Burn septicaemia: an analysis of 79 patients.

摘要: Out of 943 patients treated from June 92 to May 96 at the burns unit Al-Babtain Centre for Plastic Surgery and Burns, Kuwait, 280 (30%) required admission intensive care (ICBU) were studied retrospectively. Seventy-nine (28.2%) developed clinically microbiologically proven septicaemia. Forty-four (56%) males, 35 (44%) females with a mean age 26 years (range 45 days 75 years) total body surface area burn (TBSA) 46% 10-90%). Sixty-two had flame burns, 16 scald one an electric burn. These 79 118 septicaemic episodes. Sixty (76%) only 19 (24%) multiple episodes Fifty-four (68%) their first episode within 2 weeks, though maximum number was between 6 10 postburn. Septicaemia also observed in 13% 3 episodes, 48 due methicillin resistant Staphylococcus aureus (MRSA), 17 epidermidis (MRSE), 15 Pseudomonas, 12 Acinetobacter, four Streptococcus, another Enterococci, two Klebsiella, Serratia more than organism. Once septicaemia diagnosed appropriate therapy instituted. Fifty-six (71%) 143 sessions skin grafting mortality low operated patients. Twenty-three (29.1%) died. The rate probably factors such as continuous clinical microbiological surveillance leading quick detection aetiology, antibiotic therapy, nutrition early wound cover. This study suggests that are vulnerable sepsis. Onset may be commonly weeks. A is likely source entry blood stream. Gram positive organisms dominant aetiology. Early treatment including coverage result better outcome.