Dissemination of Bacillus cereus in the burn unit due to contaminated non-sterile gloves

Wound infection among children with moderate burns - An explorative review of the association between reported frequency and diagnosis

INTRODUCTION

The Linkoping burn centre in Sweden has, even though being a high income country, reported high burn wound infections (BWI) frequencies in scalded children compared to similar populations in other parts of the world.

AIM

The aim was to investigate possible explanations for differences in frequency of BWI among children with partial thickness burns treated at the Linköping burn centre in Sweden, and that reported in other studies.

METHOD

In order to investigate what BWI criteria that were used in similar studies a literature search on PubMed Central was done along with a retrospective analysis of children previously diagnosed as infected to confirm or reject the high infection frequency reported earlier.

RESULT

Of the 34 selected publications reporting on BWI frequency 16 (47%) did not define a criteria for the BWI diagnosis and almost a third did not report on wound culturing. Of those who did report the use a third do not mention any bacterial growth found is these cultures. The retrospective analysis on children at the centre did not show any decrease in infection frequency even with some disagreement on onset for the BWI.

CONCLUSION

The reporting of criteria and diagnosis of burn wound infection is highly variable making it difficult to interpret results and come to conclusions. The high frequency of BWI at the centre might be a result of close monitoring due to study participation, use of clean instead of sterile routine at dressing changes or low thresholds for the diagnosis in respect to changes in infection markers.

Bacterial Contamination of an Automated Pharmacy Robot Used for Intravenous Medication Preparation

Multiple cultures were positive forBacillus cereusduring routine quality assurance testing of a pharmacy robot that prepares intravenous medications. An investigation confirmed bacterial contamination of the robot as well as drug product made by the robot. The process and outcomes of the investigation are described in this report.

The analysis of distribution of multidrug resistant Pseudomonas and Bacillus species from burn patients and burn ward environment

INTRODUCTION

Infections caused by multidrug resistant bacteria act as a risk factor for mortality in burns patients. So keeping in view the crucial importance of reliable therapeutic decisions of multidrug resistance bacteria and role of hospital environment in bacteria colonization, our study is based on the evaluation of distribution of Pseudomonas sp. and Bacillus sp. in burn patients and burn ward environment.

METHODS

The present prospective analysis was conducted on the patients undergoing treatment in the Burn ward of Pt. B.D. Sharma University of Health Sciences, Rohtak, Haryana, during the period of January 2012 to March 2013. The multidrug resistant bacteria were characterized by following the CLSI guidelines. Molecular identification isolates were done by amplifying and sequencing 16S rDNA.

RESULTS

In our study out of 510 samples of 280 burn patients, 263 samples were observed sterile and bacterial isolates were obtained from 247 samples. In burn patients out of 247 samples 43 MDR strains, and in burn ward out of 60 samples 4 MDR strain were observed. After 16S rDNA amplification of MDR isolates the prevalent bacterium was belonged to the genus Bacillus (8 species; 26 isolates) followed by genus Pseudomonas (5 species; 17 isolates). The burn ward environment isolates were Pseudomonas aeruginosa, Pseudomonas stutzeri, Bacillus cereus and Acinetobacter baumanii.

CONCLUSION

The major finding of our study is the predominance of B. cereus followed by P. aeruginosa in burn patients of Pt. B.D. Sharma University of Health Sciences, Rohtak, Haryana. While considering the role of hospital environment, no direct role of environmental isolates was observed in transfer of bacterial infection.