Infection in Burns
- PMID: 26978531
- PMCID: PMC4790211
- DOI: 10.1089/sur.2013.134
Infection in Burns
Abstract
Background: Developments in critical care and surgical approaches to treating burn wounds, together with newer antimicrobial treatments, have significantly reduced the morbidity and mortality rates associated with this injury.
Methods: Review of the pertinent English-language literature.
Results: Several resistant organisms have emerged as the maleficent cause of invasive infection in burn patients, including methicillin-resistant Staphylococcus aureus, vancomycin-resistant Enterococcus, Pseudomonas, Acinetobacter, non-albicans Candida spp., and Aspergillus. Advances in antimicrobial therapies and the release of new classes of antibiotics have certainly added to the armamentarium of therapeutic resources for the clinician.
Conclusion: Strict infection control measures, constant wound surveillance with regular sampling of tissues for quantitative culture, and early excision and wound closure remain the principal adjuncts to control of invasive infections in burn patients.
References
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- Greenhalgh DG, Saffle JR, Holmes JHT, et al. . American Burn Association consensus conference to define sepsis and infection in burns. J Burn Care Res 2007;28:776–790 - PubMed
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- American Burn Association Association. Burn incidence and treatment in the US: 2012 Facts sheet. Chicago: The Association, 2012
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- American Burn Association. 2012 National Burn Repository, 2012. Chicago: The Association, 2012
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- Barret JP, Herndon DN. Effects of burn wound excision on bacterial colonization and invasion. Plast Reconstr Surg 2003;111:744–750 - PubMed
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