Document Detail


The effect of a changed environment on bacterial colonization rates in an established burns centre.
MedLine Citation:
PMID:  4993291     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In an established burns centre which moved from an old building to new purpose-designed premises, colonization rates of patients' burns with Staphylococcus aureus, Pseudomonas aeruginosa and other Gram-negative bacilli were not reduced. Colonization rates with Streptococcus pyogenes increased but the increase was mainly due to multiple importations in the new premises of a strain of higher communicability than any seen in the old.In the first 32 months in the new environment 10 patients were found colonized with pseudomonas on admission and 20 became colonized in the unit. A much higher proportion of patients with burns of more than 30% body surface became colonized than of patients with less. About one-third of the above 20 patients became colonized with strains already isolated from another patient; all but one of them had small area burns. Cross-infection was not observed from numerous heavily colonized patients with high percentage burns. This paradox is discussed in detail. Basin outflows in the new premises became colonized with P. aeruginosa of two serotypes not found on patients in this unit.
Authors:
P J Wormald
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of hygiene     Volume:  68     ISSN:  0022-1724     ISO Abbreviation:  J Hyg (Lond)     Publication Date:  1970 Dec 
Date Detail:
Created Date:  1971-03-12     Completed Date:  1971-03-12     Revised Date:  2010-09-10    
Medline Journal Info:
Nlm Unique ID:  0375374     Medline TA:  J Hyg (Lond)     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  633-45     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Body Surface Area
Burns / complications*
Cross Infection / epidemiology*
Hospital Design and Construction*
Humans
Pseudomonas Infections / epidemiology
Pseudomonas aeruginosa
Sewage
Staphylococcal Infections / epidemiology
Streptococcal Infections / epidemiology
Streptococcus pyogenes
Wound Infection / epidemiology*
Chemical
Reg. No./Substance:
0/Sewage
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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