Treatment of infection in burn patients

Janos Cambiaso-Daniel, James J. Gallagher, William B. Norbury, Celeste C. Finnerty, David N. Herndon, Derek M. Culnan

Research output: Chapter in Book/Report/Conference proceedingChapter

4 Scopus citations

Abstract

Burn wounds are conduits for infections. From the inciting thermal trauma to finalization of therapy, burn patients are exposed to multiple drug-resistant organisms. This chapter presents the definitions and types of infections afflicting burn patients, from cellulitis and wound infections to pneumonias and bloodstream infections. Topical and systemic antimicrobials are covered, as well as specific etiologic bacteria, fungi, and viruses. A care algorithm is elaborated, centered on source control with early surgical excision and skin grafting augmented by culture-directed antimicrobial therapy. Regardless of the etiologic organism, the best intervention for both prophylaxis and treatment of infections in the burn patient is the prompt closure of burn wounds with skin.

Original languageEnglish (US)
Title of host publicationTotal Burn Care
Subtitle of host publicationFifth Edition
PublisherElsevier Inc.
Pages93-113.e4
ISBN (Electronic)9780323497428
ISBN (Print)9780323476614
DOIs
StatePublished - Jan 1 2018

Keywords

  • Bacteria
  • Burn
  • Excision
  • Fungus
  • Graft
  • Infection
  • Pneumonia
  • Resistant
  • Sepsis
  • Virus

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint Dive into the research topics of 'Treatment of infection in burn patients'. Together they form a unique fingerprint.

  • Cite this

    Cambiaso-Daniel, J., Gallagher, J. J., Norbury, W. B., Finnerty, C. C., Herndon, D. N., & Culnan, D. M. (2018). Treatment of infection in burn patients. In Total Burn Care: Fifth Edition (pp. 93-113.e4). Elsevier Inc.. https://doi.org/10.1016/B978-0-323-47661-4.00011-3