Microbiological profile of urinary tract infection in patients with burn injuries

Rajib Kundu, Swapan Das, Bani P. Chattopadhyay


Background: As per WHO around 1,95,000 people died every year due to burn injuries. After initial 72 hours, Infections are the most common cause of death in patients with burn injuries and urinary tract infection was second most commonly reported infectious complication. This study was tried to determine the pattern of microorganisms responsible for urinary tract infection.

Methods: After matching inclusion and exclusion criteria, total 55 patients were taken for this institution based prospective observational study. Samples were collected on day 7 and cultured aerobically in MacConkey agar and 5% blood agar and antibiotic susceptibility testing was done on Muller Hinton agar using Kirby-Bauer disc diffusion method.

Results: 29.1% samples were positive for microorganisms, of which Escherichia coli was most common isolated organism, it is found in 18.2 % of study population. nitrofurantoin was found to be most effective antibiotic against Escherichia coli.

Conclusions: Gram-negative cocci were most prevalent organisms, causing urinary tract infection in patients with burn injuries. Escherichia coli was most common isolated organism and nitrofurantoin was most effective against it. Overall piperacillin/tazobactam has height sensitivity.


Urinary tract infection, Burn injury, Microbiological profile, Antibiotic sensitivity, UTI

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Mestri SC. Role of Doctors in dowry deaths. JFMT. 1992;3(4):52-9.

Baker CC, Miller CL, Trunkey DD. Predicting fatal sepsis in burn patients. J Trauma. 1979;19:641-8.

Donati L, Scammazo F, Gervasoni M, Magliano A, Stankow B, et al. Infection andantibiotic therapy in 4000 burned patients in Milani Italy between 1976 and 1988. Burns. 1993;4:345-8.

National Burn Repository. Chicago, IL: American Burn Association; 2016.

Anne ML, Christopher GH, David JW, Bruce AC, David van D, Bacterial Infections After Burn Injuries: Impact of Multidrug Resistance. Clin Infect Dis. 2017;65(12):2130-6.

Bhama S, Rajan R, Theodore RJ. A study on bacterial profile of burn wound infections. J Acad Clin Microbiol. 2013;15:54-8

Chakraborty S, Bisoi S, Chattopadhyay D, Mishra R, Bhattacharya N, Biswas B. A study on demographic and clinical profile of burn patients in a Apex institute of West Bengal. Indian J Public Health. 2010;54(1): 27-9.

Jaiswal AK, Aggarwal H, Solanki P, Lubana PS, Mathur RK, Odiya S. Epidemiological and sociocultural study of burn patients in M. Y hospital, Indore, India. Indian J Plast Surg. 2007;40(2):158-63.

Ramakrishnan MK, Sankar J, Venkatraman J, Ramesh J. Infection in burn patients: experience in a tertiary care hospital. Burns. 2006;32:594-6

Ekrami A, Kalantar E. Bacterial infections in burn patients at a burn hospital in Iran. Indian J Med Res. 2007;126:541-4.

Leseva M, Zozikov B. The role of urinary tract infections in burn patients. Khirurgiia (Sofiia). 1998; 53(6):33-7.