Infection Control in Burns Prof. (Dr.) - Health Asia

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USE OF PROPHYLACTIC ANTIBIOTICS AND STEROIDS: The concept of prophylactic antibiotics is very controversial, it is used in some burn centers and not in others. The initial danger to burn patient is from B-hemolytic streptococcus that forms the major part of the transient flora of the skin and is present in almost all patients. The rich vascularityof the inflammatory phase of the early injury, edema & neutralization of the bactercidal defense mechanism of sebum all render the burn wound particularly prone to streptococcal infection.
Although there is ample evidence that systemic antibiotics fail to reach burn wound, it is documented that streptococcal infection can be prevented by penicillin administration. It should be continued for period of 48-72 hours and then stopped to reduce the chances of emergence of resistant organisms. Later in the clinical course systemic antibiotics are of little use to burn wound as the vascular changes of full thickness burn and with the local occlusion of small blood vessels prevent the adequate delivery of potent systemic antibiotics to the foci of bacterial growth.
Page 1 and 2:
Infection Control in Burns Prof. (D
Page 3 and 4:
Burn Wound infection Burn wound is
Page 5 and 6: Pathogenesis of burn wound infectio
Page 7 and 8: Patient factors : Deep burns Exte
Page 9 and 10: SOURCE OF BACTERIA IN BURN WOUND: T
Page 11 and 12: DIAGNOSIS OF SYSTEMIC OR INVASIVE W
Page 13 and 14: :ABNORMAL TEMPERATURE Large burns
Page 15 and 16: MULTI SYSTEM ORGAN FAILURE: Lungs:
Page 17 and 18: LABORATORY TESTS TOTAL LEUCOCYTES C
Page 19 and 20: PLATELETS, FIBRINOGEN, FDP: The pre
Page 21 and 22: MICROBIAL STATUS OF BURN WOUND: The
Page 23 and 24: CONTACT PLATES: It involves the co
Page 25 and 26: HISTOLOGICAL STUDY: At the time of
Page 27 and 28: GRADING: G1: Surface contamination
Page 29 and 30: ENVIRONMENTAL CONTROL Environmental
Page 31 and 32: All the dressings should be done in
Page 33 and 34: ADEQUATE NUTRITION A non-specific
Page 35 and 36: WOUND DEBRIDEMENT: Wound debrideme
Page 37 and 38: ENZYMATIC: Enzyme preparations are
Page 39 and 40: DISADVANTAGES: Drawbacks of enzyma
Page 41 and 42: SIMPLE EXCISION: It involves scalpe
Page 43 and 44: TANGENATIAL EXCISION: Definition: H
Page 45 and 46: CONTRAINDICATION OF TANGENTIAL EXCI
Page 47 and 48: SILVERSULFADIAZINE: Chemically, it
Page 49 and 50: MEFENIDE ACETATE: It is available
Page 51 and 52: POVIDONE IODINE OINTMENT (BETADINE)
Page 53 and 54: SUBESCHAR ANTIBIOTICS: This proces
Page 55: USE OF SYSTEMIC ANTIBIOTICS: Syste
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Infection Control in Burns Prof. (Dr.) - Health Asia

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