Wound Infection Rates and the Results of Antibiotic Susceptibility Tests in Severely Burned Patients

Background: Infection of burn wound is an important cause of mortality in burns Units in hospitals. The types of bacterial isolates and rapidly emerging antibiotics resistance are important factor in treatment of patients. Aim of study: To demonstrate the types of bacterial isolated from burns and antibiotics resistance. Patients and methods: A cross sectional case control study included 220 Iraqi Arab Muslims patients who had burn (third degree) and admitted in the burn Department at Al-Kindy teaching Hospital between January 2013 to June 2013 . Age of the patients group was ranged from 1-70 years . Females were 124 and the rest were males. Swabs from burn area were collected and cultured on Blood Agar (Oxoid) and MacConkey Agar (oxoid) and other swabs were collected for Gram staining. Identification of bacteria and antibiotic susceptibility test were done using VITEK 2 Compact Device ( Biomeruiex Company France). Results : This study showed that burn is more common in females than males and females with infected burn (28.63%) were more common than males (11.36%). Klebsiella pneumonia is the most frequent bacterial isolated from burn (44%) and in both sexes , females and males , 41% and 45.56% respectively from burn patients. Klebsiella pneumonia is the most frequent bacterial isolated from burn (80.9%). Pseudomonas aeruginosa is also resistance to these antibiotics (93.75%). Acinetobacter spp. and Bruckholderia spp.were also resistance to gentamycine ,Ceftriaxone and Cefotaxime (100%). In case of Grame + bacteria , Staphylococcus aureus was resistance to impenime (90.75%) and Enterococcus fecalis is resistance to all antibiotics. Conclusions: Klebsiella pneumonia is the most frequent bacterial isolated from burn and it is the most frequent bacterial isolated from burn. [Med-Science 2015; 4(2.000): 2165-71