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Hilla University College Journal For Medical Science

Document Type

Original Study

Keywords

Bacterial isolates, Klebsiella, Burns wound, Pseudomonas, Babylon

Abstract

Background: Burns constituted the fourth cause of injury particularly in developing countries including Iraq.

Objectives: to identify the bacterial isolates from infected burn injury wounds among patients who were admitted to Al–Sadiq Teaching Hospital –Babylon Province - Iraq.

Methodology: This was a hospital-based cross-sectional study conducted on all acute burn injury cases who were admitted to the biggest teaching hospital in Babylon Province – Iraq during the period from the first of January to the end of June, 2020. Data were collected from patients themselves or their companions and from patients' hospital records, using a pretested questionnaire designed for collection the requested information that included demographic data, burns characteristics and the outcome of wound culture to determine the bacterial isolates of the infected burns wounds.

Results: A sample of 120 cases with burn injuries were investigated. Out of 120 cases with burn injuries, a sample of 58 patients who investigated for microbial infections enrolled in this study. The median age of participants was 16.5 years, ranged (four months – 65 years); children of age 1-9 years old represented 36% of them. The adolescents and children aged ≤ 18 years accounted 55% of the all. Male to female ratio 1.07:1. More than two third of them resident in rural area. The most common species were Gram Negative Bacteria constituted 83%, mainly Nonspecific Gram-Negative Bacteria, Pseudomonas spp. and Burkholderia cepacia followed by Gram Positive Bacteria especially Streptococcus pyogenes and Staphylococcus aureus.

Conclusion: The most common bacterial isolates infecting wounds injuries in this study are gram–ve bacteria mainly Klebsiella SPP followed by Pseudomonas aerogenosa. A new preventive strategy is requested to address this high priority burn problem.

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