Infectious Disease, Brooke Army Medical Center, Uniformed Services University of the Health Sciences, 3551 Roger Brooke Drive, JBSA Fort Sam, Houston, TX 78341, USA.
Shriners Children's Northern California, University of California, Davis, 2425 Stockton Boulevard, Sacramento, CA 95817, USA.
Surg Clin North Am. 2023 Jun;103(3):427-437. doi: 10.1016/j.suc.2023.02.005. Epub 2023 Apr 4.
Infections are the leading cause of mortality in burn patients who survive their initial resuscitation. Burn injury leads to immunosuppression and a dysregulated inflammatory response which can have a prolonged impact. Early surgical excision along with support of the multidisciplinary burn team has improved mortality in burn patients. The authors review diagnostic and therapeutic challenges as well as strategies for management of burn related infections.
感染是烧伤患者在初始复苏后死亡的主要原因。烧伤会导致免疫抑制和炎症反应失调,这种影响可能会持续很长时间。早期进行外科切除手术并得到多学科烧伤团队的支持,已经改善了烧伤患者的死亡率。作者回顾了烧伤相关感染的诊断和治疗挑战以及管理策略。