The prevalence and frequency of nosocomial infection in the burn ward of Ayatollah Mousavi Hospital in Zanjan between 2013 and 2019

Introduction: Nosocomial infection is one of the prevalent cases in burn patients which causes high mortality. This study aims to evaluate the prevalence and frequency of nosocomial infection in the burn ward of Ayatollah Mousavi Hospital in Zanjan between 2013-2019.Method: This is a descriptive study and its statistical population includes all burn patients admitted to the burn ward of Ayatollah Mousavi Hospital in Zanjan between 2013-2019. After 72 hours of hospitalization, sterile biopsy was performed to identify infection and culture of the specimen in the hospital laboratory to determine the presence and absence of infection due to burn wounds and the type of infectious agent. The laboratory data were collected and analyzed in SPSS version 20 software.Findings: Of 1915 hospitalized burn patients between the years 2013-2019, 300 patients had burn infection, of which 204 (68%) were male and 96 (32%) were female with mean age of 27.66 ± 21.29 and 27.86±25/78, respectively. 55.91% of them were urban and the rest were rural. The mean burn rate in males was 18.93±13.95 and in females was 17.85 ± 12.37 and the highest number of burns in the first 6 months was 56.33% compared to the second 6 months.The most common cause of infection in both genders was Staphylococcus aureus bacterium. 58 (29.74%) males and 33 (35.48%) females and 91 (31.59%) patients were totally infected with this bacterium and Escherichia coli bacterium (Ecoli) was the second most common infectious agent. 48 men (24.61%) and 25 women (26.88%) were infected with this bacterium. Invasive actions in these patients were to insert intravenous (IV) catheters in 176 (69/01%) patients and intravenous catheters followed by Foley s catheter in 14 (5.49%) patients. To identify the infection, 281 (94.61%) specimen were cultured from the wound site and the rest of the cultures were taken from urine and blood specimen.Discussion: Staphylococcus aureus and Escherichia coli (Ecoli) bacteria are the most common causes of infection among burn patients. Therefore, identifying the causes of infection in burn patients and taking the necessary measures to prevent and treat these patients lead to the reduction of mortality rate, treatment duration, and hospital costs.

کلیدواژه ها:

Frequency ، Prevalence ، Infection ، Burning