Improved survival with aggressive surgical management of noncandidal fungal infections of the burn wound

Michael J. Spebar, Michael J. Walters, Basil A. Pruitt

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

A period of aggressive surgical treatment and early identification of fungal infection of the burn wound was compared with the previous 5 years’ experience with patients suffering from fungal infection of bum wounds. The portion of those patients with Candida infections diagnosed and treated premortem increased from 48.0% to 63.6% and of patients with noncandidal infections from 40.8% to 67.0% in the more recent period. The mortality of patients with Candida infections in 1973 to 1977 was 83.3% and in 1978 was 87.5%. The mortality of noncandidal infections, 87.4% in 1973 to 1977, was 25.0% in 1978. Local surgical control of the infected portion of bum wounds is an effective way of improving the survival in noncandidal bum wound infections. Surgical excision of bum wounds does not alter the poor prognosis of patients with Candida invasion of the bum wound.

Original languageEnglish (US)
Pages (from-to)867-868
Number of pages2
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume22
Issue number10
DOIs
StatePublished - Oct 1982

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

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