دوره 8، شماره 1 - ( 1397 )                   جلد 8 شماره 1 صفحات 24-18 | برگشت به فهرست نسخه ها


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Jachec S, Perbix W, Fuchs P, Lefering R, Weinand C. Candida Antigen Titer Elevation and Mortality in Burn Patients. WJPS 2019; 8 (1) :18-24
URL: http://wjps.ir/article-1-427-fa.html
Candida Antigen Titer Elevation and Mortality in Burn Patients. مجله جهانی جراحی پلاستیک. 1397; 8 (1) :18-24

URL: http://wjps.ir/article-1-427-fa.html


چکیده:   (4807 مشاهده)
BACKGROUND
Mortality in burn patients has several contributing factors as sex, age, degree of burns, or inhalation injuries. Usefulness of Candida antigen (CAG) titer is still being under debate to predict mortality. This study assessed correlation between CAG titer and mortality in burn patients.
METHODS
From 1988 to 2011, 877 burn intensive care patients were evaluated for age, sex, total burn surface area (TBSA), multi organ failure (MOF), burn depth, escharotomy, fasciotomy, antibiotic use, co-morbidities, CAG titer and intubation. 
RESULTS
From 870 admitted patients, 190 patients were not enrolled. Increasing age was correlated with a higher mortality. The ABSI score of the deceased was 4 points and the TBSA was 20% higher than the survivors. The correlation for age, intubation, TBSA, inhalation injury, MOF, CAG titer, antibiotic use and escharotomy was significant. An increasing mortality was noted with antibiotic use and a CAG titer of 1:8 and higher. CAG titer of 1:8 and higher had a sensitivity of 51.1% and specificity of 86.3% for mortality. Multivariate analysis confirmed high influence of older age, MOF, comorbidities, antibiotic use and CAG titer of 1:8 and higher on mortality. There was a significant correlation for sex, younger age and CAG titer.
CONCLUSION
CAG titers of 1:8 and higher might warrant beginning of antimycotic treatment in elderly patients with high TBSA to avoid increase in mortality.
     
نوع مطالعه: مقالات اصيل | موضوع مقاله: تخصصي
انتشار الکترونیک: 1397/12/22

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