Diagnosis and Treatment of Infections in the Burn Patient.

IF 1 Q4 CRITICAL CARE MEDICINE
David G Greenhalgh, John L Kiley
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Abstract

Infection is very common in burn patients because they lose the primary barrier from microorganism invasion, the skin. While there are attempts to prevent infections, topical antimicrobials and systemic prophylaxis tend to lead to more resistant organisms. After the initial resuscitation, the most common cause of death is from sepsis and multiple organ dysfunction syndrome. The diagnosis is difficult in the burn population because the constant exposure from the open wound leads to an inflammatory response that leads to persistent hypermetabolism. This paper reviews the current understanding and treatment of infection and sepsis in burns.

烧伤病人感染的诊断和治疗。
感染在烧伤患者中非常常见,因为他们失去了防止微生物入侵的主要屏障--皮肤。虽然有人试图预防感染,但局部抗菌药和全身预防性治疗往往会导致耐药菌增多。经过初步抢救后,最常见的死亡原因是败血症和多器官功能障碍综合征。烧伤患者的诊断比较困难,因为开放性伤口的持续暴露会导致炎症反应,从而导致持续的高代谢。本文回顾了目前对烧伤感染和败血症的认识和治疗。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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