Bir çocuk yanık merkezinde hastaların kültürlerinde üreyen mikroorganizmalar ve mortaliteye etkileri

Aim: Contemporarily, burn patients are lost mostly due to emerging infections following burns. The aim of this study is to reveal causative agents of infections and their effects on mortality in hospitalized burn patients in our  children burn center. Material and method: In our study, the files and computer records of the 503 children who were hospitalized in our children burn center between January 2009 and August 2013 were evaluated retrospectively. Patients’ characteristics including age, sex, cause of burn, percentage of burn, the number of hospitalization days, whether or not an infection occured, blood tests, wound swabs, urine and catheter cultures,whether or not antibiotics and / or antifungal therapy was received were evaluated, retrospectively. Results: Our mortality rate was found 2.2% (n=11). The most frequent cause of death was found as infections (54.5% ; n=6). In wound cultures of six patients who died due to infections, the most isolated bacteria was Acinetobacter baumannii (28.6%), in blood cultures the most isolated bacteria was Pseudomonas aureginosa (21.4%), and in catheter cultures Acinetobacter baumannii, Candida spp.,  Enterococcus spp. and Streptococcus spp. were isolated in equal proportions. Conclusion: Burn patients form the group with high morbidity and mortality in critically ill patients in the hospital setting. Infections in pediatric burn patients continue to be the most common cause of morbidity and mortality. Key words: Children, burn, culture, infection, sepsis, mortality.