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Dermatology Research and Practice
Volume 2011 (2011), Article ID 436952, 4 pages
http://dx.doi.org/10.1155/2011/436952
Research Article

Nosocomial Infections in Burned Patients in Motahari Hospital, Tehran, Iran

1Antimicrobial-Resistance Research Center and Department of Microbiology, Faculty of Medicine, Tehran University of Medical Sciences, P.O. Box 14515-717, Tehran, Iran
2School of Public Health, Tehran University of Medical Sciences, P.O. Box 14515-717, Tehran, Iran

Received 11 July 2011; Revised 21 September 2011; Accepted 21 September 2011

Academic Editor: Craig G. Burkhart

Copyright © 2011 Leila Azimi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Burn patients are at high risk of developing nosocomial infection because of their destroyed skin barrier and suppressed immune system, compounded by prolonged hospitalization and invasive therapeutic and diagnostic procedures. Studies on nosocomial infection in burn patients are not well described. The objective of the present study was to identify the causative bacterial of nosocomial infection and to determine the incidence of nosocomial infection and their changing during hospitalization in burned patients admitted to in the Motahari Hospital, Tehran, Iran. During the second part of 2010, 164 patients were included in this study. Samples were taken the first 48 hours and the fourth week after admission to Motahari Burn hospital. Isolation and identification of microorganisms was performed using the standard procedure. Of the 164 patients, 717 samples were taken and 812 bacteria were identified, 610 patients were culture positive on day 7 while 24 (17.2%) on 14 days after admission. The bacteria causing infections were 325 Pseudomonas, 140 Acinetobacter, 132 Staphylococcus aureus, and 215 others. The percentage of mortality was 12%. All of patients had at least 1 positive culture with Pseudomonas and/or with Acinetobacter. Hospitals suggest continuous observationof burn infections and increase strategies for antimicrobial resistance control and treatment of infectious complications.