Non-Candida Fungal Wound Cultures in a Regional Burn Intensive Care Unit, 2008-2012 (original) (raw)

Abstract

Background: Fungal infection is a rare but life threatening finding in burn patients. While most current literature focuses on incidence, risk, and mortality of fungal burn wound infections, the topics of surveillance and prevention are largely ignored. The Johns Hopkins Burn Center is a ten-bed regional burn center that sees over 400 admissions annually. In our burn center patients undergo regular wound inspection and wound cultures are obtained based on clinical suspicion. Additionally, patients with burns greater than 40% total body surface area (TBSA) receive oral fluconazole for antifungal prophylaxis starting day three of hospital admission. In this study we describe the incidence and characterization of non-candida fungal (NCF) cultures in a regional burn center over a five year period. Methods: We retrospectively reviewed all patients admitted to a dedicated burn intensive care unit (BICU) from 2008 to 2012. Wounds were inspected daily, and cultures collected based on the cl...

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