{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T19:46:14Z","timestamp":1790192774120,"version":"4.1.0"},"reference-count":14,"publisher":"American Diabetes Association","issue":"1","content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2004,1,1]]},"abstract":"OBJECTIVE\u2014 Diabetic burn patients comprise a significant population in burn centers. The purpose of the study was to determine the demographic characteristics of diabetic burn patients and their rate of community-acquired and nosocomial infections.<\/jats:p>\n RESEARCH DESIGN AND METHODS\u2014This was a 46-month retrospective chart and patient registry review comparing diabetic with nondiabetic burn patients. Statistical analysis consisted of means \u00b1 SD, descriptive statistics, one-way ANOVA, and \u03c72 tests.<\/jats:p>\n RESULTS\u2014Of 1,063 adult burn patients (aged 15\u201354 years), 68 (6%) diabetic burns were compared with burns of 995 adult nondiabetic patients. Of 193, 62 (32%) senior (\u226555 years of age) diabetic burns were compared with 131 nondiabetic senior burns. The major mechanism of injury for the diabetic patients was scalding and contact, in contrast to that of nondiabetic patients who were injured mainly by scalding or flame burns. Adult diabetic patients had a significantly increased frequency of foot burns compared with adult nondiabetic patients (32 of 68 [68%] versus 144 of 995 [14%], P = 0.001). Adult diabetic burns had a significant increase in sepsis (P &lt; 0.002) and community-acquired burn wound cellulitis (P &lt; 0.001) compared with adult nondiabetic patients; and senior diabetic patients had a significantly increased frequency of urinary tract infections compared with senior nondiabetic burn patients (P &lt; 0.04). The most common organisms in diabetic burn infections were Streptococcus, Proteus, Pseudomonas, Candida\u2008species, and MRSA (methicillin-resistant Staphylococcus aureus). Forty-two percent of the diabetic patients were admitted during the winter months and 25% in the spring. Only 49 of 130 (38%) diabetic burn patients presented for treatment within 48 h after injury compared with 669 of 1,126 (62%) nondiabetic patients (P = 0.001).<\/jats:p>\n CONCLUSIONS\u2014Peripheral neuropathy may have precipitated and delayed medical treatment in lower-extremity burns of diabetic patients. Hospitalized diabetic burn patients were also at an increased risk for nosocomial infections, which prolonged hospitalization. Diabetic patient education must include not only caution about potential burn mishaps but also educate concerning the complications from burns that may ensue.<\/jats:p>","DOI":"10.2337\/diacare.27.1.229","type":"journal-article","created":{"date-parts":[[2007,3,5]],"date-time":"2007-03-05T22:51:27Z","timestamp":1173135087000},"page":"229-233","update-policy":"https:\/\/doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":54,"title":["Infections in Diabetic Burn Patients"],"prefix":"10.2337","volume":"27","author":[{"given":"Heidi","family":"Memmel","sequence":"first","affiliation":[{"name":"Metropolitan Group Hospitals Residency in General Surgery Program, Illinois Masonic Medical Center, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Areta","family":"Kowal-Vern","sequence":"additional","affiliation":[{"name":"Sumner L. Koch Burn Center, John H. Stroger, Jr. Hospital of Cook County, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Barbara A.","family":"Latenser","sequence":"additional","affiliation":[{"name":"Sumner L. Koch Burn Center, John H. Stroger, Jr. Hospital of Cook County, Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1167","reference":[{"key":"2022031217474719600_R1","unstructured":"American Diabetes Association. Diabetes Facts and Figures [article online], 2002. Available from www.diabetes.org\/ada\/facts.asp. Accessed 6 December 2002"},{"key":"2022031217474719600_R2","unstructured":"Kamal K, Powell RJ, Sumpio BE: The pathophysiology of diabetes mellitus: implications for surgeons. J Am Coll Surg\u2008183:271\u2013289, 1996"},{"key":"2022031217474719600_R3","doi-asserted-by":"crossref","unstructured":"Carrico TJ, Mehrhof AI, Cohen IK: Biology of wound healing. Surg Clin N Am\u200864:721\u2013733, 1984","DOI":"10.1016\/S0039-6109(16)43388-8"},{"key":"2022031217474719600_R4","unstructured":"Thng P, Lim RMC, Low BY: Thermal burns in diabetic feet. Singapore Med J\u200840:362\u2013364, 1999"},{"key":"2022031217474719600_R5","doi-asserted-by":"crossref","unstructured":"Dijkstra S, vd Bent MJ, vd Brand HJ, Bakker JJ, Boxma H, Tjong JWR, Berghout A: Diabetic patients with foot burns. Diabet Med\u200814:1080\u20131083, 1997","DOI":"10.1002\/(SICI)1096-9136(199712)14:12<1080::AID-DIA496>3.0.CO;2-N"},{"key":"2022031217474719600_R6","doi-asserted-by":"crossref","unstructured":"Balakrishnan C, Rak TP, Meininger MS: Burns of the neuropathic foot following the use of therapeutic footbaths. Burns\u200821:622\u2013623, 1995","DOI":"10.1016\/0305-4179(95)00045-D"},{"key":"2022031217474719600_R7","doi-asserted-by":"crossref","unstructured":"Bill TJ, Edlich RF, Himel HN: Electric heating pad burns. J Emerg Med\u200812:819\u2013824, 1994","DOI":"10.1016\/0736-4679(94)90490-1"},{"key":"2022031217474719600_R8","unstructured":"Priollet P, Letanoux M, Cormier M: General principles of medical care of the diabetic foot. J Mal Vasc\u200818:24\u201329, 1993"},{"key":"2022031217474719600_R9","doi-asserted-by":"crossref","unstructured":"Ovesen O, Wildfang IL: Foot spas as a cause of burns. Burns\u200816:211\u2013213, 1990","DOI":"10.1016\/0305-4179(90)90042-U"},{"key":"2022031217474719600_R10","unstructured":"Goodson WH, Hunt TK: Wound healing and the diabetic patient. Surg Gynecol Obstetr\u2008149:600\u2013608, 1979"},{"key":"2022031217474719600_R11","doi-asserted-by":"crossref","unstructured":"Morain WD, Colen LB: Wound healing in diabetes mellitus. Clin Plast Surg\u200817:493\u2013501, 1990","DOI":"10.1016\/S0094-1298(20)30624-6"},{"key":"2022031217474719600_R12","unstructured":"Trilla A. Miro JM: Identifying hig risk patients for Staphylococcus aureus infections: skin and soft tissue infections. J Chemother\u20087 (Suppl. 3):37\u201343, 1995"},{"key":"2022031217474719600_R13","doi-asserted-by":"crossref","unstructured":"Finegold SM: Host factors predisposing to anaerobic infections. FEMS Immunol Med Microbiol\u20086:159\u2013163, 1993","DOI":"10.1111\/j.1574-695X.1993.tb00319.x"},{"key":"2022031217474719600_R14","doi-asserted-by":"crossref","unstructured":"McCampbell B, Wasif N, Rabbitts A, Staiano-Coico L, Yurt RW, Schwartz S: Diabetes and burns: a retrospective cohort study. J Burn Care Rehabil\u200823:157\u2013166, 2002","DOI":"10.1097\/00004630-200205000-00004"}],"container-title":["Diabetes Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/diabetesjournals.org\/care\/article-pdf\/27\/1\/229\/563652\/zdc00104000229.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/diabetesjournals.org\/care\/article-pdf\/27\/1\/229\/563652\/zdc00104000229.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,3,12]],"date-time":"2022-03-12T18:41:25Z","timestamp":1647110485000},"score":1,"resource":{"primary":{"URL":"https:\/\/diabetesjournals.org\/care\/article\/27\/1\/229\/26633\/Infections-in-Diabetic-Burn-Patients"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,1,1]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2004,1,1]]}},"URL":"https:\/\/doi.org\/10.2337\/diacare.27.1.229","relation":{},"ISSN":["0149-5992","1935-5548"],"issn-type":[{"value":"0149-5992","type":"print"},{"value":"1935-5548","type":"electronic"}],"subject":[],"published":{"date-parts":[[2004,1,1]]}}}