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CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ |
Journals - Article | |
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ACTA CHIRURGIAE PLASTICAE 40, 4, 1998, pp. 105 - 108 | |
BACTERIOLOGICAL MONITORING IN THE PRAGUE BURNS
CENTER J. Vránková 1 , E. Bendová 1 , R. Königová 2 , L. Brož 2 1 Department of Microbiology, Charles University Hospital Královské Vinohrady, Prague. 2 Burns Center, Charles University Hospital Královské Vinohrady, Prague, Czech Republic |
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Summary: The microbiological aspect of the prevention of nosocomial infections at the Burn Center consists primarily in the
surveillance of bacterial flora and its antibiotical resistance. The Prague Burn Center is regularly monitoring the mi-
crobial flora. Patients are examined not only by the conventional methods of taking swabs of burned sites, but
also by printing method, which allows a semiquantitative assessment of the colonization of burned areas. Simulta-
neously, investigation of bacterial contamination in the external environment of the department is carried out and
the colonization of nursing staff is investigated. In all isolated strains the sensitivity to antibiotics is examined; this
is significant from the point of view of current knowledge about therapeutic possibilities and for the antibiotic pol-
icy. The typing of bacterial strains makes possible to determine their epidemiological markers, and thus to investi-
gate their spread within the department. The most frequent isolate is S. aureus and the prevalence of MRSA is
relatively high. Among gramnegative rods the strains of P. aeruginosa, K. pneumoniae and E. cloacae are most
often isolated. Various typing methods revealed endemic spread of particular strains of rarely isolated species (E.
agglomerans, S. marcescens, A. baumannii, etc.).
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