Ethics code: IR.UMSU.REC.1398.373.


XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Afshar Yavari S, Farajzadeh F, Diba K, Kazemzadeh J. Frequency and Antibiotic Resistance Patterns of Isolated Bacteria from Burn Wounds Infections in Imam Khomeini Medical Center in Urmia. Journal of Research in Applied and Basic Medical Sciences 2024; 10 (1) :13-22
URL: http://ijrabms.umsu.ac.ir/article-1-175-en.html
Assistant Professor of Microbiology, Department of Laboratory Sciences, Urmia University of Medical Sciences, Urmia, Iran , shafsharyavari@yahoo.com
Abstract:   (1286 Views)
Background & Aims: Wound infection is a major challenge in burn care and is the most common cause of death from burn. Knowledge of the major organisms that are commonly encountered in each unit is essential for effective treatment of infections. The aim of this study was to determine the type of bacterial infections in burn wounds and evaluate the frequency and antibiotic resistance of bacteria isolated from the burn section.
Materials & Methods: This descriptive study involved 120 burn patients from Imam Khomeini Hospital in Urmia, who were randomly selected from the hospital’s database. We obtained samples from their burn wounds and performed conventional biochemical tests to identify the strains. We applied the disk diffusion method to determine the antibiotic resistance pattern. We used SPSS version 26 for the statistical analysis.
Results: In this study, Acinetobacter baumannii was the most common organism in the burn section. Staphylococcus aureus, Pseudomonas aeruginosa, Coagulase-negative staphylococci, Acinetobacter lwoffi, Escherichia coli, Enterobacter species, and Klebsiella pneumoniae were next in line. According to the antibiogram, %67.7 of the strains had Multiple Drug Resistance. Also, 42.3% of Methicillin-Resistant Staphylococcal isolates were identified.
Conclusion: The high frequency of Multidrug-Resistant strains in the burn ward is a serious warning in the treatment of burn wound infections in this hospital. Therefore, it seems necessary to develop new treatment strategies and follow the correct health and treatment protocols.

 
Full-Text [PDF 451 kb]   (963 Downloads) |   |   Full-Text (HTML)  (500 Views)  
Type of Study: orginal article | Subject: Special

References
1. Rajbahak S, Shrestha C, Singh A. Bacteriological changes of burn wounds with time and their antibiogram. Scientific World. Sci World 2014;12(12):70-6. [DOI:10.3126/sw.v12i12.13601]
2. Wang Y, Beekman J, Hew J, Jackson S, Issler-Fisher AC, Parungao R, et al. Burn injury: challenges and advances in burn wound healing, infection, pain and scarring. Advanced drug delivery reviews. Adv Drug Deliv Rev 2018;123:3-17. [DOI:10.1016/j.addr.2017.09.018] [PMID]
3. Burns NC. International Best Practice Guidelines: Effective skin and wound management of noncomplex burns. Wounds International, 2014. Available from: www.woundsinternational.com [URL]
4. Rashid K, Babakir-Mina M, Abdilkarim D. Characteristics of burn injury and factors in relation to infection among pediatric patients. MOJ Gerontol Ger 2017;1(3):00013. [DOI:10.15406/mojgg.2017.01.00013]
5. Church D, Elsayed S, Reid O, Winston B, Lindsay R. Burn wound infections. Clinical microbiology reviews. Clin Microbiol Rev2006;19(2):403-34. [DOI:10.1128/CMR.19.2.403-434.2006] [PMID] []
6. Vinaik R, Barayan D, Shahrokhi S, Jeschke MG. Management and prevention of drug resistant infections in burn patients. Expert review of anti-infective therapy. Expert Rev Anti Infect Ther 2019;17(8):607-19. [DOI:10.1080/14787210.2019.1648208] [PMID] []
7. Moghaddam MM, Eftekhary M, Erfanimanesh S, Hashemi A, Omrani VF, Farhadihosseinabadi B, et al. Comparison of the antibacterial effects of a short cationic peptide and 1% silver bioactive glass against extensively drug-resistant bacteria, Pseudomonas aeruginosa and Acinetobacter baumannii, isolated from burn patients. Amino Acids 2018;50(11):1617-28. [DOI:10.1007/s00726-018-2638-z] [PMID]
8. Li L, Dai J-x, Xu L, Chen Z-h, Li X-y, Liu M, et al. Antimicrobial resistance and pathogen distribution in hospitalized burn patients: a multicenter study in Southeast China. Medicine 2018;97(34). [DOI:10.1097/MD.0000000000011977] [PMID] []
9. ALfadli M, El-Sehsah EM, Ramadan MA-M. Risk factors and distribution of MDROs among patients with healthcare associated burn wound infection. Germs 2018;8(4):199. [DOI:10.18683/germs.2018.1147] [PMID] []
10. Hubab M, Maab H, Hayat A, Ur Rehman M. Burn wound microbiology and the antibiotic susceptibility patterns of bacterial isolates in three burn units of Abbottabad, Pakistan. Journal of Burn Care & Research. J Burn Care Res 2020;41(6):1207-11. [DOI:10.1093/jbcr/iraa073] [PMID]
11. Kopecki Z. Development of next-generation antimicrobial hydrogel dressing to combat burn wound infection. Bioscience reports. Biosci Rep 2021;41(2):BSR20203404. [DOI:10.1042/BSR20203404] [PMID] []
12. Jafari R, Karbasizade V, Moghim Sh.Frequency And Resistance Patterns Of Bacterial Isolates From Burn Wounds Infections In Isfahan, Iran. J Isfahan Med Sch 2013; 31(246): 1134- 1140. [Google Scholar]
13. Al-Aali K. Microbial profile of burn wound infections in burn patients, Taif, Saudi Arabia. Arch Clin Microbiol 2016;7(2):1-9. [URL]
14. Hegde R, Bhandary S. Bacteriological profile and susceptibility pattern of burn wound isolates in a tertiary care hospital. Indian Journal of Basic and Applied Medical Research. Indian J Basic App Med Res 2015;5(1):99-103.
15. Chim H, Tan BH, Song C. Five-year review of infections in a burn intensive care unit: high incidence of Acinetobacter baumannii in a tropical climate. Burns. 2007;33(8):1008-14. [DOI:10.1016/j.burns.2007.03.003] [PMID]
16. Afrasiabian Sh, Heydari M . Burn wound infection and antibiotic resistance pattern in patients admitted to the burn ward of Tohid Hospital in Sanandaj. iranian journal of infectious diseases and tropical medicine.Iran J Inf Dis Trop Med 2009;13(42): 61-65. [URL]
17. Ghazvini K, Malek Jafarian M, Amouzgar MH. Bacteriology And Antibiotic Sensitivity Patterns of Burn Wound Infections In Emam Reza Burn Care Center, Mashhad. J Sch Pub Health Inst of Pub Health Res 2008;5 (4); 55-61. [URL]
18. Gong Y, Peng Y, Luo X, Zhang C, Shi Y, Zhang Y, et al. Different Infection Profile and Antimicrobial Resistance Pattern between Burn ICU and Common Wards. Frontiers in cellular and infection microbiology. Front Cell Infect Microbiol 2021;11:490. [DOI:10.3389/fcimb.2021.681731] [PMID] []
19. Munier A-L, Biard L, Rousseau C, Legrand M, Lafaurie M, Lomont A, et al. Incidence, risk factors, and outcome of multidrug-resistant Acinetobacter baumannii acquisition during an outbreak in a Burns Unit. Journal of Hospital Infection. J Hosp Infect 2017;97(3):226-33. [DOI:10.1016/j.jhin.2017.07.020] [PMID]
20. Sharma L, Srivastava H, Pipal DK, Dhawan R, Purohit PM, Bhargava A. Bacteriological profile of burn patients and antimicrobial susceptibility pattern of burn wound isolates. Int Surg J 2017;4(3):1019-23. [DOI:10.18203/2349-2902.isj20170854]
21. Rathod V, Kasturi RS. Emergence of multi-drug resistant strains among bacterial isolates in burn wound swabs in a tertiary care centre, Nanded, Maharashtra, India. Int J Res Med Sci 2017;5(3):973-7. [DOI:10.18203/2320-6012.ijrms20170645]
22. Forson O, Ayanka E, Olu-Taiwo M, Pappoe-Ashong P, Ayeh-Kumi P. Bacterial infections in burn wound patients at a tertiary teaching hospital in Accra, Ghana. Annals of burns and fire disasters. Ann Burns Fire Disasters 2017;30(2):116. [PMID]
23. Rahim Hateet R. Isolation and Identification of Some Bacteria Contemn in Burn Wounds in Misan, Iraq. Arch Razi Inst 2021;76(6):1665-70. [] [PMID]
24. Soleymanzadeh-Moghadam S, Azimi L, Amani L, Lari AR, Alinejad F, Lari AR. Analysis of antibiotic consumption in burn patients. GMS hygiene and infection control. GMS hygiene Infec Control 2015;10. [PMID]
25. Rezaei E, Safari H, Naderinasab M, Aliakbarian H. Common pathogens in burn wound and changes in their drug sensitivity. Burns 2011;37(5):805-7. [DOI:10.1016/j.burns.2011.01.019] [PMID]
26. Rao SR, Lakshmi LJ, Pavani S, Kawle V, Prakash SJ. Bacteriological profile, Antibiogram of burn wound isolates and detection of MRSA and ESBL production at tertiary care hospital, Hyderabad. World Journal of Pharmacy and Pharmaceutical Sci. Int J Pharm Pharm Sci 2014;3(10):1691-8. [URL]
27. Mama M, Abdissa A, Sewunet T. Antimicrobial susceptibility pattern of bacterial isolates from wound infection and their sensitivity to alternative topical agents at Jimma University Specialized Hospital, South-West Ethiopia. Annals of clinical microbiology and antimicrobials. Ann Clin Microb Antimicrob 2014;13(1):1-10. [DOI:10.1186/1476-0711-13-14] [PMID] []
28. Chaudhary NA, Munawar MD, Khan MT, Rehan K, Sadiq A, Bhatti HW, et al. Epidemiology, bacteriological profile, and antibiotic sensitivity pattern of burn wounds in the burn unit of a tertiary care hospital. Cureus 2019;11(6). [DOI:10.7759/cureus.4794]
29. Otta S, Dash JK, Swain B. Aerobic bacteriology of burn wound infections. CHRISMED Journal of Health and Research. J Health Res 2015;2(4):337. [DOI:10.4103/2348-3334.165739]
30. Rajabi M, Abdar ME, Rafiei H, Aflatoonia MR, Abdar ZE. Nosocomial infections and epidemiology of antibiotic resistance in teaching hospitals in south east of Iran. Global journal of health science. Glob J Health Sci 2016;8(2):190. [DOI:10.5539/gjhs.v8n2p190] [PMID] []
31. Akhi MT, Hasanzadeh AR. Bacteriology and Sensitivity Pattern of Isolated Strains from Burn Infections. Med J Tabriz Univ Med Sci 2005; 27(2):7-11. [Google Scholar]
32. Bayram Y, Parlak M, Aypak C, Bayram İ. Three-year review of bacteriological profile and antibiogram of burn wound isolates in Van, Turkey. International journal of medical sciences. Int J Med Sci 2013;10(1):19. [DOI:10.7150/ijms.4723] [PMID] []

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2025 CC BY-NC 4.0 | Journal of Research in Applied and Basic Medical Sciences

Designed & Developed by : Yektaweb