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Early diagnostics and treatment with acute burn sepsis
Author(s) -
Anvarjon Ahmedov,
Babur M. Shakirov,
Hudoyberdi Karabaevich Karabaev
Publication year - 2015
Publication title -
journal of acute disease
Language(s) - English
Resource type - Journals
eISSN - 2589-5516
pISSN - 2221-6189
DOI - 10.1016/j.joad.2015.07.001
Subject(s) - medicine , procalcitonin , sepsis , septic shock , severe burn , shock (circulatory) , total body surface area , burn injury , intensive care medicine , surgery
Objective: To determine the value of the procalcitonin test used for early diagnosis of sepsis and to study the course and treatment of burn sepsis in patients with severe burns.Methods: Eighty patients in the Burn Department of Republican Scientific Centre of Emergency Medical Care, aged 17–75 years with burn injuries covering 30%–85% of the body surface, were enrolled in the study. Procalcitonin is marker of sepsis, procalcitonin > 2 ng/mL, sensitivity −89%, specific feature −94%.Results: The result showed that among septic patients with severe burns, rational use of intensive therapy for burn sepsis and septic shock in combination with parentrial ozonotherapy resulted in decreases of syndrome of poly organ insufficiency and lethal outcomes from 70% accordingly. The result allows the conclusion that the treatment examined leads to a significant increase in survival coefficient.Conclusions: This in turn confirms the efficacy of early necrectomy and auto dermoplasty of deep burn wounds in victims with sepsis

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