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A Three-Year Retrospective Analysis of Pediatric Burn Infections at UPMC Mercy Burn Center

Shyamalan, Shevaitha T. (2022) A Three-Year Retrospective Analysis of Pediatric Burn Infections at UPMC Mercy Burn Center. Master Essay, University of Pittsburgh.

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Abstract

Background: Burns are serious injuries due to the many ways it can cause short term and long-term damage to victims. Burns leave patients very susceptible to infection, which can further disrupt the healing process. It is possible for patients to acquire infections during their stay. UPMC Mercy has the only American Burn Association-accredited burn center in Western Pennsylvania. Burn data is reported to the American Burn Association’s National Burn Registry (ABA-NBR). Hospital acquired burn infections are reported to the ABA-NBR, as well as to the CDC’s National Healthcare Safety Network (NHSN).
Methods: A three-year descriptive retrospective analysis was done on pediatric patients admitted to UPMC Mercy Burn Center (MBC) from 2018 to 2020. We utilized inclusion criterion of length of stay (LOS) greater than 1 day, total body surface area (TBSA) of 10% or higher, and age less than 18 years on admission. Additional collected data included age, gender, LOS, injury severity score (ISS), mechanism of injury (MOI), positive cultures, antibiotics, and reported hospital-associated infections (HAIs).
Results: MBC evaluated 1,059 patients from 2018 to 2020. The total amount of pediatric burn patients was 208. The number of pediatric burn patients excluded was 181. There were 27 inpatient pediatric burn patients with TBSA’s of 10% or greater. The average: TBSA was 16.3 (SD= 8.58), age was 5 (SD= 5.26), and ISS was 8 (SD= 7.86). There were zero inhalational lung injuries in these patients. Of these 27 patients, 4 patients had confirmed and reported HAIs, one of which were caused by a multidrug resistant organism (MDRO). The most prevalent HAI was CAUTIs/SUTIs. There was 1 confirmed case of child abuse and 29 cases of suspected child abuse or neglect.
Conclusion: The Mercy Burn Center has low HAI rates in pediatric burn victims compared to the national average. The collaboration between the burn team and infection prevention team is the key for better outcomes for burn victims.
Public Health Significance: Child abuse, abandonment, and neglect is a serious public health concern. It is important to study and identify these incidents of child burn abuse and neglect to prevent them.


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Details

Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Shyamalan, Shevaitha T.sts151@pitt.edusts151
Contributors:
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairYassin, Mohamedyassinm@upmc.eduUNSPECIFIEDUNSPECIFIED
Committee MemberDixon, Heatherdixonh2@upmc.eduUNSPECIFIEDUNSPECIFIED
Committee MemberMartinson, Jeremyjmartins@pitt.edujmartinsUNSPECIFIED
Date: 16 May 2022
Date Type: Completion
Number of Pages: 44
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Infectious Diseases and Microbiology
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Uncontrolled Keywords: infection prevention
Date Deposited: 16 May 2022 13:42
Last Modified: 16 May 2022 13:42
URI: http://d-scholarship.pitt.edu/id/eprint/42744

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