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Prevalent Bacterial Organism in the Burn Wound Unit at Mbagathi Hospital, Nairobi Kenya

Received: 13 October 2021     Accepted: 30 October 2021     Published: 10 November 2021
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Abstract

Burn injuries constitute a critical economic burden on healthcare infrastructures worldwide. They are often associated with high mortality rates due to severe complications Burn wounds are commonly infected by microorganisms that delay wound healing which carries considerable mortality and morbidity. The study assessed the prevalent microorganisms causing burn wound infections among hospitalized patients at Mbagathi Hospital, Nairobi Kenya. A cross-sectional descriptive study was carried out between May 2021 and August 2021. It included adult patients in burnt wound unit of age range 18years to70 years. Results from records of pus swabs were used to acquire data on the identification of prevalent bacterial pathogens. Pus swabs were obtained aseptically from 100 consented patients with clinical evidence of burn infections. Gram stain, culture, biochemical tests were done for each pus swab. The preponderant isolate was Staphylococcus aureus (11%), followed by Pseudomonas aeruginosa (7%), Proteus mirabilis (6%), Escherichia coli (5%) and Klebsiella pnemonie spp. (1%). The diversity of microorganisms and the high prevalence of polymicrobic flora in this study give credence to the value of identifying Sone or more bacterial pathogens from wound cultures. Continuous dialogue between the microbiology department and wound care practitioners and education of patients on personal hygiene is strongly advised. Use of molecular techniques to confirm the DNA analogs of the pathogens against the drugs which may assist in the antibiotic therapy resistance is recommended for further research.

Published in Biomedical Sciences (Volume 7, Issue 4)
DOI 10.11648/j.bs.20210704.12
Page(s) 103-107
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Bacterial Pathogens, Burn Injuries, Bacteria Prevalence

References
[1] Azzopardi EA, Azzopardi E, Camilleri L, Villapalos J, Boyce DE, Dickson WA, Whitakers IS (2014). Gram negative wound infection in hospitalized adult burn patients-systematic.
[2] D Avington LC, C. K. (2011). Prevention of infections associated with combat-related burn injuries. J Trauma.
[3] Global, regional and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015. (n.d.). In; a systematic analysis for the Global Burden of Disease Study 2015 (pp. 388: 1545-1602). GBD 2015 Disease and Injury Incidence and Prevalence collaborators. Lancet.
[4] Johnstone, A., Margaret, W. M., Scholastica, M., & Gideon, M. M. (2020). Antibiotic susceptibility patterns of bacteria isolates from post-operative wound infections among patients attending Mama Lucy Kibaki Hospital, Kenya. African Journal of Microbiology Research, 14 (8), 420–425.
[5] Lancet. (2015). Global burden of disease study.
[6] Mutonga, D. M. (2018). Isolation, Sensitivity Patterns and Molecular Characterisation of Bacterial Isolates From Infected Diabetic Foot Ulcers in Patients at Kenyatta National Hospital. Thesis.
[7] World Health Organization. (2019, May). Burns. Retrieved from http://www.who.int/news-room/fact-sheet/detail/burns 2018.
[8] Farina JA, Rosique MJ, Rosique RG. Curbing inflammation in burn patients. 2013).
[9] N. El Hamzaoui, A. Barguigua, S. Larouz and M. Maouloua (2020) Epidemiology of burn wound bacterial infections at a Meknes hospital, Morocco New Microbes and New Infections, Volume 38 Number C, November 2020.
[10] Zafar, U. T. (2019). Characteristics of Proteus mirabilis isolated from patients' wounds. Jundishapur Journal of Microbiology.
[11] Noman A Chaudhary, Muhammad D Munawar, Muhammad T Khan, Kausar Rehan, Abdullah Sadiq, Epidemiology (2019) Bacteriological Profile, and Antibiotic Sensitivity Pattern of Burn Wounds in the Burn Unit of a Tertiary Care Hospital cureus 11 (6).
[12] Cueva, A. R., Pham, O., Diaby, A., Fleming, D., Rumbaugh, K. P., & Fernandes, G. E. (2020). Pyoverdine assay for rapid and early detection of Pseudomonas aeruginosa in burn wounds. ACS Applied Bio Materials, 3 (8), 5350-5356.
[13] Alkam, D., Jenjaroenpun, P., Ramirez, A. M., Beenken, K. E., Spencer, H. J., & Smeltzer, M. S. (2021). The increased accumulation of Staphylococcus aureus virulence factors is maximized in a purR mutant by the increased production of SarA and decreased production of extracellular proteases. Infection and Immunity, 89 (4), e00718-20.
[14] Wanjeri, J. K. (2019). Injuries from burns in Kenya affect mostly children and happen at homes.
[15] Wangai, F. K., Masika, M. M., Maritim, M. C., & Seaton, R. A. (2019). Methicillin-resistant Staphylococcus aureus (MRSA) in East Africa. BioMedical Cetral, Infectious Diseases, 19: 596, 1–10.
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  • APA Style

    Edna Kurgat, Paul Kaeke. (2021). Prevalent Bacterial Organism in the Burn Wound Unit at Mbagathi Hospital, Nairobi Kenya. Biomedical Sciences, 7(4), 103-107. https://doi.org/10.11648/j.bs.20210704.12

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    ACS Style

    Edna Kurgat; Paul Kaeke. Prevalent Bacterial Organism in the Burn Wound Unit at Mbagathi Hospital, Nairobi Kenya. Biomed. Sci. 2021, 7(4), 103-107. doi: 10.11648/j.bs.20210704.12

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    AMA Style

    Edna Kurgat, Paul Kaeke. Prevalent Bacterial Organism in the Burn Wound Unit at Mbagathi Hospital, Nairobi Kenya. Biomed Sci. 2021;7(4):103-107. doi: 10.11648/j.bs.20210704.12

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  • @article{10.11648/j.bs.20210704.12,
      author = {Edna Kurgat and Paul Kaeke},
      title = {Prevalent Bacterial Organism in the Burn Wound Unit at Mbagathi Hospital, Nairobi Kenya},
      journal = {Biomedical Sciences},
      volume = {7},
      number = {4},
      pages = {103-107},
      doi = {10.11648/j.bs.20210704.12},
      url = {https://doi.org/10.11648/j.bs.20210704.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.bs.20210704.12},
      abstract = {Burn injuries constitute a critical economic burden on healthcare infrastructures worldwide. They are often associated with high mortality rates due to severe complications Burn wounds are commonly infected by microorganisms that delay wound healing which carries considerable mortality and morbidity. The study assessed the prevalent microorganisms causing burn wound infections among hospitalized patients at Mbagathi Hospital, Nairobi Kenya. A cross-sectional descriptive study was carried out between May 2021 and August 2021. It included adult patients in burnt wound unit of age range 18years to70 years. Results from records of pus swabs were used to acquire data on the identification of prevalent bacterial pathogens. Pus swabs were obtained aseptically from 100 consented patients with clinical evidence of burn infections. Gram stain, culture, biochemical tests were done for each pus swab. The preponderant isolate was Staphylococcus aureus (11%), followed by Pseudomonas aeruginosa (7%), Proteus mirabilis (6%), Escherichia coli (5%) and Klebsiella pnemonie spp. (1%). The diversity of microorganisms and the high prevalence of polymicrobic flora in this study give credence to the value of identifying Sone or more bacterial pathogens from wound cultures. Continuous dialogue between the microbiology department and wound care practitioners and education of patients on personal hygiene is strongly advised. Use of molecular techniques to confirm the DNA analogs of the pathogens against the drugs which may assist in the antibiotic therapy resistance is recommended for further research.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Prevalent Bacterial Organism in the Burn Wound Unit at Mbagathi Hospital, Nairobi Kenya
    AU  - Edna Kurgat
    AU  - Paul Kaeke
    Y1  - 2021/11/10
    PY  - 2021
    N1  - https://doi.org/10.11648/j.bs.20210704.12
    DO  - 10.11648/j.bs.20210704.12
    T2  - Biomedical Sciences
    JF  - Biomedical Sciences
    JO  - Biomedical Sciences
    SP  - 103
    EP  - 107
    PB  - Science Publishing Group
    SN  - 2575-3932
    UR  - https://doi.org/10.11648/j.bs.20210704.12
    AB  - Burn injuries constitute a critical economic burden on healthcare infrastructures worldwide. They are often associated with high mortality rates due to severe complications Burn wounds are commonly infected by microorganisms that delay wound healing which carries considerable mortality and morbidity. The study assessed the prevalent microorganisms causing burn wound infections among hospitalized patients at Mbagathi Hospital, Nairobi Kenya. A cross-sectional descriptive study was carried out between May 2021 and August 2021. It included adult patients in burnt wound unit of age range 18years to70 years. Results from records of pus swabs were used to acquire data on the identification of prevalent bacterial pathogens. Pus swabs were obtained aseptically from 100 consented patients with clinical evidence of burn infections. Gram stain, culture, biochemical tests were done for each pus swab. The preponderant isolate was Staphylococcus aureus (11%), followed by Pseudomonas aeruginosa (7%), Proteus mirabilis (6%), Escherichia coli (5%) and Klebsiella pnemonie spp. (1%). The diversity of microorganisms and the high prevalence of polymicrobic flora in this study give credence to the value of identifying Sone or more bacterial pathogens from wound cultures. Continuous dialogue between the microbiology department and wound care practitioners and education of patients on personal hygiene is strongly advised. Use of molecular techniques to confirm the DNA analogs of the pathogens against the drugs which may assist in the antibiotic therapy resistance is recommended for further research.
    VL  - 7
    IS  - 4
    ER  - 

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Author Information
  • Department of Medical Laboratory Science, South Eastern Kenya University, Nairobi, Kenya

  • Department of Medical Laboratory Science, South Eastern Kenya University, Nairobi, Kenya

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