Features of nosocomial infections in patients with severe burn injury

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Abstract

Nosocomial infections in patients with burn injury is one of the leading problems of modern healthcare. In terms of prevalence, they exceed those in patients with any other pathology. In the conditions of man-made disasters and in everyday life, violation of safety rules leads to burn injury.

To study the prevalence of nosocomial infections in patients with burns, identify risk factors and evaluate the effectiveness of the existing system of epidemiological surveillance of these infections, an analysis of publications on this topic on several information resources was carried out: eLibrary.ru, Google Scholar, PubMed and NCBI.

It was found that the most common form of nosocomial infections in burn patients is a burn wound infection, which is treated by 38.8%, lower respiratory tract infections, including those associated with ventilation aids (19.7%), are in the second position, and bloodstream infections (8.1%) are in the third position. Urinary tract infections do not occupy such a significant place, however, their significant prevalence among patients outside the intensive care and intensive care units has been noted in foreign literature. Despite the available data on the prevalence of certain clinical forms of nosocomial infections, data on risk factors and a number of problematic issues that may be the subject of discussion and require their solution remain controversial. The risks of death are high due to the specifics of burn injury, with its frequent combination with inhalation trauma.

The system of epidemiological surveillance of nosocomial infections in burn centers, including in the intensive care and intensive care units, has some differences in approaches to identifying, recording, registering, and collecting information about the place and time of the greatest risk.

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About the authors

Alla A. Golubkova

Central Research Institute of Epidemiology

Email: allagolubkova@yandex.ru
ORCID iD: 0000-0003-4812-2165
SPIN-code: 6133-2572
https://rjeid.com/1560-9529/author/saveSubmit/4

MD, Dr. Sci. (Med.), Professor

Russian Federation, Moscow

Yuliya Y. Kutlaeva

Ural State Medical University

Author for correspondence.
Email: nostra.87@mail.ru
ORCID iD: 0000-0002-7090-3534
SPIN-code: 6072-1637
https://rjeid.com/1560-9529/user/registerUser#

MD, Cand. Sci. (Med.)

Russian Federation, 3, Repin street, Ekaterinburg, 620028

Vladimir A. Bagin

City Clinical Hospital Nо 40

Email: baginvla@gmail.com
ORCID iD: 0000-0002-5290-1519
SPIN-code: 2190-6891

MD, Cand. Sci. (Med.)

Russian Federation, Ekaterinburg

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