Burn Infection

Dear Colleagues,

Burn treatment is a challenging task, requiring a multidisciplinary approach and continuous scientific updating to guarantee our patients the best results. Severe burns should be considered as a paradigmatic polytrauma. Tissue injury, together with the release of multiple local and systemic mediators of inflammation, leads to an increase in vascular permeability, resulting in major hydroelectric and cardiovascular changes. In the past, shock was the leading cause of death in these patients. As we all know, advances in intensive care have reversed this situation, and today this initial acute phase of hypovolemia is successfully overcome in most cases, allowing the survival of most patients. Currently, sepsis, the state of systemic infection that can quickly evolve to multiorgan failure, has become the leading cause of death in burn victims. Compared to other critical patients and due to intrinsic and extrinsic factors, burn patients are more susceptible to the development of infectious complications. The situation has been further aggravated by the rapid spread of prolonged microbial resistance and the scarcity of new antimicrobials in the past decade. The danger of infection is real and permanent; therefore, we need to be aware of all the risk factors, aiming for prompt diagnosis and immediately starting the most adequate therapy to ensure the best results.

Being responsible for a Burn Unit and doing most of my academic work on burn sepsis, it is an honor to be Guest Editor of this Special Issue of the European Journal of Burn Care dedicated to all aspects of infection in burn patients. Considering your great knowledge in this field, I would be extremely grateful if you may share your expertise with our readers, sending papers that can address any pertinent topic on burn infection, including epidemiology and diagnosis, microbiology and treatment, results, etc.. I am sure that this collection will open up new perspectives on this crucial issue.

Dr. Luis Cabral MD, PhD
Guest Editor

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