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A 2000 patient retrospective assessment of a new strategy for burn wound management in view of infection prevention and treatment
Authors:Justyna Glik  Wojciech Łabuś  Diana Kitala  Karolina Mikuś‐Zagórska  Christopher D Roberts  Mariusz Nowak  Aleksandra Kasperczyk  Marek Kawecki
Institution:1. Dr Stanis?aw Sakiel Center for Burns Treatment, Siemianowice ?l?skie, Poland;2. Department of Chronic Wounds Management Organization, School of Health Sciences in Katowice, Medical University of Silesia, Katowice, Poland;3. Clinical Resolutions Wound Care Consultancy, Hessle, UK;4. Department of Biochemistry, School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia in Katowice, Zabrze, Poland;5. Department of Health Sciences, Technical‐Humanistic Academy, Bielsko‐Bia?a, Poland
Abstract:Infections in burn patients are still the principal cause of complications in burn injuries. The aim of this study is to assess a new strategy for burn wound management in view of infection prevention and treatment in the experience of the Burn Treatment Center in Siemianowice Śląskie. The applied methodology involved the analysis of patient records describing the hospital''s epidemiological situation between 2014 and 2016. The analysis also included the use and cost of antibiotics, silver‐containing dressings, and other antiseptics relative to the number of sepsis cases, including those caused by Pseudomonas aeruginosa, as well as the mortality ratio. The total costs of prevention and treatment of infections were reduced, while the use of silver‐containing dressings and antiseptics increased. The number of patients with sepsis decreased, including cases caused by P. aeruginosa, and the mortality ratio was reduced. Introducing a strategy for burn wound‐oriented infection prevention and treatment in burn patients provides a number of benefits. It is also cost‐effective. Using locally applied active dressings and antiseptics can be a welcome choice for often‐unnecessary antibiotic therapy of a suspected or existing burn wound infection.
Keywords:antibiotics  burns  infections  silver‐containing dressings
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