Sepsis in Burns A Review of Current Practice and Future Therapies

被引:40
作者
Chipp, Elizabeth [1 ]
Milner, Christopher S. [2 ]
Blackburn, Adam V. [3 ]
机构
[1] Univ Hosp N Staffordshire, Dept Plast & Reconstruct Surg, Stoke On Trent ST4 6QG, Staffs, England
[2] Leicester Royal Infirm, Dept Plast & Reconstruct Surg, Leicester, Leics, England
[3] Univ Hosp N Durham, Dept Plast & Reconstruct Surg, Durham, England
关键词
burns; sepsis; toxic shock syndrome; antibiotics; guidelines; TOXIC-SHOCK-SYNDROME; ACTIVATED PROTEIN-C; INTENSIVE INSULIN THERAPY; WOUND BIOPSY CULTURE; EARLY WARNING SCORE; DROTRECOGIN-ALPHA; SEPTIC SHOCK; SELECTIVE DECONTAMINATION; DIGESTIVE-TRACT; QUANTITATIVE MICROBIOLOGY;
D O I
10.1097/SAP.0b013e3181c9c35c
中图分类号
R61 [外科手术学];
学科分类号
摘要
Sepsis is a major cause of death worldwide and remains the subject of much research and debate within the critical care community. Despite advances in burn prevention, treatment, and rehabilitation, sepsis remains a common cause of death in patients who have sustained a severe burn injury. The unique physical, metabolic, and physiologic changes seen after major thermal injury mean that the management of sepsis in burns poses a particular challenge and differs in many respects to the management of sepsis in the general critical care population. This article describes current issues in the prevention, diagnosis, and treatment of sepsis in burns with a review of the associated literature. In addition, we discuss possible future therapies for managing this condition.
引用
收藏
页码:228 / 236
页数:9
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