Alqarni Mohammed S, Attar Meshari, Alshammari Salem, Ambon Badr, Al Zhrani Abdulrahman A, Alghamdi Abdullah, Naebulharam Ahmad, Al-Amri Abdulfattah, Altayib Hadeel
Internal Medicine, King Abdullah International Medical Research Center, Jeddah, SAU.
Internal Medicine, National Guard Hospital, King Abdulaziz Medical City, Jeddah, SAU.
Cureus. 2023 Aug 22;15(8):e43896. doi: 10.7759/cureus.43896. eCollection 2023 Aug.
Background Nosocomial bacterial infections have been one of the major concerns in the healthcare system. Burn patients, specifically severe cases, are at a high risk of developing bacterial infections compared to others. The most frequent cultures among burn patients are , ,and There is a scarcity of local data showing the most common infections in burn patients. This research aimed to determine the most common organisms that cause infections in burn unit patients and the antibiotic sensitivity and resistance patterns in King Abdulaziz Medical City (KAMC) in Jeddah. Methodology In this cross-sectional study, data were collected from patients' files into a data collection sheet. All patients in the burn unit with a positive culture were included in the study using a convenient sampling technique from Best-Care, KAMC electronic medical records. Burn patients with negative culture results and patients who were admitted to the plastic surgery ward for reasons other than burns were excluded. For sample size calculation, convenience sampling of 109 patient medical charts, over the study period from June 2016 to November 2021, was selected for data extraction, analysis, and reporting. Results was the leading cause of infection in burn patients comprising 33.9% of the cases. was the second most frequent cause of infection among burn patients (27.5%). was the third most frequent cause of infection (26.6%) while was the fourth most frequent cause of infection in burn patients (22.9%). Conclusions Understanding the local epidemiology of bacterial infections will be crucial for the development of treatment guidelines designed to standardize initial antibiotic use, reduce hospital-acquired infections, and reduce drug resistance. More attention should be paid to gram-negative bacteria, specifically and .
医院内细菌感染一直是医疗系统中的主要关注点之一。与其他患者相比,烧伤患者,尤其是重症患者,发生细菌感染的风险很高。烧伤患者中最常见的培养菌是 、 和 。目前缺乏显示烧伤患者最常见感染的本地数据。本研究旨在确定在吉达阿卜杜勒阿齐兹国王医疗城(KAMC)烧伤科患者中引起感染的最常见病原体以及抗生素敏感性和耐药模式。方法:在这项横断面研究中,数据从患者档案收集到数据收集表中。使用便利抽样技术从KAMC电子病历Best-Care中纳入烧伤科所有培养结果呈阳性的患者。排除培养结果为阴性的烧伤患者以及因烧伤以外原因入住整形外科病房的患者。为了计算样本量,在2016年6月至2021年11月的研究期间,选取109份患者病历进行便利抽样,以提取、分析和报告数据。结果: 是烧伤患者感染的主要原因,占病例的33.9%。 是烧伤患者中第二常见的感染原因(27.5%)。 是第三常见的感染原因(26.6%),而 是烧伤患者中第四常见的感染原因(22.9%)。结论:了解细菌感染的本地流行病学对于制定旨在规范初始抗生素使用、减少医院获得性感染和降低耐药性的治疗指南至关重要。应更多关注革兰氏阴性菌,特别是 和 。