Treatment of Infection in Burn Patients

Janos Cambiaso-Daniel, James J. Gallagher, William Norbury, Celeste C. Finnerty, David Herndon, Derek M. Culnan

Research output: Chapter in Book/Report/Conference proceedingChapter


Burn wounds are conduits for infections. From the inciting thermal trauma to finalization of therapy, burn patients are exposed to multiple drug-resistant organisms. This chapter presents the definitions and types of infections afflicting burn patients, from cellulitis and wound infections to pneumonias and bloodstream infections. Topical and systemic antimicrobials are covered, as well as specific etiologic bacteria, fungi, and viruses. A care algorithm is elaborated, centered on source control with early surgical excision and skin grafting augmented by culture-directed antimicrobial therapy. Regardless of the etiologic organism, the best intervention for both prophylaxis and treatment of infections in the burn patient is the prompt closure of burn wounds with skin.

Original languageEnglish (US)
Title of host publicationTotal Burn Care, Fifth Edition
ISBN (Electronic)9780323476614
ISBN (Print)9780323497428
StatePublished - Jan 1 2017


  • Burn
  • bacteria
  • excision
  • fungus
  • graft
  • infection
  • pneumonia
  • resistant
  • sepsis
  • virus

ASJC Scopus subject areas

  • General Medicine


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