ACINETOBACTER BAUMANII NOSOCOMIAL INFECTIONS OF BURNT PATIENTS AT MOHAMED V MILITARY HOSPITAL IN RABAT, MOROCCO
Journal Title: ASIAN JOURNAL OF NATURAL & APPLIED SCIENCES - Year 2017, Vol 6, Issue 2
Abstract
Objectives: The present work aims at bringing out the epidemiological profile of burnt patients infected by Acinetobacter Baumanii and investigating the risky factors related to this pathology. Patients and Methods: This is a retrospective study carried out on 212 burnt and infected patients, hospitalized in Burn Unit at Mohamed V Military Hospital in Rabat, during the period 2004-2012. Among these patients, we registered 50 cases of Acinetobacter Baumanii infection. Results : Among the burnt patients infected by Acinetobacter baumanii, males are significantly more frequent with sex-ratio of 1.5. Moreover, the most concerned age group is 30 to 39 years old. The average age is 37.9±17.7 years old. The results also show that Acinetobacter baumanii is the most resistant to antibiotics, all types together. Indeed, it resisted the antibiotics in 76% of the cases. The study of Unit Burn Standard (UBS) shows that 42% of cases are severed to mortal. Furthermore, Baux index (IB) shows that 44% of cases have bad to the worst prognosis. As for the evolution of patients, 16% of the cases are dead and 50% have a favorable evolution after graft. The statistical analysis reveals that the risk of death in burnt patients infected by Acinetobacter baumanii is three times as high as that of burnt patients infected by other germs (OR= 3.2 ; IC= 1.2-8.9). Besides, women have the risk of death six times as high as men (OR= 6 ; IC= 1.1-33.7). Conclusion: Health authorities in our country may give more importance to the hospital hygiene by motivating and sensitizing all the health system participants.
Authors and Affiliations
S. El Koraichi, A. Arfaoui
Keywords
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