Infection is a common complication after burns and the major cause of death in patients suffering severe burn injury. The infection of the elderly after burns is more serious due to their decreased immune function that is complicated with factors such as multiple chronic diseases and dysfunction of various organs. In addition, the burn infection in the elderly lacks the specific symptoms and signs, which brings great challenges to its diagnosis and treatment. To effectively prevent and control infection is very important for the treatment of elderly burn patients. Combined the clinical characteristics of burn infection in the elderly, this paper summarized the research advances of prevention and treatment for burn infection in the elderly from fluid resuscitation, wound treatment, antibiotic using, organ protection, nutritional support, and infection prevention, aiming to provide reference for clinical practice.
感染是烧伤后的常见并发症，也是造成危重烧伤患者死亡的重要原因。老年人由于免疫功能下降、合并多种慢性疾病及各器官功能减退等原因，烧伤后感染更加严重。此外，老年烧伤感染缺乏特异性症状及体征，给其诊断与治疗带来巨大挑战。有效地预防和控制感染对老年烧伤患者救治而言极为重要。该文结合老年烧伤感染临床特点，从液体复苏、创面处理、抗生素使用、脏器保护、营养支持及感染预防等方面，总结老年烧伤感染防治研究进展，旨在为临床实践提供参考。.