In major thermal burns there has been an alarming emergence of fungal sepsis as defined by involvement of three or more organs and/or repeated positive blood cultures. During an 18-month period, we treated 72 patients (aged 18 ± 2 years; TBSA burn, 57 ± 3%; percent of third-degree burn, 45 ± 3) with fungal sepsis. In all patients with documented three-organ involvement, treatment was with intravenous amphotericin (0.5 mg/kg body weight/day), immediate wound debridement, and early wound closure. The mortality was 32% (23 patients); 49 (68%) survived infection. Sixty-two variables were reviewed retrospectively using multiple regression analysis to ascertain specific factors associated with fungal sepsis and their relationship to survival. In burn patients, fungal sepsis is a strong determinant of survival, and its occurrence overshadows traditional factors presently utilized to predict clinical outcome.
|Original language||English (US)|
|Number of pages||4|
|Journal||Journal of Burn Care and Rehabilitation|
|State||Published - 1986|
ASJC Scopus subject areas
- Health Professions(all)
- Emergency Medicine