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Article

Incidence of Methicillin Resistant Staphylococcus aureus (MRSA) in Burn Intensive Care Unit: A Systematic Review

by
Tahir Mehmood Khan
1,2,3,*,
Yee Leng Kok
1,
Allah Bukhsh
1,3,
Learn-Han Lee
1,2,
Kok-Gan Chan
4,5 and
Bey-Hing Goh
1,2
1
School of Pharmacy, Monash University Malaysia, Bandar Sunway 47500, Selangor Darul Ehsan, Malaysia
2
Asian Centre for Evidence Synthesis in Population, Implementation and Clinical Outcomes (PICO), Health and Well-Being Cluster, Global Asia in the 21st Century (GA21) Platform, Monash University Malaysia, Bandar Sunway, Selangor, Malaysia
3
Institute of Pharmaceutical Sciences (IPS), University of Veterinary & Animal Sciences (UVAS), Outfall Road, Lahore, Pakistan
4
Vice Chancellor Office, Jiangsu University, Zhenjiang 212013, China
5
Division of Genetics and Molecular Biology, Institute of Biological Sciences, Faculty of Science, University of Malaya, Kuala Lumpur, Malaysia
*
Author to whom correspondence should be addressed.
GERMS 2018, 8(3), 113-125; https://doi.org/10.18683/germs.2018.1138
Submission received: 5 August 2018 / Revised: 21 August 2018 / Accepted: 24 August 2018 / Published: 3 September 2018

Abstract

Background: Burn victims admitted in burn intensive care units (ICU) are at a high risk of nosocomial infections generated by methicillin resistant Staphylococcus aureus (MRSA). This systematic review aims to estimate the incidence of MRSA among burn patients admitted to the ICU setting, with an emphasis on the incidence rate and antibiotic resistance profile of the MRSA strains. Methods: A systematic literature search was performed in five electronic databases limited to publication dates from 1st January 2000 until 31st August 2017. After screening n = 481 articles, n = 21 were found to meet the inclusion criteria of this systematic review. Results: Results from the meta-analysis revealed that the risk for MRSA isolates in the burn ICU was 55.0% higher (OR 0.55, 95%CI 0.32–0.94). Therefore, timely testing, appropriate hygiene practice and suggested wound care must be practiced while handling such patients. Conclusion: Further studies are needed to identify the risk factors of MRSA infections among burn patients and to develop new antimicrobial agents for MRSA infections.
Keywords: burn; methicillin resistant Staphylococcus aureus (MRSA); antibiotic resistant; systematic review; meta-analysis burn; methicillin resistant Staphylococcus aureus (MRSA); antibiotic resistant; systematic review; meta-analysis

Share and Cite

MDPI and ACS Style

Khan, T.M.; Kok, Y.L.; Bukhsh, A.; Lee, L.-H.; Chan, K.-G.; Goh, B.-H. Incidence of Methicillin Resistant Staphylococcus aureus (MRSA) in Burn Intensive Care Unit: A Systematic Review. GERMS 2018, 8, 113-125. https://doi.org/10.18683/germs.2018.1138

AMA Style

Khan TM, Kok YL, Bukhsh A, Lee L-H, Chan K-G, Goh B-H. Incidence of Methicillin Resistant Staphylococcus aureus (MRSA) in Burn Intensive Care Unit: A Systematic Review. GERMS. 2018; 8(3):113-125. https://doi.org/10.18683/germs.2018.1138

Chicago/Turabian Style

Khan, Tahir Mehmood, Yee Leng Kok, Allah Bukhsh, Learn-Han Lee, Kok-Gan Chan, and Bey-Hing Goh. 2018. "Incidence of Methicillin Resistant Staphylococcus aureus (MRSA) in Burn Intensive Care Unit: A Systematic Review" GERMS 8, no. 3: 113-125. https://doi.org/10.18683/germs.2018.1138

APA Style

Khan, T. M., Kok, Y. L., Bukhsh, A., Lee, L.-H., Chan, K.-G., & Goh, B.-H. (2018). Incidence of Methicillin Resistant Staphylococcus aureus (MRSA) in Burn Intensive Care Unit: A Systematic Review. GERMS, 8(3), 113-125. https://doi.org/10.18683/germs.2018.1138

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