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The incidence of toxic shock syndrome due to nosocomial methicillin-resistant Staphylococcus aureus infection in burn patients: A four-year retrospective cohort study.

Authors
  • Matsushima, Asako1
  • Kuroki, Yuichi2
  • Nakajima, Shinji3
  • Kojima, Hiroki4
  • Seki, Tadahiko5
  • Ueyama, Masashi6
  • 1 Department of Advancing Acute Medicine, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya 467-8602, Japan. Electronic address: [email protected] , (Japan)
  • 2 Department of Trauma, Critical Care Medicine and Burn Center, Japan Community Health Care Organization, Chukyo Hospital, 1-1-10 Sanjo, Minami-ku, Nagoya-city 457-8510, Japan. Electronic address: [email protected] , (Japan)
  • 3 Department of Trauma, Critical Care Medicine and Burn Center, Japan Community Health Care Organization, Chukyo Hospital, 1-1-10 Sanjo, Minami-ku, Nagoya-city 457-8510, Japan. Electronic address: [email protected] , (Japan)
  • 4 Aichi Medical University Hospital, 1-1 Iwasakukarimata, Nagakute-city, Aichi 480-1195, Japan. Electronic address: [email protected] , (Japan)
  • 5 Department of Emergency and Critical Care Medicine, Nara Prefecture General Medical Center, 1-30-1 Hiramatsu, Nara-city, Nara 631-0846, Japan. Electronic address: [email protected] , (Japan)
  • 6 Department of Trauma, Critical Care Medicine and Burn Center, Japan Community Health Care Organization, Chukyo Hospital, 1-1-10 Sanjo, Minami-ku, Nagoya-city 457-8510, Japan. Electronic address: [email protected] , (Japan)
Type
Published Article
Journal
Burns : journal of the International Society for Burn Injuries
Publication Date
Mar 01, 2021
Volume
47
Issue
2
Pages
402–407
Identifiers
DOI: 10.1016/j.burns.2020.07.005
PMID: 32693927
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Among adult and pediatric patients, concern is growing in regard to toxic shock syndrome (TSS) resulting from methicillin-resistant Staphylococcus aureus (MRSA) nosocomial infection. We investigated the incidence and characteristics of this form of TSS in patients with burn injury who were admitted to our burn care units from January 2008 to December 2011. Of the 244 patients with nosocomial MRSA infection admitted during the study period, TSS occurred in 20 (8.2%) patients whose average age was 42.9 years, average total burn surface area (TBSA) was 31.7%, and average day of TSS appearance was 9.5 days after injury. There were no particular characteristics associated with age, TBSA or day of TSS appearance in these patients. All but 1 patient recovered from TSS within an average of 9.4 days. The incidence of TSS due to nosocomial MRSA infection in these burn patients was higher than expected. TSS due to nosocomial MRSA infection should be considered in burn care. Copyright © 2020 Elsevier Ltd and ISBI. All rights reserved.

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