The incidence of toxic shock syndrome due to nosocomial methicillin-resistant Staphylococcus aureus infection in burn patients: A four-year retrospective cohort study.

Burns : Journal of the International Society for Burn Injuries
Asako MatsushimaMasashi Ueyama

Abstract

Among adult and pediatric patients, concern is growing in regard to toxic shock syndrome (TSS) resulting from methicillin-resistant Staphylococcus aureus (MRSA) nosocomial infection. We investigated the incidence and characteristics of this form of TSS in patients with burn injury who were admitted to our burn care units from January 2008 to December 2011. Of the 244 patients with nosocomial MRSA infection admitted during the study period, TSS occurred in 20 (8.2%) patients whose average age was 42.9 years, average total burn surface area (TBSA) was 31.7%, and average day of TSS appearance was 9.5 days after injury. There were no particular characteristics associated with age, TBSA or day of TSS appearance in these patients. All but 1 patient recovered from TSS within an average of 9.4 days. The incidence of TSS due to nosocomial MRSA infection in these burn patients was higher than expected. TSS due to nosocomial MRSA infection should be considered in burn care.

References

Apr 7, 2000·Burns : Journal of the International Society for Burn Injuries·V Edwards-JonesC Childs
Oct 15, 2003·Burns : Journal of the International Society for Burn Injuries·Alastair P BrownStephen Sinclair
Aug 19, 2007·The Journal of Hospital Infection·Anne TristanJerome Etienne
Jul 24, 2007·Archives of Disease in Childhood. Education and Practice Edition·Amber E Young, Katharine L Thornton
Dec 29, 2009·Burns : Journal of the International Society for Burn Injuries·Liangliang QuanShigehiko Kawakami
Nov 6, 2013·Emerging Infectious Diseases·Michael A SmitJames K Todd
Aug 6, 2014·Journal of Burn Care & Research : Official Publication of the American Burn Association·Asako MatsushimaMasashi Ueyama
Sep 14, 2018·Clinical Microbiology Reviews·Sahreena Lakhundi, Kunyan Zhang

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