YANIKLARDA MANTAR ENFEKSÝYONLARI

Fungal ve bakteriyel yanýklardaki deneyimlerimizi deðerlendirmek için prospektif bir çalýþma gerçekleþtirdik. "Yedi yýllýk bir süre içerisinde Atatürk Üniversitesi Týp Fakültesi Genel Cerrahi servisine baþvuran yanýklý 124 hastanýn 38'inde (%30.6) fungus izole edildi. Yanýk yara enfeksiyonu tespit edilen hastalarýn yanýk yüzdeleri %30'un üzerindeydi. Teþhis biopsi materyalinin histopatolojik incelenmesi ile konuldu. Dokuz hasta (%23,7) fungal invazyon nedeni ile kaybedildi. Ýki hastaya (%5,3) hastalýðýn ortadan kaldýrýlmasý amacý ile amputasyon yapýldý. Ýnvaziv sepsis baþlamadan önce agressif cerrahi ve yanýk tedavisi esnasýnda gerekli olmadýkça, geniþ spektrumlu antibiyotiklerin kullanýmýnýn kýsýtlanmasý yasamý tehdit eden fungal enfeksiyonlarýnýn önlenmesinde önemli rol oynayacaktýr.

FUNGAL INFECTION IN BURNS

To evaluate our experience with fungal burn wound infections, we performed a prospective study for comparison with bacterial burn wound infection. Within a 7 year period, 124 patients were admitted with burns to Department of General Surgery Atatürk University School of Medicine. All patients with burn wound infection had massif injury, with burn size averaging greather than 30% of the total body surface. The diagnosis was supported in each cases by histologic study of biopsy material. Fungi were recovered from 38 (30,6%) of the 124 patients. Nine patients (23,7%) died from fungal invasion. Two patients (5,3%) required amputation to eradicate disease. Agressive surgical management of the burn wound before the onset of invasive fungal sepsis, and restriction of the use of broad-spectrum antibiotics to the treatment of verified bacterial infection can best prevent this life-threatening complication.