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Related Concept Videos

Burn Injuries01:22

Burn Injuries

Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
Healing II: Complications01:24

Healing II: Complications

Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...
Skin Diseases and Disorders01:23

Skin Diseases and Disorders

Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Staphylococcal Skin Infections01:29

Staphylococcal Skin Infections

Staphylococcus aureus is a Gram-positive coccus that resides harmlessly on the skin and mucous membranes of healthy individuals. When the skin barrier is breached, it can shift from a commensal to an opportunistic pathogen. This transition is facilitated by surface adhesins, such as clumping factor B and S. aureus surface protein G (SasG), which bind to structural proteins, including loricrin and cytokeratin, in the damaged epidermis. Protein A, another key factor, binds the Fc region of...
Diabetic Foot Ulcer01:31

Diabetic Foot Ulcer

Definition A diabetic foot ulcer (DFU) is a chronic, non-healing wound that develops in individuals with diabetes. It typically occurs on pressure-bearing areas such as the heel, metatarsal heads, or hallux, and carries a high risk of infection and amputation.Pathophysiology • The development of DFUs can be explained by four interconnected mechanisms: neuropathy, ischemia, infection, and impaired wound healing. • Neuropathy is the most common factor. Sensory neuropathy reduces pain perception,...
Cellular Injury IV: Necrosis01:16

Cellular Injury IV: Necrosis

Necrosis is a form of irreversible cell death caused by severe injury such as ischemia, toxins, or trauma. Unlike programmed cell death, it is an uncontrolled, pathological process that typically provokes inflammation in surrounding tissues.Pathophysiologic ChangesNecrosis begins when cells sustain critical damage, leading to swelling of organelles, particularly mitochondria, and rapid ATP depletion. As energy levels decline, membrane ion pumps fail, leading to calcium influx and eventually,...

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Related Experiment Video

Updated: May 27, 2026

Rat Burn Model to Study Full-Thickness Cutaneous Thermal Burn and Infection
08:40

Rat Burn Model to Study Full-Thickness Cutaneous Thermal Burn and Infection

Published on: August 23, 2022

Pathogenic alteration in severe burn wounds.

Yang Fu1, Bing Xie, DaoFeng Ben

  • 1Burn Center, Changhai Hospital, Second Military Medical University, Shanghai 200433, China.

Burns : Journal of the International Society for Burn Injuries
|November 22, 2011
PubMed
Summary
This summary is machine-generated.

This 12-year study tracked bacterial changes in severe burn wounds, finding Staphylococcus aureus and Acinetobacter baumannii increased over time. Antibiotic resistance patterns shifted, with Vancomycin remaining effective against Staphylococcus aureus.

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Area of Science:

  • Infectious Diseases
  • Microbiology
  • Burn Care

Background:

  • Bacterial infections are a major complication in severe burn patients.
  • Understanding temporal trends in bacterial pathogens and their resistance is crucial for effective treatment.
  • Local microbial epidemiology in burn centers can vary significantly.

Purpose of the Study:

  • To analyze the 12-year trend of bacterial alterations and resistance in severe burn wounds.
  • To identify shifts in the prevalence of common bacterial pathogens over time.
  • To evaluate antibiotic sensitivity patterns in relation to identified bacterial changes.

Main Methods:

  • Retrospective analysis of microbiological data from severe burn patients (1998-2009).
  • Identification and quantification of 3615 microbial isolates.
  • Comparison of bacterial species ratios and antibiotic resistance rates between two 6-year periods (1998-2003 and 2004-2009).

Main Results:

  • Staphylococcus aureus (38.2%) and Acinetobacter baumannii (16.2%) were the most frequent pathogens.
  • S. aureus and A. baumannii prevalence increased significantly between weeks 1-8 of hospitalization.
  • Vancomycin demonstrated consistent sensitivity against Staphylococcus aureus, including MRSA.

Conclusions:

  • Bacterial composition in severe burn wounds evolves over the course of hospitalization.
  • Acinetobacter baumannii infections often manifest later (around 4 weeks post-admission).
  • Antibiotic usage patterns likely influence observed trends in bacterial resistance and prevalence.