Muñoz, B. et als.
Burns, Volume 45, Issue 1, February 2019, Pages 16-31
Sepsis is a life-threatening organ-dysfunction condition caused by a dysregulated response to an infectious condition that can cause complications in patients with major trauma. Burns are one of the most destructive forms of trauma; despite the improvements in medical care, infections remain an important cause of burn injury-related mortality and morbidity, and complicated sepsis predisposes patients to diverse complications such as organ failure, lengthening of hospital stays, and increased costs. Accurate diagnosis and early treatment of sepsis may have a beneficial impact on clinical outcome of burn-injured patients.
Early excision of burns reduces the incidence of local and systemic infections caused by colonising microorganisms, and reduces mortality and length of hospital stay. Appropriate antibiotic prophylaxis can reduce the risk of postoperative wound infections and skin graft loss. Antibiotic selection should be based on likely pathogens. However, there are few studies that have investigated the early pathogenic colonisers of acute burn wounds.
Las infecciones constituyen actualmente, la principal amenaza vital en los pacientes tras una agresión térmica severa, siendo la principal causa de morbi-mortalidad de estos. La incidencia de infección en los pacientes quemados varía mucho de unas unidades de quemados a otras, y se halla claramente asociada al porcentaje de superficie corporal quemada (SCQ). Se realizó un estudio retrospectivo de 107 pacientes ingresados en la unidad de quemados del Hospital Hermanos Ameijeiras en el período de enero de 2006 hasta diciembre 2008, con el diagnóstico de quemaduras, los que fueron estratificados según el porcentaje de SCQ.
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