{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:37:32Z","timestamp":1777880252635,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2024,4,28]],"date-time":"2024-04-28T00:00:00Z","timestamp":1714262400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2024,4,28]],"date-time":"2024-04-28T00:00:00Z","timestamp":1714262400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Plast Surg (Oakv)"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:p>\n                    <jats:bold>Introduction:<\/jats:bold>\n                    Burn wound infection can progress to sepsis and is a significant source of morbidity and mortality. Prevalence of multidrug-resistant organisms are high in burn patients; these organisms can be transmitted between patients leading to poor outcomes.\n                    <jats:bold>Objectives:<\/jats:bold>\n                    To characterize patient-to-patient transmission of pathogens causing burn wound colonization at a single tertiary hospital burn center in Hamilton, Canada from 2011 to 2020.\n                    <jats:bold>Methods:<\/jats:bold>\n                    Retrospective chart review of patients admitted to the burn trauma unit at Hamilton General Hospital between 2011 and 2020. Antibiotic susceptibility panels of pathogens cultured from burn patients\u2019 wound swab\/tissue cultures were compared against pathogens cultured from other burn\/nonburn patients with overlapping admission dates. Pathogens were categorized into likely, possible, or unlikely transmission, or normal skin flora on a case-by-case basis.\n                    <jats:bold>Results:<\/jats:bold>\n                    There were 173 burn patients with positive wound culture and 613 nonburn patients included in the study. Included burn patients had median age 52 years, mostly male (73%) with flame injury (65%), and median total body surface area 18%. There were 18 patients (10%) with likely transmission and 54 patients (31%) with possible transmission. Most frequently implicated pathogens for likely patient-to-patient transmission were methicillin-resistant\n                    <jats:italic>Staphylococcus aureus<\/jats:italic>\n                    (MRSA) (7 patients) and methicillin-resistant coagulase-negative Staphylococci (4 patients). Both burn and nonburn patients were implicated.\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    The burden of patient-to-patient transmission in culture-positive burn wounds was estimated to be between 10% and 41%. Greater care should be taken to avoid patient-to-patient transmission of pathogens to minimize burn infection morbidity and mortality. Prospective studies should be conducted with genomic sequencing and correlation with clinical outcomes.\n                  <\/jats:p>","DOI":"10.1177\/22925503241249760","type":"journal-article","created":{"date-parts":[[2024,4,28]],"date-time":"2024-04-28T23:07:10Z","timestamp":1714345630000},"page":"646-655","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["A 10-year Retrospective Review of Patient-to-Patient Transmitted Pathogens in Culture-Positive Burn Wounds at a Tertiary Burn Center"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9933-8487","authenticated-orcid":false,"given":"Patrick Jinhyung","family":"Kim","sequence":"first","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery,McMaster University, Hamilton, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5152-9471","authenticated-orcid":false,"given":"Lucas","family":"Gallo","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery,McMaster University, Hamilton, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9677-3600","authenticated-orcid":false,"given":"Jeffrey","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Medicine, McMaster University, Hamilton, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3942-2468","authenticated-orcid":false,"given":"Morgan","family":"Yuan","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matteo","family":"Gallo","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery,McMaster University, Hamilton, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheryl","family":"Main","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Department of Medicine, McMaster University, Hamilton, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Coroneos","sequence":"additional","affiliation":[{"name":"Division of Plastic Surgery, Department of Surgery,McMaster University, Hamilton, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,4,28]]},"reference":[{"key":"e_1_3_2_2_2","unstructured":"National Burn Repository 2016 Report. 2016. https:\/\/ameriburn.org\/wp-content\/uploads\/2017\/05\/2016abanbr_final_42816.pdf."},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2020.346"},{"issue":"3","key":"e_1_3_2_4_2","first-page":"423","article-title":"Sepsis in the burn patient","volume":"30","author":"Manning J","year":"2018","unstructured":"Manning J. Sepsis in the burn patient. Critical Care Nursing Clinics. 2018;30(3):423-430.","journal-title":"Critical Care Nursing Clinics"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/BCR.0b013e318234966c"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2006.02.008"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2008.02.010"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2009.10.012"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2012.09.017"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.19.2.403-434.2006"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1086\/678067"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2015.07.010"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-020527"},{"key":"e_1_3_2_14_2","article-title":"Incidence and risk factors associated with microbial colonization of burn wounds: an observational study","volume":"229255032312147","author":"Gallo L","year":"2023","unstructured":"Gallo L, Kim P, Gallo M, et al. Incidence and risk factors associated with microbial colonization of burn wounds: an observational study. Plast Surg. 2023;1-7.22925503231214760.","journal-title":"Plast Surg"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajic.2008.03.002"},{"key":"e_1_3_2_16_2","first-page":"547","volume-title":"Patient safety and quality: an evidence-based handbook for nurses","author":"Collins A","year":"2008","unstructured":"Collins A. Preventing health care-associated infections. In: Hughes R, ed. Patient safety and quality: an evidence-based handbook for nurses. Chap 41. Agency for Healthcare Research and Quality; 2008:547-575."},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1097\/BCR.0000000000000115"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2020.04.031"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1155\/2011\/436952"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13756-022-01123-w"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.burns.2019.09.008"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.5492\/wjccm.v1.i4.94"},{"key":"e_1_3_2_23_2","unstructured":"Routine Practices and Additional Precautions for Preventing the Transmission of Infection in Healthcare Settings. 2017."},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.1086\/605408"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2015.08.005"}],"container-title":["Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/22925503241249760","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/22925503241249760","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/22925503241249760","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:06:07Z","timestamp":1777593967000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/22925503241249760"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,28]]},"references-count":24,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1177\/22925503241249760"],"URL":"https:\/\/doi.org\/10.1177\/22925503241249760","relation":{},"ISSN":["2292-5503","2292-5511"],"issn-type":[{"value":"2292-5503","type":"print"},{"value":"2292-5511","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,28]]}}}