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Corresponding Author

Ahmed Seliem Hussein Mohammed

Document Type

Meta Analysis

Abstract

Background: The skin acts as the body's first line of defense against harmful germs.

Aim: To assess the incidence and outcomes of MRSA acquisition in admitted patients within burn ICU in the last ten years.

Patients and methods: The current meta-analysis involved 16 articles with a total of 7623 individuals, the majority of these studies were retrospective and only four studies were prospective most of these studies were from USA and China, and no studies from Egypt were found, so more prospective studies were needed to be performed among ICU burn patients in Egypt.

Results: In all, four studies examined the effect of MRSA on mortality rate. No significant heterogeneity was determined. Therefore, a fixed effect model was utilized for analysis (I² = 0%, P =.56). The combined OR & 95% CIs was 1.28 (0.69 to 1.40). The combined result suggested that MRSA-positive patients are not associated with a higher mortality rate (Z = 0.78, P =.44).

Conclusion: The study found 14.7% MRSA infections in burn patients admitted to burn ICUs, with 3.8% colonization and 8.6% acquisition. Risk factors include age, burn surface area, male gender, inhalational injury, and burn cause.

Keywords

Staphylococcus Aureus; Methicillin Resistant; Acquisition; burn intensive care unit

Subject Area

Plastic surgery

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