Risk Factors and Prognostic Influences of Burn Wound Infection.
- Author:
Do Wan KIM
1
;
Jin Gu BONG
;
Jae Han JEONG
;
Yoon Sik LEE
;
Jin Hyun PARK
;
Byung Cheol LEE
Author Information
1. Department of General Surgery, Wallace Memorial Baptist Hospital, Busan, Korea. gsdwkim@orgio.net
- Publication Type:Original Article
- Keywords:
Burn wound infection;
Risk factor;
Prognosis
- MeSH:
Bacteria;
Burns*;
Dehydration;
Humans;
Length of Stay;
Nutritional Support;
Prognosis;
Retrospective Studies;
Risk Factors*;
Sepsis;
Skin;
Transplants;
Wound Infection*;
Wounds and Injuries*
- From:Journal of the Korean Surgical Society
2001;61(2):195-202
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Among persons sustaining severe burns, burn wound infection may develop into devastating sepsis. The purpose of this study is to validate the risk factors for burn wound infection in order to increase the effectiveness of the early treament of those patients at high risk for burn wound infection. METHODS: We retrospectively evaluated 155 hospitalized burn patients with an affected burn area greater than 20% extent and who underwent wound culture because of clinically suspected wound infection from March 1997 to December 2000. RESULTS: When patient age, cause of burn, total burn surface area (TBSA), full thickness burn area (FTBA), anatomical distribution of burn, dehydration at admission treated as independent variables, TBSA and FTBA were seen to significantly influence the burn wound infection rate (p<0.05). When the length of hospital stay, interval from burn to skin graft, outcome of burn were taken as independent variables, the length of hospital stay and outcome of burn were significantly influenced by burn wound infection (p<0.05). CONCLUSION: The high risk group for wound infection comprises patients with extensive TBSA or FTBA and should be selected early to undergo intensive treatment as follows ; meticulous wound monitoring and aseptic maneuver, early eschar excision and early skin graft, adequate nutritional support, isolation against hospital-acquired infection, judicious antibiotic management based on antimicrobial susceptibility testing and control of emergent antibiotic-resistant bacteria.
