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B Maamar1,2, R Abdelmalek3,2, A A Messadi1,2

  • 1Centre de Traumatologie et des Grands Brûlés, Ben Arous, Tunisie.

Annals of Burns and Fire Disasters
|July 10, 2019
PubMed
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Carbapenemase-producing Enterobacteriaceae (CPE) infections are prevalent in burn intensive care units, predominantly caused by NDM carbapenemase. This highlights a significant challenge in managing infections in critically ill burn patients.

Area of Science:

  • Infectious Diseases
  • Critical Care Medicine
  • Microbiology

Context:

  • Burn Intensive Care Unit (BICU) setting
  • Longitudinal study (Jan-June 2017)
  • Focus on critically ill burn patients

Purpose:

  • Determine the prevalence of Carbapenemase-producing Enterobacteriaceae (CPE) infections in burn ICU patients
  • Investigate clinical and biological characteristics of CPE infections
  • Identify predominant carbapenemase types

Summary:

  • Prevalence of CPE infection was 7% among admissions, with an average ICU stay of 12 days prior to infection.
  • Common infections included bacteremia (7 episodes), ventilator-acquired pneumonia (2), and catheter infections (4).
  • NDM carbapenemase was predominant (9/15 strains), with a novel P. stuartii blaNDM strain identified in Tunisia.

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Impact:

  • High prevalence of CPE infections in burn patients underscores the need for enhanced infection control measures.
  • Findings emphasize the significant role of NDM carbapenemase in this patient population.
  • The study contributes to understanding CPE epidemiology and guiding antibiotic therapy in severe burn cases.