ISBI Practice Guidelines for Burn Care

Ahuja, Rajeev; Puri, Vinita; Gibran, Nicole S.; Greenhalgh, David G.; Jeng, James C.; Mackie, David; Moghazy, Amr; Moiemen, Naiem; Palmieri, Tina L; Peck, Michael D.; Serghiou, M.; Watson, Stuart; Wilson, Yvonne; Altamirano, Ariel Miranda; Atieh, Bechara; Bolgiani, Alberto; Carrougher, Gretchen J.; Edgar, Dale W.; Guerrero, Linda Luz; Hanumadass, Marella; Hasibuan, Lisa; Hofland, Helma W. C.; Icaza, Ivette L.; Klein, Leo; Matsumura, Hitoshi; Nnabuko, Richard; Pirat, Arash; Riasa, Nyoman Putu; Wood, Fiona; Wu, Jun; Xia, Zhaofan; Zuijlen, Paul P. M. van

doi:10.1016/j.burns.2016.05.013

Cited by 257 publications

(144 citation statements)

References 364 publications

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“…Recommended strategies include avoiding antibiotic prophylaxis for acute burn injury as well as monitoring for appropriate use of antibiotics in both the inpatient and outpatient settings. [40] Lastly, a need exists to make additional classes of antibiotics available in LMICs as well as to develop new antibiotics. In February 2017, the WHO issued an urgent call to develop new antibiotics for twelve families of bacteria, including Enterobacteriaceae in their critical category.…”

Section: Discussionmentioning

confidence: 99%

Colonization with Multidrug‐Resistant Enterobacteriaceae is Associated with Increased Mortality Following Burn Injury in Sub‐Saharan Africa

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Colonization with Multidrug‐Resistant Enterobacteriaceae is Associated with Increased Mortality Following Burn Injury in Sub‐Saharan Africa

et al. 2018

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“…Currently, protein requirements are estimated as 1.5–2.0 g/kg/day for burned adults and 2.5–4.0 g/kg/day for burned children. Non-protein calorie to nitrogen ratio should be maintained between 150:1 for smaller burns and 100:1 for larger burns [61]. Even at these high rates of replacement, most burn patients will experience some loss of muscle protein due to the hormonal and proinflammatory response to burn injury.…”

Section: Reviewmentioning

confidence: 99%

Nutrition and metabolism in burn patients

et al. 2017

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Severe burn causes significant metabolic derangements that make nutritional support uniquely important and challenging for burned patients. Burn injury causes a persistent and prolonged hypermetabolic state and increased catabolism that results in increased muscle wasting and cachexia. Metabolic rates of burn patients can surpass twice normal, and failure to fulfill these energy requirements causes impaired wound healing, organ dysfunction, and susceptibility to infection. Adequate assessment and provision of nutritional needs is imperative to care for these patients. There is no consensus regarding the optimal timing, route, amount, and composition of nutritional support for burn patients, but most clinicians advocate for early enteral nutrition with high-carbohydrate formulas.Nutritional support must be individualized, monitored, and adjusted throughout recovery. Further investigation is needed regarding optimal nutritional support and accurate nutritional endpoints and goals.

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“…Supplementary Table 1 details the nutrition recommendations provided by each advising body and highlights the between-guidelines differences in adult severe burn MNT. 15 USA Ý Ý 13 EBA 16 Europe Ý Ý 95 ESPEN 17 Europe Ý Ý 6 IAPEN 22 India Ý Ý 18 a ISBI 23 International Ý Ý 69 NHS 18 UK Ý Ý 52 SCCM/ASPEN 19,20 USA…”

Section: Resultsmentioning

confidence: 99%

“…Unlike SCCM/ASPEN 19,20 and ISBI, 23 ESPEN 17 failed to clearly define target users. Target population preferences and views were not accounted for by the ESPEN 17 or SCCM/ASPEN 19,20 guidelines, whereas NHS 18 reported a scheduled future audit process for updating the guidelines.…”

Section: Discussionmentioning

confidence: 99%

“…Advising bodies included the American Burn Association (ABA), 15 the European Burn Association (EBA), 16 the European Society for Parenteral and Enteral Nutrition (ESPEN), 17 the Midlands National Health Service (NHS), 18 Society for Critical Care Medicine (SCCM)/the American Society for Parenteral and Enteral Nutrition (ASPEN), 19,20 the Spanish Society of Intensive Care Medicine and Coronary Units and the Spanish Society of Parenteral and Enteral Nutrition (SEMICYUC-SENPE), 21 the Indian Association for Parenteral and Enteral Nutrition (IAPEN), 22 and the International Society for Burn Injury (ISBI). 23 Table 1 details the guidelines suggested by each body, their main focus, and characteristics.…”

Section: Methodsmentioning

confidence: 99%

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AGREEing on Guidelines for Nutrition Management of Adult Severe Burn Patients

Grammatikopoulou

Theodoridis

Gkiouras

et al. 2018

J Parenter Enteral Nutr

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Background Severe burns are associated with a plethora of profound metabolic, immunologic, and physiologic responses, demanding prompt and adequate management. The objective of the present study was to review, compare, and critically appraise medical nutrition therapy guidelines for adult patients with severe burns, and produce salient points for the future update of relevant guidelines. Methods A total of 8 clinical practice guidelines developed by the American Burn Association (ABA), the European Burn Association (EBA), the European Society for Parenteral and Enteral Nutrition (ESPEN), the Midlands National Health Service, the Society for Critical Care Medicine (SCCM)/American Society for Parenteral and Enteral Nutrition (ASPEN), the Spanish Society of Intensive Care Medicine and Coronary Units and Spanish Society of Parenteral and Enteral Nutrition, the Indian Association for Parenteral and Enteral Nutrition (IAPEN), and the International Society for Burn Injury regarding medical nutrition therapy in burn patients was independently reviewed by a team of 4 multidisciplinary researchers using the Appraisal of Guidelines for Research & Evaluation (AGREE II) instrument. Results From the appraised guidelines, the SCCM/ASPEN guidelines received the greatest scoring in the majority of AGREE domains compared with ABA, EBA, and IAPEN, which obtained the lowest scores. On the other hand, the ESPEN guidelines provided the majority of information concerning nutrition support and medical nutrition therapy. Conclusion Our study identified gaps in most nutrition guidelines and emphasized methodologic issues that could improve the quality of future guidelines concerning nutrition support among adult severe burn patients.

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ISBI Practice Guidelines for Burn Care

Cited by 257 publications

References 364 publications

Colonization with Multidrug‐Resistant Enterobacteriaceae is Associated with Increased Mortality Following Burn Injury in Sub‐Saharan Africa

Colonization with Multidrug‐Resistant Enterobacteriaceae is Associated with Increased Mortality Following Burn Injury in Sub‐Saharan Africa

Nutrition and metabolism in burn patients

AGREEing on Guidelines for Nutrition Management of Adult Severe Burn Patients

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