OALibJ  Vol.2 No.4 , April 2015
Nosocomial Infections in a Morocco Burn Unit
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.
Cite this paper: Rafik, A. , Chabbak, H. , Jouhri, K. , Diouri, M. , Bahechar, N. and Chlihi, A. (2015) Nosocomial Infections in a Morocco Burn Unit. Open Access Library Journal, 2, 1-5. doi: 10.4236/oalib.1101394.

[1]   Egozi, D., Hussein, K., Filson, S., Mashiach, T., Ullmann, Y. and Raz-Pasteur, A. (2014) Bloodstream Infection as a Predictor for Mortality in Severe Burn Patients: An 11-Year Study. Epidemiology and Infection, 142, 2172-2179.

[2]   Guidry, C.A., Mansfield, S.A., Sawyer, R.G. and Cook, C.H. (2014) Resistant Pathogens, Fungi, and Viruses. The Surgical Clinics of North America, 94, 1195-1218.

[3]   Garner, J.S., Jarvis, W.R., Emori, T.G., Horan, T.C. and Hughes, J.M. (1988) CDC Definitions for Nosocomial Infections, 1988. American Journal of Infection Control, 16, 128-140.

[4]   Chandrasekar, P.H., Kruse, J.A. and Mathews, M.F. (1986) Nosocomial Infection among Patients in Different Types of Intensive Care Units at a City Hospital. Critical Care Medicine, 14, 508-510.

[5]   Wurtz, R., Karajovic, M., Dacumos, E., Jovanovic, B. and Hanumadass, M. (1995) Nosocomial Infections in a Burn Intensive Care Unit. Burns, 21, 181-184.

[6]   Cremer, R., Ainaud, P., Le Bever, H., Fabre, M. and Carsin, H. (1996) Infections nosocomiales dans un service de brûlés. Résultats d’une enquête prospective d’un an. Annales Françaises d’Anesthésie et de Réanimation, 15, 599-607.

[7]   Taylor, G.D., Kibsey, P. and Kirkland, T. (1992) Predominance of Staphylococcal Organisms in Infections Occurring in a Burns Intensive Care Unit. Burns, 18, 332-335.

[8]   Weber, J.M., Sheridan, L., Pasternack, S. and Tompkins, G. (1997) Nosocomial Infections in Pediatric Patients with Burns. American Journal of Infection Control, 25, 195-201.

[9]   Wenzel, R.P., Thompson, R.L. and Landry, S.M. (1983) Hospital-Acquired Infections in Intensive Care Unit Patients: An Overview with Emphasis on Epidemics. Infection Control, 4, 371-375.

[10]   Mayes, T., Gottschlich, M.M., James, L.E., Allgeier, C., Weitz, J. and Kagan, R.J. (2015) Clinical Safety and Efficacy of Probiotic Administration Following Burn Injury. Journal of Burn Care & Research: Official Publication of the American Burn Association, 36, 92-99.

[11]   de la Cal, M.A., Cerda, E., Garcia-Hierro, P. and Lorente, L. (2001) Pneumonia in Patients with Burns. Chest, 119, 1160-1165.

[12]   Fournier, P.E. and Richet, H. (2006) The Epidemiology and of Control of Acinetobacter baumannii in Health Care Facilities. Clinical Infectious Diseases, 42, 692-699.

[13]   Agnihotri, N., Gupta, V. and Joshi, R.M. (2004) Aerobic Bacterial Isolates from Burn Wound Infections and Their Antibiograms—A Five-Year Study. Burns, 30, 2413.