Etiology and Multi-Drug Resistant Profile of Bacterial Infections in Severe Burn Patients, Romania 2018–2022

Infections in severe burns and their etiology are and will remain a big concern for the medical field. The multi-drug resistant strains of bacteria are a challenge of today’s medicine. The aim of our study was to identify the etiological spectrum of bacterial infections in severe burn patients in Ro...

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Main Authors: Bogdan Nițescu, Daniela Pițigoi, Daniela Tălăpan, Maria Nițescu, Sorin Ștefan Aramă, Bogdan Pavel, Adrian Streinu-Cercel, Alexandru Rafila, Victoria Aramă
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/59/6/1143
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author Bogdan Nițescu
Daniela Pițigoi
Daniela Tălăpan
Maria Nițescu
Sorin Ștefan Aramă
Bogdan Pavel
Adrian Streinu-Cercel
Alexandru Rafila
Victoria Aramă
author_facet Bogdan Nițescu
Daniela Pițigoi
Daniela Tălăpan
Maria Nițescu
Sorin Ștefan Aramă
Bogdan Pavel
Adrian Streinu-Cercel
Alexandru Rafila
Victoria Aramă
author_sort Bogdan Nițescu
collection DOAJ
description Infections in severe burns and their etiology are and will remain a big concern for the medical field. The multi-drug resistant strains of bacteria are a challenge of today’s medicine. The aim of our study was to identify the etiological spectrum of bacterial infections in severe burn patients in Romania and their multi-drug resistant patterns. We performed a prospective study that included 202 adult patients admitted to the intensive care unit (ICU) of the Clinical Emergency Hospital of Plastic, Reconstructive Surgery and Burns, Bucharest, Romania (CEHPRSB), from 1 October 2018 to 1 April 2022, a period which includes the first 2 years of the outbreak of COVID-19. From each patient, wound swabs, endotracheal aspirates, blood for blood culture, and urine were collected. The most frequently isolated bacterium was <i>Pseudomonas aeruginosa</i> (39%), followed by <i>Staphylococcus aureus</i> (12%), <i>Klebsiella</i> spp. (11%), and <i>Acinetobacter baumannii</i> (9%). More than 90% of <i>Pseudomonas aeruginosa</i> and <i>Acinetobacter baumannii</i> were MDR, regardless of the clinical specimen from which they were isolated.
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spelling doaj.art-6728c3228c6543e68882fb9eadf230ce2023-11-18T11:32:06ZengMDPI AGMedicina1010-660X1648-91442023-06-01596114310.3390/medicina59061143Etiology and Multi-Drug Resistant Profile of Bacterial Infections in Severe Burn Patients, Romania 2018–2022Bogdan Nițescu0Daniela Pițigoi1Daniela Tălăpan2Maria Nițescu3Sorin Ștefan Aramă4Bogdan Pavel5Adrian Streinu-Cercel6Alexandru Rafila7Victoria Aramă8Faculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, RomaniaFaculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, RomaniaFaculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, RomaniaFaculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, RomaniaFaculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, RomaniaFaculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, RomaniaFaculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, RomaniaFaculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, RomaniaFaculty of Medicine, “Carol Davila” University of Medicine and Pharmacy, 050474 Bucharest, RomaniaInfections in severe burns and their etiology are and will remain a big concern for the medical field. The multi-drug resistant strains of bacteria are a challenge of today’s medicine. The aim of our study was to identify the etiological spectrum of bacterial infections in severe burn patients in Romania and their multi-drug resistant patterns. We performed a prospective study that included 202 adult patients admitted to the intensive care unit (ICU) of the Clinical Emergency Hospital of Plastic, Reconstructive Surgery and Burns, Bucharest, Romania (CEHPRSB), from 1 October 2018 to 1 April 2022, a period which includes the first 2 years of the outbreak of COVID-19. From each patient, wound swabs, endotracheal aspirates, blood for blood culture, and urine were collected. The most frequently isolated bacterium was <i>Pseudomonas aeruginosa</i> (39%), followed by <i>Staphylococcus aureus</i> (12%), <i>Klebsiella</i> spp. (11%), and <i>Acinetobacter baumannii</i> (9%). More than 90% of <i>Pseudomonas aeruginosa</i> and <i>Acinetobacter baumannii</i> were MDR, regardless of the clinical specimen from which they were isolated.https://www.mdpi.com/1648-9144/59/6/1143burnsbacterial infectionsmulti-drug resistance<i>Pseudomonas aeruginosa</i>wound infections
spellingShingle Bogdan Nițescu
Daniela Pițigoi
Daniela Tălăpan
Maria Nițescu
Sorin Ștefan Aramă
Bogdan Pavel
Adrian Streinu-Cercel
Alexandru Rafila
Victoria Aramă
Etiology and Multi-Drug Resistant Profile of Bacterial Infections in Severe Burn Patients, Romania 2018–2022
Medicina
burns
bacterial infections
multi-drug resistance
<i>Pseudomonas aeruginosa</i>
wound infections
title Etiology and Multi-Drug Resistant Profile of Bacterial Infections in Severe Burn Patients, Romania 2018–2022
title_full Etiology and Multi-Drug Resistant Profile of Bacterial Infections in Severe Burn Patients, Romania 2018–2022
title_fullStr Etiology and Multi-Drug Resistant Profile of Bacterial Infections in Severe Burn Patients, Romania 2018–2022
title_full_unstemmed Etiology and Multi-Drug Resistant Profile of Bacterial Infections in Severe Burn Patients, Romania 2018–2022
title_short Etiology and Multi-Drug Resistant Profile of Bacterial Infections in Severe Burn Patients, Romania 2018–2022
title_sort etiology and multi drug resistant profile of bacterial infections in severe burn patients romania 2018 2022
topic burns
bacterial infections
multi-drug resistance
<i>Pseudomonas aeruginosa</i>
wound infections
url https://www.mdpi.com/1648-9144/59/6/1143
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