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Year : 2012  |  Volume : 20  |  Issue : 1  |  Page : 18-22

Burn wound infection: Current problem and unmet needs

Department of Burns and General Surgery, Choithram Hospital and Research Center, Indore, India

Correspondence Address:
Shobha Chamania
23, Aditya Nagar, AB Road, Indore - 452 017, Madhya Pradesh
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Source of Support: Choithram Hospital and Research Center, Indore, Madhya Pradesh, Conflict of Interest: None

DOI: 10.4103/0971-653X.111775

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Introduction: The need to focus on reducing the incidence of burn wound infection in the low and middle income countries is highlighted. The high income countries (HIC) have been working towards achieving this objective and in the process have improved their burn outcomes remarkably. In India there are vast variations in the incidences of gram positive and gram negative infections, with some centers reporting a very high incidence of fungal infections responsible for higher mortality. These challenges were faced by the hospitals in HICs but they worked aggressively towards curtailing it and improving survivals. Materials and Methods: A retrospective analysis of the burn wound infection at the Burn unit of the Choithram hospital Indore, was done from 1 st July to 31 st December 2011. Aims: 1. To analyze incidence of multi drug resistance (MDR) organisms in burn patients, and 2. To co-relate sepsis induced mortality with underlying MDR infection. Results: The highest incidence was of Pseudomonas aeruginosa (43%). Methicillin resistant Staphylococcus Aureus (MRSA) was seen in 12% patients. We did not have any fungal infection in our patients. Sixty three point fifteen percent of these reports had multi drug resistance (MDR) infection. Overall mortality in the current study was 33.33% and mortality due to sepsis was 19.6%. Challenges and problems faced by the low and middle income countries (LMICs) burn care facilities are discussed and how it affects the outcomes. Conclusion: To overcome these challenges, strategies for training, education, motivation and resource allocation by the hospital administration are suggested to ensure a comprehensive burn care program from prevention to rehabilitation.

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