PECULIARITIES OF TREATMENT OF DEEP BURNS

Aim. To study the efficiency of modern antiseptics used for complex treatment of deep burns and their effect on microbial composition of burn wounds. Materials and methods. Retrospective study of the results of complex treatment of 211 persons with burn injuries including 93 (44%) sufferers with deep burns which later on needed operative treatment was carried out. Taking into account the effect of traumatic factors patients were distributed in the following way: flame burns formed the largest group – 58 cases (62,37%), hot water burns – 21 persons (22,6%), contact burns – 7 (7,5%), hot fluid – 4 (4%), electric burns – 2 (2%) and chemical burn – 1 (1%). Results. In all cases with deep burns patients underwent staged deferred necrectomies, in most cases, after chemical necrosis with 40% salicylic ointment. First necrectomy was performed on the day 11,7±4,9 (mean data). The terms for autodermoplasty were 23,9±9,5 days, bed day – 40,6±15 days. In 78,5% of patients, 1% iodopiron solution was used as antiseptic. The results of bacteriologic inoculations from burn wounds were mainly the following: Pseudomonas aeroginosa - 30%, Staphylococcus aureus - 21%, Acinetobacter baumani - 17%. It turned out that in case of degree IIIB-IV burn, microorganisms in the wound are present more often as components of 2-component associations. Conclusion. Since pathogenic microflora in burn wounds very rapidly acquires resistance to local antimicrobial drugs, it is necessary to use them rationally, renew permanently and to study efficiency of additional complex and combined methods of influence on infection.

Deep burn, antiseptic, microorganisms