Abstract
Objectives: This study aimed to review the blood stream infections of major burn patients in a tertiary care burn unit to determine the most prevalent infecting organisms in order to have a better empirical therapy protocol. Methods: This retrospective study analysed the blood stream infection of 155 major burn (>20% Total Body Surface Area [TBSA]) patients in Khoula Hospital, Muscat, Oman between January 2014 to December 2019. Results: The median age was 33 years and 57.42% of patients were male. The median TBSA was 38%, mortality was 25.16% and 50.9% of patients had positive blood cultures. The expired patients had higher TBSAs, Abbreviated Burns Severity Index scores and earlier first positive blood cultures. Candida was commonly grown in all the blood cultures, but the most prevalent organisms were Acinetobacter, Staphylococci, Klebsiella, Enterococcus and Pseudomonas. All Acinetobacter species are multidrug resistant. Of the 17 patients who had Kelbsiella grown in the blood culture, 8 grew multidrug-resistant Klebsiella. Only 4 patients’ blood cultures grew methicillin-resistant Staphylococcus aureus. The number of blood culture samples taken ranged between 1–28 (median = 6). The first positive blood culture showed that Staphylococcus epidermidis and Acinetobacter were the most common infecting organisms. Conclusions: Multidrug-resistant Acinetobacter was the most predominant microorganism grown from the blood cultures of major burn patients in a tertiary care burn unit. Empirical therapy should include antibiotics that are effective against this organism to reduce the mortality. Keywords: Infection; Blood; Burn; Multidrug Resistance; Antibiotics; Culture.
Publication details
- DOI
- 10.18295/squmj.12.2023.085
- Journal
- Sultan Qaboos University Medical Journal, 24(1), 99-102
- Publisher
- Sultan Qaboos University
- Open access
- Gold open access
- License
- CC BY-ND 4.0
Cite this article
APA 7
Albusaidi, M. T., Al Jabri, A., Al Hadhrami, A. A., Al Khaldi, M. O., Shummo, M. A., Haridi, K. M., El Din, A. S., Ghawas, S. M., Saleh, A. E., Jacob, J., Alsafy, T., Elias, A. T., & Al-Busaidi, S. (2025). Analysis of Blood Cultures from Major Burns Patients in a Tertiary Care Burn Unit in Oman. Sultan Qaboos University Medical Journal, 24(1), 99-102. https://doi.org/10.18295/squmj.12.2023.085
MLA 9
Albusaidi, Majid T., et al. "Analysis of Blood Cultures from Major Burns Patients in a Tertiary Care Burn Unit in Oman." Sultan Qaboos University Medical Journal, vol. 24, no. 1, 2025, pp. 99-102. https://doi.org/10.18295/squmj.12.2023.085.
Chicago (author–date)
Albusaidi, Majid T., Ahmed Al Jabri, Al Anood Al Hadhrami, Mutazz O. Al Khaldi, Moath A. Shummo, Karim M. Haridi, Ahmed Salah El Din, Salim M. Ghawas, Aml E. Saleh, Joe Jacob, Taif Alsafy, Anish T. Elias, and Said Al-Busaidi. 2025. "Analysis of Blood Cultures from Major Burns Patients in a Tertiary Care Burn Unit in Oman." Sultan Qaboos University Medical Journal 24 (1): 99-102. https://doi.org/10.18295/squmj.12.2023.085.
Harvard
Albusaidi, M. T., Al Jabri, A., Al Hadhrami, A. A., Al Khaldi, M. O., Shummo, M. A., Haridi, K. M., El Din, A. S., Ghawas, S. M., Saleh, A. E., Jacob, J., Alsafy, T., Elias, A. T. and Al-Busaidi, S. (2025) 'Analysis of Blood Cultures from Major Burns Patients in a Tertiary Care Burn Unit in Oman', Sultan Qaboos University Medical Journal, 24(1), pp. 99-102. doi:10.18295/squmj.12.2023.085.
Vancouver
Albusaidi MT, Al Jabri A, Al Hadhrami AA, Al Khaldi MO, Shummo MA, Haridi KM, et al. Analysis of Blood Cultures from Major Burns Patients in a Tertiary Care Burn Unit in Oman. Sultan Qaboos University Medical Journal. 2025;24(1):99-102. doi:10.18295/squmj.12.2023.085
IEEE
M. T. Albusaidi, A. Al Jabri, A. A. Al Hadhrami, M. O. Al Khaldi, M. A. Shummo, K. M. Haridi, A. S. El Din, S. M. Ghawas, A. E. Saleh, J. Jacob, T. Alsafy, A. T. Elias, and S. Al-Busaidi, "Analysis of Blood Cultures from Major Burns Patients in a Tertiary Care Burn Unit in Oman," Sultan Qaboos University Medical Journal, vol. 24, no. 1, pp. 99-102, 2025, doi: 10.18295/squmj.12.2023.085.