烧伤感染术语及诊断标准的商榷

Standardized definitions and diagnostic criteria for infection in burn patients

感染是严重烧伤的主要并发症,也是引起死亡的重要原因。制订相关标准、规范感染术语,对于早期诊断并提高其救治成功率具有重要意义。20世纪70年代,第三军医大学拟定了烧伤全身性感染诊断标准:(1)兴奋、多语。

There are many criteria for the diagnosis of infection and sepsis in most patients, but the standardized definitions for infection and sepsis in burn patients are less applicable to the burn population and have never been developed. We recommend that suspicious systemic infection （sepsis） should be considered as a clinical syndrome defined by the presence of signs and symptoms of systemic infection even with negative blood microbial culture, systemic infection should be identified with positive blood microbial culture or clinical response to antimicrobials. We also expand the list of diagnostic criteria for systemic infection to reflect clinical experience in burn patients. Further refinement will be necessary when these definitions are considered for routine application in clinical practice.