title: Selective digestive decontamination (SDD) as a tool in the management of bacterial translocation following major burns.
abstract: Bacterial translocation after major burns plays an important role in burn sepsis and can be reduced with SDD. 30 patients with burns of 25-50% TBSA were divided into 2 groups. Group I received SDD regimen in the form of amikacin, miconazole, and colistin sulphate. Group II served as a control group. SDD treatment resulted in significant control of infectious episodes and multi-organ dysfunction syndrome (MODS). It also resulted in a reduction of mortality, although this was not statistically significant. Despite the statistical insignificance of the improved mortality rate, SDD treatment seems to be a useful tool in treating this group of highly critical patients.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
authors.forename: Y A
authors.initials: YA
authors.lastname: Aboelatta
authors.affiliation: Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
authors.forename: A M
authors.initials: AM
authors.lastname: Abd-Elsalam
authors.affiliation: Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
authors.forename: A H
authors.initials: AH
authors.lastname: Omar
authors.affiliation: Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
authors.forename: M M
authors.initials: MM
authors.lastname: Abdelaal
authors.affiliation: Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
authors.forename: A M
authors.initials: AM
authors.lastname: Farid
keywords: bacterial translocation; burn sepsis; digestive decontamination; gut derived burn sepsis