Risk Factors Associated with Wound Infections in Burned Children

Nesren S.M.  Bahnsawy; Afkar Ragab  Mohammed; Hadeer  Ibrahim; Reda A. A.  Younis

doi:10.31674/mjn.2023.v14i04.011

Authors

Nesren S.M. Bahnsawy 1King Saud Bin Abdulaziz University for Health Sciences, KSA, Riyadh 11481, Saudi Arabia; King Abdullah International Medical Research Center, Ministry of the National Guard, Health Affairs, College of Nursing, Riyadh 11481, Saudi Arabia; Faculty of Nursing, Cairo University, Giza Governorate 12613, Egypt
Afkar Ragab Mohammed Faculty of Nursing, Cairo University, Giza Governorate 12613, Egypt
Hadeer Ibrahim Temay Elmdid Central Hospital, Tmy Al Amdeed Dakahlia Governorate 35729, Egypt
Reda A. A. Younis Faculty of Medicine, Mansoura University, El Gomhouria St, Dakahlia Governorate 35516, Egypt

DOI:

https://doi.org/10.31674/mjn.2023.v14i04.011

Abstract

Background: Burns in children are a massive problem in Egypt. Nowadays, infections account for 51% of the overall fatalities and are the second leading cause of mortality and morbidity after burn injuries. Aim: to identify risk factors associated with wound infection in burned children. Methods: An exploratory descriptive research design was adopted for this study. At the burn and plastic surgery center of El-Mansoura University Hospitals, this study was conducted. Based on specific inclusion criteria, a purposive sample of 75 hospitalized burned children and a convenient sample of 30 nurses participated. Three main tool parts were utilized. Part I: Questionnaire Sheet: Personal information regarding burned children and personal information about nurses who care for hospitalized burned children. Part II: Health Profile Assessment Sheet covered information about a hospitalized burned child. Part III: Checklist of Observations was adapted from the Egyptian Ministry of Health's Infection Control Checklist. Results: The mean age of the burned children was 3.94 ±1.66 years. Two-thirds of the children were male. Pseudomonas infections cause about half of all burn infections. There was a statistically significant relationship between the nurses' practice score and the burn characteristics of burned children three days after admission to the unit. The nurses' practice scores and the length of time that children stay in hospitals were statistically related. Conclusion: Poor hand hygiene was the most significant contributing factor in acquiring infections, as was a lack of adherence to the wearing of Personal Protective Equipment (PPE) and contact isolation precautions not carried out.

Keywords:

Risk Factors, Burned Children, Infection

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References

American Burn Association. (2021). The American Burn Association Delivers High-Quality Educational Programs to Meet the Needs of the Entire Burn Care Team. https://ameriburn.org/education/

Aubusson, L. (2016). Boy Suffers Second-Degree Burns After Mum Fills Up His Pool. Kidspot. https://www.kidspot.com.au/lifestyle/family-health/boy-suffers-seconddegree-burns-after-mum-fills-up-his-pool/news-story/7eea4f7a77927bc1e8db308129c78c6d

Babakir-Mina, M. (2017). Characteristics of Burn Injury and Factors in Relation to Infection Among Pediatric Patients. MOJ Gerontol Geriatr, 1(3), 57-66. https://doi.org/10.15406/mojgg.2017.01.00013

Coetzee, E., Rode, H., & Kahn, D. (2013). Pseudomonas Aeruginosa Burn Wound Infection in a Dedicated Paediatric Burns Unit. South African Journal of Surgery, 51(2), 50-53. https://doi.org/10.7196/sajs.1134‏

Ebenezer, R., Princess, I., Vadala, R., Kumar, S., Ramakrishnan, N., & Krishnan, G. (2019). Microbiological Profile of Infections in A Tertiary Care Burns Unit. Indian Journal of Critical Care Medicine: Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine, 23(9), 405. https://doi.org/10.5005/jp-journals-10071-23234

El-Badawy, A., & Mabrouk, A. R. (1998). Epidemiology of Childhood Burns in The Burn Unit of Ain Shams University in Cairo, Egypt. Burns, 24(8), 728-732. https://doi.org/10.1016/s0305-4179(98)00097-7

Elmassry, M. M., Mudaliar, N. S., Colmer-Hamood, J. A., San Francisco, M. J., Griswold, J. A., Dissanaike, S., & Hamood, A. N. (2020). New Markers for Sepsis Caused by Pseudomonas Aeruginosa During Burn Infection. Metabolomics, 16, 1-16. https://doi.org/10.1007/s11306-020-01658-2

Fabia, R (2022). Surgical Treatment of Burns in Children. Medscape. https://reference.medscape.com/article/934173

Fernandez, R., Green, H. L., Griffiths, R., Atkinson, R. A., & Ellwood, L. J. (2022). Water for Wound Cleansing. Cochrane Database of Systematic Reviews, (9). https://doi.org/10.1002/14651858

Forson, O. A., Ayanka, E., Olu-Taiwo, M., Pappoe-Ashong, P. J., & Ayeh-Kumi, P. J. (2017). Bacterial Infections in Burn Wound Patients at A Tertiary Teaching Hospital in Accra, Ghana. Annals of Burns and Fire Disasters, 30(2), 116. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5627548/

Hashish, R. K., & Abdel-Karim, R. I. (2017). A Study of Burn Injuries in Patients Admitted to the Burn Unit, Suez Canal University Hospital: Medico-Legal Perspectives. Mansoura Journal of Forensic Medicine and Clinical Toxicology, 25(1), 79-91. https://dx.doi.org/10.21608/mjfmct.2018.47272

Ibrahim, MAK & Bahnsawy, NSM (2021). The Impact of Handwashing Guidelines on Pediatric Nurses' Knowledge and Practices in the Operating Room at Cairo University Specialized Pediatric Hospital. International Journal of Research in Paediatric Nursing, 3(2), 58-65. https://doi.org/10.33545/26641291.2021.v3.i2b.76

Kawalec, A. M., & Pawlas, K. (2022). Socioeconomic Characteristic of Burned Children Families. Annals of Agricultural and Environmental Medicine, 29(3), 417-423. https://doi.org/10.26444/aaem/151018

Lachiewicz, A. M., Hauck, C. G., Weber, D. J., Cairns, B. A., & Van Duin, D. (2017). Bacterial Infections After Burn Injuries: Impact of Multidrug Resistance. Clinical Infectious Diseases, 65(12), 2130-2136. https://doi.org/10.1093/cid/cix682

Mohammed, R. K., Hassan, M. S., & Mohammed, I. R. (2021). Nurses' Knowledge, Practice, and Attitude Regarding Burn Injury Management. Minia Scientific Nursing Journal, 9(1), 97-103. https://doi.org/10.21608/msnj.2021.189435

Mehta, M., & Tudor, G. J. (2019). Parkland Formula. Parkland Formula - PubMed (nih.gov)

Norbury, W., Herndon, D. N., Tanksley, J., Jeschke, M. G., Finnerty, C. C., & Scientific Study Committee of The Surgical Infection Society. (2016). Infection in burns. Surgical Infections, 17(2), 250-255. https://doi.org/10.1089/sur.2013.134

Nunez Lopez, O., Cambiaso-Daniel, J., Branski, L. K., Norbury, W. B., & Herndon, D. N. (2017). Predicting and Managing Sepsis in Burn Patients: Current Perspectives. Therapeutics and Clinical Risk Management, 1107-1117. https://doi.org/10.2147/TCRM.S119938

Pomeroy, S., & Young, A. (2015). Treating Burn Wound Infections in Children. https://www.nursinginpractice.com/clinical/treating-burn-wound-infections-in-children/

Qureshi, S. (2020). Pseudomonas Aeruginosa Infections. Medscape. https://emedicine.medscape.com/article/226748-overview.

Rosanova, M. T., Stamboulian, D., & Lede, R. (2017). Risk Factors for Infection and Mortality in Burned Children: Where are We Going. Ann Burns and Trauma, 1(1), 1002. https://www.researchgate.net/publication/320101892

Sharma, S., Datta, P., Gupta, V., Kumari, P., Kaur, G., & Chander, J. (2021). Characterization of Bacteriological Isolates from Patients and Environment Samples of Burn Ward: A Study from a Tertiary Care Hospital of India. Infectious Disorders-Drug Targets (Formerly Current Drug Targets-Infectious Disorders), 21(2), 238-242. https://dx.doi.org/10.2174/1871526520666200609120659

Strauss, S., & Gillespie, G. L. (2018). Initial Assessment and Management of Burn Patients: Your Quick Action Can Help Decrease Morbidity and Mortality, Shorten Hospital Stays, and Reduce Costs. American Nurse Today, 13(6), 15-20. https://www.americannursetoday.com/initial-assessment-mgmt-burn-patients/

World Health Organization (May 2022). Burns. https://www.who.int/news-room/fact-sheets/detail/burns