Emphasize the diagnosis and treatment of infective endocarditis in patients with severe burn.
10.3760/cma.j.issn.1009-2587.2016.02.004
- Author:
Jingning HUAN
1
Author Information
1. Department of Burns and Plastic Surgery, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai 200025, China.
- Publication Type:Journal Article
- MeSH:
Bacteremia;
epidemiology;
Burn Units;
Burns;
complications;
mortality;
surgery;
Endocarditis, Bacterial;
complications;
diagnosis;
microbiology;
mortality;
Humans;
Incidence;
Severity of Illness Index;
Staphylococcal Infections;
complications;
diagnosis;
Staphylococcus aureus;
isolation & purification;
Surgery, Plastic;
Wound Infection;
etiology;
mortality
- From:
Chinese Journal of Burns
2016;32(2):74-76
- CountryChina
- Language:Chinese
-
Abstract:
The incidence and mortality of infective endocarditis (IE) in patients with severe burn remain high, which are attributed to invasive procedures, bacteremia, and wound infection after burns. Clinical clues for IE in burns are usually masked by burn-related manifestations, so the diagnosis of IE may be delayed or missed. For burned patients with persistent bacteremia of unknown source, especially Staphylococcus aureus-induced bacteremia, the diagnosis of IE should be considered according to the Duke criteria, and early echocardiography performance is particularly important. Antibiotic therapy is the mainstay initial management, and early surgical intervention is strongly recommended once IE is clearly diagnosed in patients with burns. In order to lower the incidence and mortality of IE in burns, it is very important to take prophylactic procedures along with the whole course of burn management.
