Risk Factors for Healthcare-Associated Infections in Adult Burn Patients

Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America
Paula D StrassleDavid van Duin

Abstract

OBJECTIVE Burn patients are particularly vulnerable to infection, and an estimated half of all burn deaths are due to infections. This study explored risk factors for healthcare-associated infections (HAIs) in adult burn patients. DESIGN Retrospective cohort study. SETTING Tertiary-care burn center. PATIENTS Adults (≥18 years old) admitted with burn injury for at least 2 days between 2004 and 2013. METHODS HAIs were determined in real-time by infection preventionists using Centers for Disease Control and Prevention criteria. Multivariable Cox proportional hazards regression was used to estimate the direct effect of each risk factor on time to HAI, with inverse probability of censor weights to address potentially informative censoring. Effect measure modification by burn size was also assessed. RESULTS Overall, 4,426 patients met inclusion criteria, and 349 (7.9%) patients had at least 1 HAI within 60 days of admission. Compared to 6 times as likely to acquire an HAI (HR, 6.38; 95% CI, 3.64-11.17); and patients with >20% TBSA were >10 times as likely to acquire an HAI (HR, 10.33; 95% CI, 5.74-18.60). Patients with inhalational injury were 1.5 times as likely to acquire an HAI (HR, 1.61; 95% CI, 1.17-2.22). The effect of inhalati...Continue Reading

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Jul 16, 2014·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·David van DuinBruce A Cairns
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Oct 16, 2016·American Journal of Infection Control·David van DuinSamuel W Jones

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Citations

Jun 12, 2020·Burns : Journal of the International Society for Burn Injuries·Joseph BourgiGeorges Ghanimé
Jul 1, 2020·Burns : Journal of the International Society for Burn Injuries·Kevin Escandón-VargasJuan P Tróchez
Apr 23, 2021·Journal of Burn Care & Research : Official Publication of the American Burn Association·Felicia N WilliamsBooker King

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