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• W2954057707 abstract "Burned patients are an especially fragile population in which infections are a leading cause of death and morbidity. Fungal infections have become increasingly prevalent in Intensive Care Units (ICUs) and burn ICUs. Management of fungal colonization and infection still constitutes a challenge for clinicians. The aim of this retrospective cross-sectional study was to characterize the population of burn patients with fungal infections admitted to our Burn ICU between January 2013 and December 2015. Patients were characterized according to age, gender, date of admission and exit, type of burn, type of exit, total body surface area (TBSA) and presence of inhalation injury. Positive fungal cultures, causative pathogen and site of sampling were also registered. Statistical analysis centred around the presence of fungal infection/colonization was performed using IBM SPSS Statistics. A total of 172 patients were included, 38 (22.1%) had a positive fungal culture and of these 8 (21.1%) died. Patients with fungal infection/colonization stayed more days than those without infection. However, this tendency did not reach statistical significance when patients that died in the ICU were excluded. No relationships were found when comparing positive fungal cultures with TBSA, burn aetiology, inhalation injury or mortality. Fungal infections are a major cause of morbidity and mortality despite TBSA, burn type or presence of inhalation injury. Efforts should be made to improve management of fungal infections, especially in burn patients and other critically ill groups.Les brûlés sont des patients particulièrement sensible aux infections, responsables majeures de morbidité et de mortalité. La prévalence des IF croît en réanimation, générale comme brûlologique, et la prise en charge des colonisations et infections reste un défi pour le clinicien. Le but de cette étude transversale était de préciser les caractéristiques des patients brûlés, hospitalisés dans notre CTB entre janvier 2013 et décembre 2015, ayant développé une IF. Nous avons relevé l’âge, le sexe, les dates d’entrée et de sortie, la modalité de sortie, le type de brûlure, la SCB et la présence de lésion d’inhalation. Les cultures fongiques positives, leur site et la levure isolée ont aussi été répertoriées, les études statistiques ayant utilisé SSPS Statistics (IBM). Parmi les 172 patients étudiés, 38 patients (22,1%) ont développé une IF et 8 (21,1%) en sont morts. Les patients souffrant d’une IF sont restés plus longtemps dans le service, cette constatation n’étant pas significative si les patients décédés ne sont pas comptabilisés. Nous n’avons pas trouvé de corrélation entre IF et SCB, cause de la brûlure, inhalation ni mortalité. Des efforts sont nécessaires pour améliorer la prise en charge des IF, en CTB comme en réanimation générale." @default.
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• W2954057707 date "2020-06-30" @default.
• W2954057707 modified "2023-09-23" @default.
• W2954057707 title "The outcome of fungal infections in a burn intensive care unit: a study of 172 patients." @default.
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