592 Trends in First Positive Culture Results in Major Burn Center over a 10-year Period
Gabrielle Bierlein-De La Rosa, Shady Al Hayek, Colette Galet, Patrick Ten Eyck

TL;DR
This study analyzed 10 years of data from a burn center to track changes in wound infection types, finding increasing Gram-negative and fungal infections in severe burns.
Contribution
The study provides new insights into the evolving microbial trends in burn wound infections, particularly in severe burn patients.
Findings
Gram-negative infections increased by 6.6% annually in severe burns.
Fungal infections rose by 15.1% annually in severe burns.
Gram-positive infections decreased by 6.6% annually in severe burns.
Abstract
Burn wounds are unique, yet common injuries that damage the cutaneous barrier, increasing risk of infection. Patients with severe burns, defined as total burn surface area (TBSA) >20% are more vulnerable to infection which may lead to sepsis and death. With the heavy use of topical and systemic antimicrobials, changes in the burn wound microbial and antibiotic resistance patterns have been reported; however, the literature remains scarce. This retrospective cohort study was designed to assess wound infection trends in first positive cultures in our burn unit over the last 10 years. This is a retrospective cohort study. Our burn registry was queried to retrieve all patients admitted to our burn unit from July 2013 to June 2023. Demographics, TBSA, injury and admission information were obtained from the burn registry. First positive wound culture information including dates of first…
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Taxonomy
TopicsBurn Injury Management and Outcomes · Wound Healing and Treatments · Corneal Surgery and Treatments
