Microbial profile of burn wound injuries in the Northern West Bank − A retrospective cohort study
Background: Determining frequently colonizing microorganisms and typical demographics affected by burns in the West Bank is essential to aid timely and effective injury management. Methods: This study included n = 435 patients with burn injuries between January 2018-December 2021 at a tertiary cente...
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Elsevier
2025-01-01
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| Series: | Burns Open |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468912224000671 |
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| author | Sameh Natsha Hester Lacey Souad Belkebir Ann Attili Aya Atatra Rawand Daragmeh Anas Abu-Safa Baljit Dheansa Rasha Khayyat |
| author_facet | Sameh Natsha Hester Lacey Souad Belkebir Ann Attili Aya Atatra Rawand Daragmeh Anas Abu-Safa Baljit Dheansa Rasha Khayyat |
| author_sort | Sameh Natsha |
| collection | DOAJ |
| description | Background: Determining frequently colonizing microorganisms and typical demographics affected by burns in the West Bank is essential to aid timely and effective injury management. Methods: This study included n = 435 patients with burn injuries between January 2018-December 2021 at a tertiary center in Nablus. Eligible medical records were reviewed, and relevant data extracted. Results: n = 244 males and n = 191 females, average age 14.5 years were included. n = 227 had wound swab cultures, n = 80 which were positive. Scald injuries were the most common mechanism of injury (n = 314, n = 162 in males (p < 0.001), average age of 10.5 years). The most common organisms isolated were Pseudomonas aeruginosa (n = 17) and Staphylococcus aureus (n = 18). n = 17 multidrug resistant (MDR) organisms were cultured, MRSA most commonly (n = 9), followed by K. pneumoniae (ESBL) (n = 5). Overall length of stay (LOS) was 17.27 days in all patients and 28.2 days in those with MDR, with increasing LOS significantly associated with positive culture and MDR development of MDR (p < 0.001). Conclusions: Younger male demographics and longer hospital admission increase the risk of burn wound colonization and MDR development in the Northern West Bank. Pseudomonas aeruginosa and Staphylococcus aureus were prevalent organisms isolated. MDR development represents a significant challenge in the effective management of injuries in an immunologically vulnerable cohort. |
| format | Article |
| id | doaj-art-1b703d4e2b6c4dd4a021a0ae7895e19d |
| institution | Kabale University |
| issn | 2468-9122 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Burns Open |
| spelling | doaj-art-1b703d4e2b6c4dd4a021a0ae7895e19d2025-01-19T06:26:25ZengElsevierBurns Open2468-91222025-01-019100379Microbial profile of burn wound injuries in the Northern West Bank − A retrospective cohort studySameh Natsha0Hester Lacey1Souad Belkebir2Ann Attili3Aya Atatra4Rawand Daragmeh5Anas Abu-Safa6Baljit Dheansa7Rasha Khayyat8University Hospitals Sussex NHS Foundation Trust, Eastern Rd, Brighton and Hove, Brighton BN2 5BE, UK; Department of Biomedical Sciences, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus P.O. Box 7, PalestineUniversity Hospitals Sussex NHS Foundation Trust, Eastern Rd, Brighton and Hove, Brighton BN2 5BE, UKDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus P.O. Box 7, PalestineDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus P.O. Box 7, PalestineDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus P.O. Box 7, PalestineDepartment of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus P.O. Box 7, PalestineBurns Unit, Rafidia Hospital, Palestinian Ministry of Health, Nablus, PalestineDepartment of Plastic Surgery, University Hospital Sussex NHS Foundation Trust, Eastern Rd, Kemptown, Brighton BN2 5BE, UKDepartment of Biomedical Sciences, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus P.O. Box 7, Palestine; Corresponding author at: Department of Biomedical Sciences, Faculty of Medicine and Health Sciences, An-Najah National University, New Campus, Building: 27, Office: 2140, P.O. Box 7, Nablus 44839, Palestine.Background: Determining frequently colonizing microorganisms and typical demographics affected by burns in the West Bank is essential to aid timely and effective injury management. Methods: This study included n = 435 patients with burn injuries between January 2018-December 2021 at a tertiary center in Nablus. Eligible medical records were reviewed, and relevant data extracted. Results: n = 244 males and n = 191 females, average age 14.5 years were included. n = 227 had wound swab cultures, n = 80 which were positive. Scald injuries were the most common mechanism of injury (n = 314, n = 162 in males (p < 0.001), average age of 10.5 years). The most common organisms isolated were Pseudomonas aeruginosa (n = 17) and Staphylococcus aureus (n = 18). n = 17 multidrug resistant (MDR) organisms were cultured, MRSA most commonly (n = 9), followed by K. pneumoniae (ESBL) (n = 5). Overall length of stay (LOS) was 17.27 days in all patients and 28.2 days in those with MDR, with increasing LOS significantly associated with positive culture and MDR development of MDR (p < 0.001). Conclusions: Younger male demographics and longer hospital admission increase the risk of burn wound colonization and MDR development in the Northern West Bank. Pseudomonas aeruginosa and Staphylococcus aureus were prevalent organisms isolated. MDR development represents a significant challenge in the effective management of injuries in an immunologically vulnerable cohort.http://www.sciencedirect.com/science/article/pii/S2468912224000671Burn injuryMicrobesInfectionMDRBurn managementMicrobiological colonization |
| spellingShingle | Sameh Natsha Hester Lacey Souad Belkebir Ann Attili Aya Atatra Rawand Daragmeh Anas Abu-Safa Baljit Dheansa Rasha Khayyat Microbial profile of burn wound injuries in the Northern West Bank − A retrospective cohort study Burns Open Burn injury Microbes Infection MDR Burn management Microbiological colonization |
| title | Microbial profile of burn wound injuries in the Northern West Bank − A retrospective cohort study |
| title_full | Microbial profile of burn wound injuries in the Northern West Bank − A retrospective cohort study |
| title_fullStr | Microbial profile of burn wound injuries in the Northern West Bank − A retrospective cohort study |
| title_full_unstemmed | Microbial profile of burn wound injuries in the Northern West Bank − A retrospective cohort study |
| title_short | Microbial profile of burn wound injuries in the Northern West Bank − A retrospective cohort study |
| title_sort | microbial profile of burn wound injuries in the northern west bank a retrospective cohort study |
| topic | Burn injury Microbes Infection MDR Burn management Microbiological colonization |
| url | http://www.sciencedirect.com/science/article/pii/S2468912224000671 |
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