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Malawi Medical Journal
College of Medicine, University of Malawi and Medical Association of Malawi
ISSN: 1995-7262
Vol. 19, No. 1, 2007, pp. 25-27
Bioline Code: mm07006
Full paper language: English
Document type: Research Article
Document available free of charge

Malawi Medical Journal, Vol. 19, No. 1, 2007, pp. 25-27

 en Epidemiology and bacterial colonization of burn injuries in Blantyre
Liwimbi, Olive M & Komolafe, Isaac O O

Abstract

Forty-nine patients from the Burns Unit at the QECH had swabs taken from various sites in order to determine the bacterial profile and antibiotic susceptibilities in burn wounds colonized by bacteria. The mean age was 16 years (range 1-70 years); 27 (55 %) of the study population were female and 22 (45%) were male. Twenty-four (49%) patients were epileptic. Open fire (41%) was the most common cause of burn injuries among epileptics while hot water burns (29%) were commonest among non-epileptics. Burn injury and percentage total burn surface area (% TBSA) injuries decreased with age, and the upper and lower limbs, trunk, head and neck were the most commonly affected sites. Staphylococcus aureus check for this species in other resources was the commonest isolate (23%), followed by Proteus mirabilis check for this species in other resources (22.7%), Streptococci check for this species in other resources spp (15.9%), Pseudomonas aeruginosa check for this species in other resources (4.5%) and 3.4% for Escherichia coli check for this species in other resources , Salmonella check for this species in other resources and Klebsiella check for this species in other resources spp. There was a significant trend of bacterial growth with increasing % TBSA (p<0.001). Bacterial growth was significantly more common in more recent burns of less than 20 days compared to burns of longer duration (OR 4.1 [95% CI 1.58-10.99]). Broad-spectrum antibiotics are required as first-line therapy for burns-related sepsis but there is need for surveillance of antibiotic susceptibility to help determine appropriate therapy.

Keywords
Epidemiology

 
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Alternative site location: http://revista.uft.edu.br/index.php/jbb/index

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