA, Benaim F, editores. Tratado de quemaduras. México: Interamericana, McGraw Hill;1993.p. 290-313.
11. Lin GA, Yang XD, Qin SL, LiW J, Zhao GH. Influence of age on median lethal burn area of burn patients. Zhoughua Shao Shang ZaZhi. 2013 Feb;29(1):37-40.
12. Moya Rosa EJ, Faces Sánchez M. Lesión por quemadura en el adulto mayor. Arch méd Camagüey [Internet]. Oct 2011 [citado 03 Dic 2019];15(5):[aprox. 9 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552011000500007&lng=es
13. Peck MD. Epidemiology of burns throughout the world. Part I: Distribution and risk factors. Burns. 2011 Nov;37(7):1087-100.
14. Yanculovich N, Perry ZH, Gurfinke lR, Rosenberg L. Objective estimates of the risk factors for death and length of hospitalization following burn injuries, Soroka University Medical Center, 2001-2002. Isr Med Assoc J. 2013 Apr;15(4):152-5.
15. Khaliq MF, Noorani MM, Siddiqui UA, Al Ibran E, Rao MH. Factors associated with duration of hospitalization and outcome in burns patients: a cross sectional study from Government Tertiary Care Hospital in Karachi, Pakistan. Burns [Internet]. 2013 Feb [citado 03 Dic 2019];39(1):[aprox. 5 p.]. Disponible en: https://www.clinicalkey.es/service/content/pdf/watermarked/1-s2.0-S0305417912001258.pdf?locale=es_ES&searchIndex
16. Hassen AF, Khalifa SB, Daiki M. Epidemiological and bacteriological profiles in children with burns. Burns [Internet]. 2014 [citado 03 Dic 2019];40(5):[aprox. 6 p.]. Disponible en: https://www.clinicalkey.es/service/content/pdf/watermarked/1-s2.0-S0305417913003525.pdf?locale=es_ES&searchIndex
17. Halstead FD, Lee KC, Kwei J, Dretzke J, Oppenheim BA, Moiemen NS. A systematic review of quantitative burn wound microbiology in the management of burns patients. Burns [Internet]. 2018 [citado 03 Dic 2019];44(1):[aprox. 18 p.]. Disponible en: https://www.clinicalkey.es/service/content/pdf/watermarked/1-s2.0-S0305417917303601.pdf?locale=es_ES&searchIndex
18. Alrawi M, Crowley TP, Pape SA. Bacterial colonisation of the burn wound: a UK experience. J Wound Care. 2014;23(5):274-7.
19. 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 [citado 03 Dic 2019];4:[aprox. 7 p.]. Disponible en: https://systematicreviewsjournal.biomedcentral.com/track/pdf/10.1186/s13643-015-0137-9
20. Lachiewicz AM, Hauck CG, Weber DJ, Cairns BA, van Duin D. Bacterial Infections After Burn Injuries: Impact of Multidrug Resistance. Clin Infect Dis [Internet]. 2017 Nov [citado 03 Dic 2019];65(12):[aprox. 7 p.]. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5850038/pdf/cix682.pdf
Published
How to Cite
Issue
Section
License
Copyright: Camagüey Medical Archive Magazine, offers immediately after being indexed in the SciELO Project; Open access to the full text of the articles under the principle of making available and free the research to promote the exchange of global knowledge and contribute to a greater extension, publication, evaluation and extensive use of the articles that can be used without purpose As long as reference is made to the primary source.
Conflicts of interest: authors must declare in a mandatory manner the presence or not of conflicts of interest in relation to the investigation presented.
(Download Statement of potential conflicts of interest)
The Revista Archivo Médico de Camagüey is under a License Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 International (CC BY 4.0).
This license allows others to distribute, to mix, to adjust and to build from its work, even for commercial purposes, as long as it is recognized the authorship of the original creation. This is the most helpful license offered. Recommended for maximum dissemination and use of licensed materials. The full license can be found at: https://creativecommons.org/licenses/
22 julio 2025