Study of some clinical, bacteriological and immunological aspects of patients with burn injury in hilla

Abstract EN

During the period between November, 2005 and May, 2006, a total of 78 skin swabs, 48 blood specimens from 78 burn patients, 30 swabs from the burn unit at Al-Hilla General Teaching Hospital, and 12 blood specimens from normal healthy subjects (controls) have been bacteriologically and immunologically studied.

It has been found that Gram negative bacteria are more frequent than Gram positive type in skin, blood and burn unit specimens.

Pseudomonas aeruginosa is the most frequent species among the Gram negative bacteria in skin and burn ward.

On the other hand, Staph.

Aurous is the most frequent isolate among Gram positive bacteria.

The level of Boyd index is more than (80) for the dead cases. It was observed that there is no significant difference (p>0.05) between the effect of silver sulphadiazin (1%) and silver nitrate (0.5%) on bacterial skin isolates.

The most affected bacterial species by SSD is the Staph.

Epidermis's and the least susceptible is Staph.

Aurous, whereas the most affected bacterial species by SN is P.aeruginosa and the least affected are Enterobacter and Staph.

aurous. Immunologically, there is a significant decrease (p<0.05) in the mean level of IgG and IgA.

IgM is not increased (p>0.05) during bacterial infection of burn victims.

Likewise, C3 and C4 complement components are not increased as a mean level for burn victims when compared to that of controls (p>0.05).