COMMON INFECTIONS IN PAEDIATRIC BURN INJURY WOUND

Abstract

Introduction: The incidence of burns, their treatment and rehabilitation process have a considerably marked effect on children in both physical and psychological terms. Disruption of homeostatic and barrier functions leaves the underlying tissues highly susceptible to infection. Such local infections, when left unchecked, can quickly result in systemic infection. In the present study discussion on the common infections and the causative organism and its effect on the outcome of the burn patient studied. Aim and Objectives: The aim of the study to nd out the common infection in burn injury wound and study the common factors precipitating complications in burn injury. Materials and Methods: The Data was collected from 86 paediatric patients less than 15 years admitted in GMC, Miraj, Maharashtra during the period from September 2014 to September 2016. The lab investigations were done periodically and as and when required, time to time including Hemoglobin, complete blood count, blood sugar level, blood urea level, serum creatinine, HIV Status, hepatitis B status and weakly wound swab culture were done. Observations and Results: In our study a total of 83 patients, almost 32(38.5%) of admitted patients had developed infections and the most common developed infection in the burning patient was wound infection. The most common organism isolated was Coagulase negative staphylococci 18 cases (21.7%) followed by klebsiella Pneumonia in 6 cases. No organisms seen in 51 cases. The coagulase negative staph sensitive to cefoxitin and klebsiella Pneumonia sensitive to imipanum. Conclusion: Gram-negative bacteria were the commonest pathogens followed by gram-positives and then fungi. In additional, MRSA was the commonest frequent gram-positive bacteria detected and it is the major cause for infection. Fungal and Gram-negative colonization more associated with higher TBSA burnt and prolonged hospitalization. We recommended that regular microbial surveillance of burn patient and hospital Environment microbiological surveillance of potential nosocomial pathogens indicated inanimate environment of patients should be done to nd out the presences of our pathogens which are contaminated