Abstract

Invasive fungal infection is one of the major complication of severe burns which can induce local or systemic inflammatory response and cause serious substantial damage to the patient. The incidence of fungal infection for burn victims is increasing dramatically during recent years. This guideline, organized by Chinese Society of Burn Surgeons, aims to standardize the diagnosis, prevention and treatment of burn invasive fungal infection. It can be used as one of the tools for treatment of major burn patients.

Highlights

  • Review ArticleGuideline for diagnosis, prophylaxis and treatment of invasive fungal infection post burn injury in China 2013

  • More and more cases of invasive fungal infections are found post-burn, especially after severe burn injury.[1,2,3] Factors associated with invasive fungal infection after burn injury include administration of broadspectrum antibiotics, tracheostomy tubing, mechanicalGaoxing, et al.: Guideline for burn invasive fungal infection ventilation, parenteral nutrition and invasive monitoring

  • If the patient’s total burn area is more than 50% TBSA, or full thickness burn area is more than 30% TBSA, or moderate to severe inhalation injury is present, or patients suffer from diabetes and other immune-related diseases before burn injury, the elderly empirical antifungals are recommended to start at day 7 after burn injury

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Summary

Review Article

Guideline for diagnosis, prophylaxis and treatment of invasive fungal infection post burn injury in China 2013. University, Nanchang, Jiangxi, 10Department of Anesthesia and Critical Care, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, 11Department of Otorhinolaryngology Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, 12Department of Burns, General Hospital of Guangdong. This guideline, organized by Chinese Society of Burn Surgeons, aims to standardize the diagnosis, prevention and treatment of burn invasive fungal infection. It can be used as one of the tools for treatment of major burn patients

Introduction
Concept of the BIFI
Diagnosis of burn invasive fungal infection
Fungus detection
Diagnostic classification
Prophylaxis of BIFI
Monitoring the BIFI
Treatment of the BIFI
Wound treatment
Preemptive treatment
Targeted treatment
Surgical treatment
Findings
Summary
Full Text
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