Aim:?Analysis of risk factors for and the effect of MRSA colonization on patient outcome and determination of MRSA acquisition and transmission patterns. Methods:?MRSA isolates detected on screening or from clinical samples were collected and stored for genotyping from 2012�C2013 to determine the effect of environmental contamination on MRSA acquisition. Risk factors for MRSA acquisition and effects on clinical outcome were evaluated. Results:?Of 47 patients, 18 (38.3%) tested positive for MRSA. MRSA(+) patients had significantly higher TBSA (25.75% vs. 17.0%; P = 0.04), longer intubation periods (4.5 vs. 3?d; P = 0.05) and significantly Cytoskeletal Signaling inhibitor
longer overall total hospital length of stay (?[LOS]; 33.5 vs. 13?d; P < 0.001). Increased TBSA (OR 1.10, 95%CI 1.01�C1.17; P = 0.002) and cardiologic comorbidities (OR 3.60, 95%CI 1.61�C6.74; P = 0.0001) were independent prognosticators of MRSA colonization on multivariate analysis. MRSA type 13184 predominated both clinical and environmental isolates. Two patients acquired this MRSA strain in the ICU and started transmission chains in the BU. Conclusion:?Patients with increased TBSA and more comorbidities were more likely to acquire MRSA. Despite intensive infection control practices, MRSA transmission chains could not be disrupted. Evidence of transmission from the environment mandates a review of environmental cleaning practices, as MRSA acquisition and transmission potentially infers click here
higher treatment costs by increasing hospital length of stay. Miguel Cabalag, Jason Wasiak, Quaderi Syed, Eldho Paul, Heather Cleland and Anthony Hall Victorian Adult Burns Service, Victoria Introduction:?The surgical management of severe ocular burns is challenging and often associated with variable long-term outcome. The aims of this study were to analyse the clinical course of these injuries and determine the risk factors for requiring surgery. Methods:?A retrospective records review was conducted for patients admitted to Cobimetinib
the Victorian Adult Burns Service (VABS), with ocular and/or peri-orbital burns, from January 2000 to January 2010. Logistic regression analyses were used to identify risk factors associated with the need for surgery. Results:?One hundred and thirty-one patients were admitted with ocular and/or peri-orbital burns, 17 (13.0%) of which required surgery. The most common early complication requiring surgery was ectropion (n = 9) and the most frequent procedure was full-thickness skin grafts to the eyelids. Almost all patients managed surgically developed late ocular complications (n = 12/13), the most frequent being visual loss and recurrent ectropion (n = 7 each). Significant predictors for surgery included increasing severity of eyelid burns (OR 17.6 CI 95% 4.9�C63.7), lagophthalmos (OR 35.7 CI 95% 9.2�C137.9), ectropion (OR 184.9 CI 95% 20.2�C1791.1), increasing severity of corneal injury (OR 2.4 CI 95% 1.4�C4.