This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Citing articles on HighWire  • Citing articles on Web of Science (37)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

LTC Khan Z. Shirani, MC; Albert T. McManus, PhD; LTC George M. Vaughan, MC; COL William F. McManus, MC; COL Basil A. Pruitt, Jr, MC; Arthur D. Mason, Jr, MD

Arch Surg. 1986;121(1):31-36.

Abstract
• Burn patients in an early cohort (n =173) treated in an intensive care ward without separate enclosures were compared with a later cohort (n = 213) treated in a renovated unit with separate bed enclosures. The number of patients developing infection was significantly reduced in the late group. Observed mortality was compared with mortality predicted on the basis of burn size and age alone. Reduction in observed compared with predicted mortality, inapparent in the early group, was seen in the late group and was restricted to the subgroup of patients with predicted mortality of 25% to 75%, in which the observed mortality of 28.3% was less than the predicted mortality of 48.7%. The incidence of infected patients was reduced from 58.1% in the early cohort to 30.4% in the late cohort. In comparison of the early cohort with the late cohort, the overall proportion of patients with bacteremia was reduced from 20.1% to 9.4%, while the incidences of both pneumonia and burn wound invasion remained unchanged. Providencia and Pseudomonas species, endemic in the early cohort, were eliminated in the late cohort. Reduction of infection by environmental manipulation in burn patients was possible and was associated with improved survival.

(Arch Surg 1986;121:31-36)

Author Affiliations
USA; USA; USA; USA

From the US Army Institute of Surgical Research, Fort Sam Houston, Tex.

Footnotes
Accepted for publication Aug 26, 1985.

Read before the Fifth Annual Meeting of the Surgical Infection Society, New Orleans, April 29, 1985.

The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Army or the Department of Defense.

Reprint requests to Library Branch, US Army Institute of Surgical Research, Fort Sam Houston, TX 78234-6200.

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Advantages and Disadvantages of Single-Versus Multiple-Occupancy Rooms in Acute Care Environments: A Review and Analysis of the Literature
Chaudhury et al.
Environment and Behavior 2005;37:760-786.
ABSTRACT  

Observations on the Risk of Resistance With the Extended Use of Vancomycin
McManus et al.
Arch Surg 1998;133:1207-1211.
ABSTRACT | FULL TEXT  

A Decade of Reduced Gram-negative Infections and Mortality Associated With Improved Isolation of Burned Patients
McManus et al.
Arch Surg 1994;129:1306-1309.
ABSTRACT  

Improved Survival of Burned Patients With Inhalation Injury
Rue et al.
Arch Surg 1993;128:772-780.
ABSTRACT  

What's in a Name? Is Methicillin-Resistant Staphylococcus aureus Just Another S aureus When Treated With Vancomycin?
McManus et al.
Arch Surg 1989;124:1456-1459.
ABSTRACT  

Effect of Bacteremia on Mortality After Thermal Injury
Sittig and Deitch
Arch Surg 1988;123:1367-1370.
ABSTRACT  

Burn Wound Sepsis
Hansbrough
J Intensive Care Med 1987;2:313-327.
ABSTRACT