Yolbaş, İlyas Dicle Üniversitesi - Tıp Fakültesi - Çocuk Hastalıkları Anabilim Dalı, Türkiye , Tekin, Recep Diyarbakır Children’s Hospital - Clinical Microbiology and Infectious Diseases, Turkey , Kelekçi, Selvi Dicle Üniversitesi - Tıp Fakültesi - Çocuk Hastalıkları Anabilim Dalı, Türkiye , Selçuk, Cafer Tayyar Dicle University - Faculty of Medicine - Department of Plastic Surgery, Turkey , Okur, M Hanefi Dicle University - Faculty of Medicine - Department of Pediatric Surgery, Turkey , Tan, İlhan Dicle Üniversitesi - Tıp Fakültesi - Çocuk Hastalıkları Anabilim Dalı, Türkiye , Uluca, Ünal Dicle Üniversitesi - Tıp Fakültesi - Çocuk Hastalıkları Anabilim Dalı, Türkiye

Common pathogens isolated from burn wounds and their antibiotic resistance patterns

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Objective: Burn wound infections are the most severe cause of mortality in patients in the burn units. The aim of this study is to determine the bacteriological profile and their antibiotic resistance patterns in burn unit of Dicle University Hospital. Methods: Medical records of 151 burn patients admitted to the burn unit of Dicle University Hospital between June, 2008 and June 2010 were reviewed retrospectively. Results: Our study included 70.2% (n=106) male and 29.8% (n=45) female patients. The mean age of cases was 10.9±14.7 years. The rate of isolated microorganisms were 62.3% (n=94) Acinetobacter baumannii, 25.8% (n=39) Pseudomonas aeruginosa, 7.3% (n=11) Escherichia coli and 4.6% (n=7) Staphylococcus aureus. The most effective antibiotic against A. baumannii was colistin (95%) followed by levofloxacin (84%) and trimethoprim-sulfamethoxazole (87%). The most effective antibiotics against P. aeruginosa were amikacin (82%), ciprofloxacin (71%) and levofloxacin (71%). The most effective antibiotics against E. coli were amikacin (91%), meropenem (73%) and imipenem (82%). Conclusion: The prevalence of burn wound infection caused by A. baumannii and multiple drug resistant A. baumannii are increasing worldwide by time. The prevalence of multiple drug resistant P. aeruginosa and E. coli are rising also. So, new strategies of infection prevention should improve as soon as possible.

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Burn units , wound infection , multiple drug resistance , antibiotics , Acinetobacter baumannii , Pseudomonas aeruginosa

Dicle Medical Journal

368