Sepsis en el paciente quemado grave

The infections in the seriously burned patient considerably affect the prognosis. A descriptive observational study with the aim of describing the incidence of infections in the seriously burned patient was carried out at the Burns Service of the Arnaldo Milian Castro Provincial University Hospital in Santa Clara during the period from January 2003 to December 2006. The study included all the patients assisted in this service who had septic complications in their evolution. The results showed a predominance of patients between 31 and 45 years of age; there were more women than men in all age groups with the exemption of the age group over 60 years of age; 46.8 percent of the cases suffered burns due to oil and its derivatives; 37.6 percent of the patient had a critical and extremely critical situation. It was concluded that the infections in the burned patient represent a frequent complication which worsens the prognosis. The risk factors related to the therapy used, and those inherent to the patient, notably increase the appearance of infections. The correct identification of the microorganisms according to their location gives the possibility of choosing an adequate antibiotic therapy, avoiding the increment of the antimicrobial resistance and improving the patient's evolution. It is recommended to circulate the results of the study with the aim of giving the researchers a tool for future interventions, in order to create a protocol for the treatment of the seriously burned patient.