Treatment of infection in burn patients

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

Research output: Chapter in Book/Report/Conference proceedingChapter

2 Citations (Scopus)

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 - Nov 30 2017

Fingerprint

Wound Infection
Infection
Skin Transplantation
Cellulitis
Wounds and Injuries
Pneumonia
Fungi
Therapeutics
Hot Temperature
Viruses
Bacteria
Skin
Pharmaceutical Preparations

Keywords

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

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Cambiaso-Daniel, J., Gallagher, J. J., Norbury, W., Finnerty, C., Herndon, D., & Culnan, D. M. (2017). 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

Treatment of infection in burn patients. / Cambiaso-Daniel, Janos; Gallagher, James J.; Norbury, William; Finnerty, Celeste; Herndon, David; Culnan, Derek M.

Total Burn Care: Fifth Edition. Elsevier Inc., 2017. p. 93-113.e4.

Research output: Chapter in Book/Report/Conference proceedingChapter

Cambiaso-Daniel, J, Gallagher, JJ, Norbury, W, Finnerty, C, Herndon, D & Culnan, DM 2017, Treatment of infection in burn patients. in Total Burn Care: Fifth Edition. Elsevier Inc., pp. 93-113.e4. https://doi.org/10.1016/B978-0-323-47661-4.00011-3
Cambiaso-Daniel J, Gallagher JJ, Norbury W, Finnerty C, Herndon D, Culnan DM. Treatment of infection in burn patients. In Total Burn Care: Fifth Edition. Elsevier Inc. 2017. p. 93-113.e4 https://doi.org/10.1016/B978-0-323-47661-4.00011-3
Cambiaso-Daniel, Janos ; Gallagher, James J. ; Norbury, William ; Finnerty, Celeste ; Herndon, David ; Culnan, Derek M. / Treatment of infection in burn patients. Total Burn Care: Fifth Edition. Elsevier Inc., 2017. pp. 93-113.e4
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