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Objective: The aim of this study was to determine the frequency of
organisms and their antimicrobial sensitivity pattern in infantile burn.
Methods: This retrospective study was conducted at the plastic surgery,
burn unit of Patel Hospital during period of 7 years from January 2007 to
December 2013. Children aged one year or less at the time of admission
were included in the study. SPSS 21 version was used for statistical
analysis.
Results: Total 789 pediatric burn patients were admitted in Patel Hospital
during January 2007 to December 2013, in which 106 were infants.
Eighty three (78.3%) infants had scald burn, 21 (19.8%) had fire burn and
2 (1.9%) had chemical burn. Out of 106 infantile burn cases, 28 (26.4%)
had growth of organisms in wound cultures. Initially at the time of
admission only 2 (7%) of infants had growth of organisms in wound
cultures but on subsequent cultures the growth of organisms increased.
Single organism was isolated in wound cultures of 9 (32.1%) patients,
while two organisms were found in 8 (28.6%) and three organisms were
found in 11 (39.3%) infants. The commonest organisms present both in
scald and fire burn were Staphylococcus aureus 17 (60.7%) followed by
Acinetobacter species 14 (50%) and Pseudomonas aeruginosa 13
(46.4%) respectively. If we see the sensitivity pattern, Staphylococcus
aureus was 100% sensitive to vancomycin and linezolid followed by
fusidic acid 47%. If we see the culture and sensitivity pattern of
Pseudomonas aeruginosa, Acinetobacter species and Klebsiella
species all were 100% sensitive to polymyxin B. While Providencia species
and Proteus species were 100% sensitive to cefoperazone + sulbactam
and meropenem.
Conclusion: This study high lights that Staphylococcus aureus,
Acinetobacter species and Pseudomonas aeruginosa are the common
organisms in infantile burn. While vancomycin and polymyxin B are the
effective empirical therapy in our setup. Antibiotic resistance due to
inappropriate use of drugs is a common finding in our environment and
medical staff must be educated regarding the rational use of
antibiotics. Wound swabs should be performed in all cases
Syed Zafar Mehdi , Jalal Ud Din Akber , Mazhar Nizam, Kamran Dawood, Ahmed Raheem Buksh . (2016) Frequency and Antimicrobial Susceptibility Pattern of Microorganisms Isolated from Hospitalized Infantile Burn Cases in a Tertiary Care Hospital, Pakistan Pediatric Journal, Volume 40, Issue 3.
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