TITLE:
Nosocomial Infections in a Morocco Burn Unit
AUTHORS:
Amine Rafik, Hakim Chabbak, Kawtare Jouhri, Mounia Diouri, Naima Bahechar, Abdessamad Chlihi
KEYWORDS:
Nosocomial Infection, Burn, Epidemiology, Bacteriology
JOURNAL NAME:
Open Access Library Journal,
Vol.2 No.4,
April
1,
2015
ABSTRACT:
Introduction: The bacterial nosocomial infection remains a common cause of death in patients who have sustained a severe burn injury. Material and Methods: We conducted a
prospective study of 45 patients hospitalized in the ICU burns Hospital IBN-ROCHD
of Casablanca over a period of six months, from 1 January 2014 to 30 June 2014.
The criteria for nosocomial infection were those of the Center for Disease
Control in Atlanta in 1988. Result: Incidence rates were calculated. The
bacterial ecology of the service was described as also antibiotype. The population
was predominantly male (14 women and 31 men). Their average age was 39 years;
the occurrence of 17 nosocomial infections in 45 patients appeared from this study. The cumulative incidence
was 103 infections per 1000 days of treatment. Regarding the characteristics of
bacterial infections, infected sites were skin (69%), blood (18%), urinary
tract (12%) and lungs (1%). The main organisms were: Staphylococcus sp. (37.7%), Pseudomonas aeruginosa (19.8%), Enterococcus
faecalis and Proteus mirabilis (18.5%). Staphylococci were méthicillin-resistant in 22% of cases. Pseudomonas and Acinetobacter were multi-resistant (66%). The
establishment of the bacterial ecology of the service helped us set the right rules
of prescription of antibiotics. Conclusion: Finally, controlling the epidemic risk posed by the emergence of
resistant organisms is necessary to combine the practice of good antibiotic
therapy and prevention.