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Transient and Resident Microflora of Burn Unit Personnel and Its Influence on Burn Wound Sepsis

Published online by Cambridge University Press:  02 January 2015

John P. Heggers ,
Martin C. Robson ,
Francis Ko ,
JoDell Cook  and
Stuart J.F. Landa
John P. Heggers
Affiliation:
Section of Plastic and Reconstructive Surgery andThe University of Chicago Burn Center, Chicago, Illinois
Martin C. Robson*
Affiliation:
Section of Plastic and Reconstructive Surgery andThe University of Chicago Burn Center, Chicago, Illinois
Francis Ko
Affiliation:
Section of Plastic and Reconstructive Surgery andThe University of Chicago Burn Center, Chicago, Illinois
JoDell Cook
Affiliation:
Section of Plastic and Reconstructive Surgery andThe University of Chicago Burn Center, Chicago, Illinois
Stuart J.F. Landa
Affiliation:
Section of Plastic and Reconstructive Surgery andThe University of Chicago Burn Center, Chicago, Illinois
*
Plastic and Reconstructive Surgery, The University of Chicago, Chicago, IL 60637
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Abstract

The exogenous contamination of a thermally injured patient by contact with the health care team has been a major concern of all burn units. Since the University of Chicago Burn Center routinely monitors each burn injury for sepsis by quantitative bacteriology and recently examined the microbial population present on the hands of the health care team, it was felt that these combined data would shed some pertinent information on exogenous burn wound sepsis.

Twenty-nine patients with clinical burn wound sepsis and a bacterial level of >105 bacteria/gram of tissue were studied. These patients yielded a variety of microorganisms with P. aeruginosa and Staphylococcus aureus being predominant, followed in incidence by Candida albicans. The resident and transient microflora isolated from each member of the health care team treating the specific individual concerned did not correlate with the causative agent of burn wound sepsis. The most frequent isolate from the staff personnel was Staphylococcus epidermidis followed by Micrococcus species.

Though colonization of the thermally injured individual has been reported, these data strongly suggest that colonization is primarily one of an endogenous source rather than that of an exogenous one.

Type
Original Articles
Information
Infection Control & Hospital Epidemiology , Volume 3 , Issue 6 , December 1982 , pp. 471 - 474
Copyright
Copyright © The Society for Healthcare Epidemiology of America 1982

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References

1. Semmelweis, I: Lecture on the genesis of puerperal fever, in Brock, TD (ed): Milestones in Microbiology. Englewood Cliffs, New Jersey, Prentice Hall Inc., 1981, pp 80–82.Google Scholar
2. Lister, J: On the antiseptic principle in the practice of surgery. Br Med J 1867;2:246.Google Scholar
3. Ad Hoc Committee of the Committee on Trauma, Division of Medical Sciences, National Research Council Report: Postoperative wound infection: The influence of ultraviolet irradiation of the operating room and the influence of various other factors. Ann Surg 1964;160(Suppl 1): 1–192.Google Scholar
4. Burke, JF, Quinby, WC, Bondoc, CC, et al: The contribution of a bacterial isolated environment to the prevention of infection in seriously burned patients. Ann Surg 1977;186:377–387.CrossRefGoogle Scholar
5. Gale, D. Broderick, EG, Lamb, BS, et al: Re-evaluation of scrub techniques for pre-operative disinfection of surgeon's hands. Ann Surg 1962;55:107–110.Google Scholar
6. Robson, MC, Heggers, JP: Bacterial quantification of open wounds. Milil Med 1969;134:19–24.Google Scholar
7. Barry, AL, Thornsberry, C: Susceptibility testing: Diffusion test procedures, in Lennette, EH, Balows, A, Hausler, WJ Jr, et al (eds): Manual of Clinical Microbiology, ed 3. Washington, American Society of Microbiology 1980, pp 463–474.Google Scholar
8. Heggers, JP: Microbial invasion –The major ally of war. Natural biological warfare. Milit Med 1978;143:390–394.Google Scholar
9. Krizek, TJ, Davis, JH: Endogenous wound infection. J Trauma 1966;6:239–248.CrossRefGoogle ScholarPubMed
10. Krizek, TJ, Robson, MC: Evolution of quantitative bacteriology in wound management. Am J Surg 1975;130:579–584.Google Scholar