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In addition, infection remains a big challenge in cases of severe burns. Therefore, the present study aimed to provide valuable information for a better control of infections in the event of such disasters. In this study, a total of 16 patients who suffered extremely severe burns after an LPG tanker explosion were included. Thereafter, bacteriological culture results were collected within a week. Of 16 patients, 13 (81.25%) were male and the average age of all patients was 60.63\u00a0years. In addition, the mean burned area was 83.03% TBSA. Additionally, a total of 553 organism cultures were conducted out of which 287 isolates (51.90%) showed positive results. Notably, 38.52% were Gram-negative bacteria, 7.59% were Gram-positive bacteria and 5.79% were fungi. Moreover, the most prevalent Gram-negative bacteria were <jats:italic>Stenotrophomonas maltophilia<\/jats:italic> (28.97%) followed by <jats:italic>Acinetobacter baumannii<\/jats:italic> (28.53%), and <jats:italic>Klebsiella pneumoniae<\/jats:italic> (14.02%). On the other hand, the three most predominant Gram-positive bacteria were <jats:italic>Enterococcus faecalis<\/jats:italic> (33.33%), <jats:italic>Staphylococcus aureus<\/jats:italic> (28.89%) and <jats:italic>Staphylococcus sciuri<\/jats:italic> (17.78%). Furthermore, the most common fungi included <jats:italic>Candida<\/jats:italic> (38.24%), <jats:italic>Fusarium<\/jats:italic> (20.59%) and <jats:italic>Aspergillus fumigatus<\/jats:italic> (14.71%). With regard to the bacterial resistance patterns, carbapenem-resistant organisms included <jats:italic>Acinetobacter baumannii<\/jats:italic> (97.80%), <jats:italic>Pseudomonas aeruginosa<\/jats:italic> (67.57%), and <jats:italic>Klebsiella pneumoniae<\/jats:italic> (75.56%). In addition, <jats:italic>Staphylococcus sciuri<\/jats:italic>, <jats:italic>Staphylococcus epidermidis<\/jats:italic>, and <jats:italic>Staphylococcus haemolyticus<\/jats:italic> were identified to be methicillin-resistant. This study revealed that there was a high incidence of infection in victims of severe burns as a result of mass burn accidents, accompanied by early fungal infection.<\/jats:p>","DOI":"10.1007\/s44197-022-00066-0","type":"journal-article","created":{"date-parts":[[2022,9,27]],"date-time":"2022-09-27T05:02:51Z","timestamp":1664254971000},"page":"478-485","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Epidemiology and Early Bacteriology of Extremely Severe Burns from an LPG Tanker Explosion in Eastern China"],"prefix":"10.1007","volume":"12","author":[{"given":"Ronghua","family":"Jin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tingting","family":"Weng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiaming","family":"Shao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sizhan","family":"Xia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chunmao","family":"Han","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7522-7782","authenticated-orcid":false,"given":"Xingang","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2022,9,27]]},"reference":[{"issue":"1","key":"66_CR1","doi-asserted-by":"publisher","first-page":"210","DOI":"10.1016\/j.burns.2017.05.011","volume":"44","author":"R Jin","year":"2018","unstructured":"Jin R, Wu P, Ho JK, Wang X, Han C. 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