Burn septicaemia: an analysis of 79 patients

Bang, Rameshwar L.; Gang, R. K.; Sanyal, Sudip; Mokaddas, Eiman; Ebrahim, Mohammed

doi:10.1016/s0305-4179(98)00022-9

Cited by 76 publications

(52 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…We were able to detect organisms causing sepsis early, enabling us to institute appropriate antibiotics expeditiously. [2,15] This helped in controlling the sepsis and preventing multiorgan failure. Although there was a significant difference between tandir burn patients and non-tandir burn patients in the proliferation of nosocomial infection agents in the lesion cultures, there was no difference in the occurrence of nosocomial sepsis.…”

Section: Resultsmentioning

confidence: 99%

A comparison of the morbidity and mortality of tandir burns and non-tandir burns: experience in two centers

Albayrak¹,

Çakir²,

Albayrak³

et al. 2011

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

AMAÇİki ayrı yanık tedavi merkezinde tandıra düşme sonucu yanık oluşan hastaların demografik özellikleri, enfeksiyon oranları ve mobidite oranları tedavi yöntemleri ile birlikte incelendi. GEREÇ VE YÖNTEMBu çalışmada yanıklı hastaların yaş, cinsiyet, sosyoekonomik durum, toplam vücut yüzey yanık oranları, yanık bölge-leri, yanık yaralarından izole edilen mikroorganizmalar, tedavi yöntemleri, hastanede kalma süreleri, hastalara uygulanan debridman ve greft operasyonları, ekstremite amputasyonları ile yanık hastalarının mortaliteleri araştırıldı. BULGULARBu iki merkezde tedavi edilen tandır yanıklı hastaların ortalama hastanede kalma süresi 27,6±9,5 gün idi. Buna karşın tandır dışı yanıklı hastaların ortalama hastanede kalma süresi ise 16,5±12,5 gün idi. Bu iki grup arasında hastanede kalma sü-releri arasında anlamlı derecede farklılık saptandı (p<0,001). Benzer şekilde tandır yanıklı hastaların toplam yanık yüzey alan ortalaması %17,4±12,3 iken tandır dışı yanıklı hastaların toplam yanık yüzey alan ortalaması %10,6±9,9 idi ve gruplar arasındaki fark anlamlı idi (p<0,001). SONUÇBu çalışma sırasında tandır yanıklarının diğer yanıklardan daha derin yanık oluşturduğunu ve hastanede kalma süresi-nin de diğer yanık türlerinden daha uzun olduğu sonucuna ulaştık. Yine cerrahi girişimlerin tandır yanıklı hastalarda diğer yanıklı hastalara göre daha fazla yapıldığını tespit ettik.

show abstract

Section: Resultsmentioning

confidence: 99%

A comparison of the morbidity and mortality of tandir burns and non-tandir burns: experience in two centers

Albayrak¹,

Çakir²,

Albayrak³

et al. 2011

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

show abstract

“…Kucan et al [14] have demonstrated that mafenide acetate is more effective compared to silver sulfadiazine in A.baumannii-related wound infections. However, mafenide acetate has the disadvantage of causing metabolic acidosis when applied to larger burn areas [15,25]. There is an obvious need for further studies on this point.…”

Section: Discussionmentioning

confidence: 99%

“…When a wound infection is diagnosed, the infected tissue must be removed immediately. In patients with larger burn areas, it is recommended to remove 10 -20% of the burn area in a single debridement session and to continue the debridement at intervals of a few days [15,17,25]. In our study, when the wound was ready, grafting was performed immediately after the debridements.…”

Section: Discussionmentioning

confidence: 99%

An Evaluation of Burn Infections Caused by Multidrug Resistant A.baumannii and the Treatment Approach

Selcuk

2011

J Curr Surg

View full text Add to dashboard Cite

Background: If not treated properly, A.baumannii infections in burn patients may cause delays in wound healing, graft losses, or even development of sepsis that may lead to death in cases where the bacteria enters the systemic circulation. In this study, our aim is to present the treatment options and their results in patients where burn infections due to multidrug resistant (MDR) A.baumannii have been diagnosed.

show abstract

“…Por meio de exames diagnósticos, é possível um tratamento mais precoce e adequado das infecções -complicação mais frequente da queimadura -e, assim, uma menor taxa de morbidade da área afetada pela queimadura. 6 Russo, 7 referindo-se ao papel da infecção, relata: os pesquisadores Lustgarden (1891), Stocis (1903) 8 refere a eficácia da terapêutica antibacteriana tópica para a prevenção da colonização bacteriana dentro de 48 horas.…”

Section: Introductionunclassified

Análise da microbiota bacteriana colonizadora de lesões provocadas por queimaduras nas primeiras 24 horas

Gonella

Eamanach

Souza

et al. 2016

Rev. Fac. Ciênc. Méd. Sorocaba

View full text Add to dashboard Cite

RESUMOIntrodução: A ferida da queimadura, a princípio, é estéril. Esse período varia de 24 a 72 horas. Pela análise microbiológica, o Staphylococcus aureus é o germe mais frequentemente encontrado, seguido de Pseudomonas aeruginosa e Escherichia coli. Objetivo: Analisar qualitativamente a microbiota colonizadora das lesões por queimaduras, nas primeiras 24 horas do ocorrido, em 25 pacientes atendidos no Centro de Tratamento de Queimados (CTQ) do Conjunto Hospitalar de Sorocaba (CHS). Método: Foram estudadas as amostras da margem e da área central da ferida pela técnica de coleta com uso de swab estéril. Resultados: Das 50 amostras analisadas, 15 (60%) pacientes possuíam positividade para colonização de microrganismos tanto na região central quanto na margem destas. Nas amostras obtidas da região central da lesão, pudemos encontrar seis colonizadas pelo microrganismo Staphylococcus sp e oito por Staphylococcus aureus, com valores semelhantes às amostras retiradas da região marginal, com oito colonizadas pelo Staphylococcus sp e sete pelo Staphylococcus aureus. Conclusão: As lesões por queimaduras nas primeiras 24 horas são colonizadas por microrganismos. A microbiota possui correlação com o descrito na literatura consultada. A análise microbiológica precoce de queimaduras demonstra-se pertinente para a constatação de colonização e subsequente manejo para prevenção de invasão e de infecção dessas lesões, dessa forma contribuindo indiretamente para a queda na morbidade e mortalidade associada às queimaduras. Palavras-chave: queimaduras; ferimentos e lesões; infecção dos ferimentos; técnicas de cultura; técnicas microbiológicas. ABSTRACT Introduction:The burns wound initially is sterile, if no contaminated materials are put on the burn area or if the patient have not fell on dirty surfaces. This time gap, from 24 to 72 hours, is considered clean or sterile. Staphylococcus aureus is the most frequently found germ on burn wounds, followed by Pseudomonas aeruginosa and Escherichia coli. Objective: Quantitative analysis of the microbiota of the burn wounds, in the initial 24 hours of the injurie, in 25 patients from the Burns Unit of "Conjunto Hospitalar de Sorocaba". Methods: Samples taken with swab technic from the center and periphery of the wounds were analyzed. Results: In an amount of 50, 15 samples (60%) of the patients were tagged positive with peripheric and central colonization of microorganisms. In the sample's central portion, 6 were colonized by Staphylococcus sp and 8 by Staphylococcus aureus. Conclusion: The burn wounds in the initial 24 hours are colonized with microorganisms. The main microbiota is similar to the previously consulted literature. With this conclusion, the early microbiological analysis seems pertinent to the confirmation of wound colonization and the following care to prevent its infection, contributing indirectly to the decrease of morbidity and mortality related to burning.

show abstract

Burn septicaemia: an analysis of 79 patients

Cited by 76 publications

References 25 publications

A comparison of the morbidity and mortality of tandir burns and non-tandir burns: experience in two centers

A comparison of the morbidity and mortality of tandir burns and non-tandir burns: experience in two centers

An Evaluation of Burn Infections Caused by Multidrug Resistant A.baumannii and the Treatment Approach

Análise da microbiota bacteriana colonizadora de lesões provocadas por queimaduras nas primeiras 24 horas

Contact Info

Product

Resources

About