Clinical progression of burned children after Acinetobacter infections

Year 2017, Volume: 5 Issue: 3, 37 - 40, 31.12.2017

Münevver Otuzoğlu , Atilla Şenaylı , Emre Nur Sarı Fatma Özcan Emrah Şenel

https://doi.org/10.21765/pprjournal.336637

Abstract

Background:

One of the mortality causes for burned children is Acinetobacter infection. In this study, we aimed to investigate the possible causes of Acinetobacter infections in our burn centre. We also investigated the possibility reasons of the spread from other centres to our burn unit. 

Material and Methods

During the evaluation of clinical course of burned patients, presence of Acinetobacter baumannii infections were also investigated in wound and blood cultures. Archives from August 2011 to May 2014 were evaluated for ages, percentages, hospitalization days, reasons of burns, transferring centres, infection existence time, culture types, antibiotics, exitus and discharges. Results were evaluated statistically (p<0.05).

Results

Reasons of burns and time of acinetobacter existence were significantly different in the clinical course (p=0.024). Also, the existence of acinetobacter infections was correlated with increase in burn percentage (p=0.011). Finally, culture findings about Acinetobacter infections affect remissions (p=0.047).

Conclusion

Reasons of burns, hospitalization days and culture findings are very important for burned children infected with acinetobacter. Clinicians must be cautious in these aforementioned situations. Death may be seen if not precautions are taken. Literature is lacking on risk parameters, therefore our study will have an additive affect to literature in this subject.

Keywords

Burn, Children, Intensive, Care, Acinetobacteria

Yanık Çocuklarda Acinetobakter Enfeksiyonu Sonrası Klinik Süreç

Abstract

Amaç:Yanık çocuklarda önemli ölüm sebeplerinden biri Acinetobakter enfksiyonudur.Bu çalışmada, merkezimizdeki Acinetobakter enfeksiyonunun ihtimal sebeplerini araştırdık. Ayrıca başka merkezlerden merkezimize enfeksiyonun yayılma sebeplerini de bulmaya çalıştık.
Materyal ve metod: Yanık hastalarının klinik seyirlerini incelerken, yara ve kandaki A. Baumanii varlığı araştırıldı.Ağustos 2011 ile Mayıs 2014 arasındaki dosyalar yaş, yanık yüzdesi,yatış günü, yanık sebebi, nereden sevk alındığı, enfeksiyon varlık süresi, kültür tipleri, antibiyotikler, ölüm ve taburcular incelendi.İstatistiki olarak sonuçlar incelendi(p<0.05).
Sonuçlar: Klinik süreçte yanık sebebinin ve acinetobakter varlık süresinin belirgin farklılık gösterdii bulundu(p=0.024).Yanık yüzdesi ile de enfeksiyon varlığı körele idi(p=0.011).Kültür bulguları iyileşmeyi etkiliyordu(p=0.047).
Tartışma:Yanık sebepleri, yatış günleri ve kültür bulguları acinetobakter ile enfekte olan yanık çocuklar için önemlidir.Bahsedilen bu verilerin varlığına dikkat edilmelidir. Tedbirler alınmazsa ölüm görülebilir.Literatürde bu risk parametreleri yoktur. Bu yüzden çalışmamız literatüre katkıda bulunmaktadır.

Keywords

yanık, çocuk, yoğun bakım, asinetobakter

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