A new look at the issue of diagnostics of endogenous intoxication in patients with burn injury

Authors

  • V. S. Savchin Municipal City Clinical Hospital No. 8
  • L. R. Ostapiuk Vinnytsia National Medical University
  • A. S. Voloshinovsky Lviv National University
  • T. S. Malyi Lviv National University

DOI:

https://doi.org/10.11603/2414-4533.2019.1.9907

Keywords:

burn injury, sepsis, method of fluorescence spectroscopy

Abstract

The aim of the work: to diagnose the inflammatory changes in patients with burn injury in the framework of the method of fluorescence spectroscopy.

Materials and Methods. The clinical base of blood serum (BS) test for patients with burn injury was the Burn Department of the Communal City Clinical Hospital No.8 in Lviv. The experimental base was the Luminescence Laboratory of the Experimental Physics Department at the Ivan Franko Lviv National University. The subjects of the study were 48 samples of BS of 10 patients from 24 to 58 years old (7 males and 3 females) with burns of flame and boiling water of I-IIA-IIB degree in the total area from 18 to 45 % of the body surface, including head and neck.

Research and Discussion. Fluorescence spectra (FS) of BS of patients with burn injury, which are λ-like curves in the range of 300 nm <l <450 nm, were studied. The main indicators that were used for the analysis of FS of BS are the fluorescence intensity (If) and the position of the maximum of fluorescence band (lmax). FS studies began with the emergence of threatening signs of development of purulent-septic complications and were conducted in a dynamics with an interval of 3-8 days until recovery.

References

Kovalenko, O.M. (2012). Patohenetychne obhruntuvannia prohram khirurhichnoho likuvannia ditei z poshyrenymy opikamy ta vplyv yikh na perebih ranovoho protsesu [Pathogenetic substantiation of programs of surgical treatment of children with common burns and their influence on the course of wound process]. Doctor’s thesis. Kyiv: O. Bohomolets National Medical University [in Ukrainian].

Savchyn, V.S. (2014). Osoblyvosti reparatyvnykh protsesiv u khvorykh z hlybokymy opikamy holovy ta shyi [Features of reparative processes in patients with deep burns of the head and neck]. Arkhiv klinichnoi ta eksperymentalnoi medytsyny – Archive of Clinical and Experimental Medicine, 23 (2), 149-152 [in Ukrainian].

Savchyn, V.S. (2014). Osoblyvosti zapalnoi vidpovidi pry opikovii travmi holovy i shyi [Features of the inflammatory response when burn injury to the head and neck]. Arkhiv klinichnoi medytsyny – Archive of Clinical Medicine, 2 (2), 112-113 [in Ukrainian].

Pat. №76953 Ukraina A61V 17/00 G01N 33/48, G01N 21/64 (2013). Sposib rannoi diahnostyky hniino-septychnykh uskladnen za dopomohoiu metodu fluorestsentnoi spektroskopii [Method of early diagnosis of purulent-septic complications using the method of fluorescence spectroscopy]. Herych I.D., Bulavenko O.V., Ostapiuk L.R., Voloshynovskyi A.S., Miahkota S.V., zaiavnyk ta patentovlasnyk Vinnytskyi natsionalnyi medychnyi universytet. – № 201207441, Biul. № 2 [in Ukrainian].

Savchyn, V.S., Ostapiuk, L.R., Voloshynovskyi A.S., & Malyi, T.S. (2016). Aprobatsiia metodu fluorestsentnoi spektroskopii dlia diahnostyky endohennoi intoksykatsii pry opikovii travmi [Approbation of the fluorescence spectroscopy method for the diagnosis of endogenous intoxication with burn injury]. Klinichna khirurhiia – Сlinical Surgery, 6, 68-70 [in Ukrainian].

Herych, I.D., Bulavenko, O.V., Ostapiuk, L.R., Voloshynovskyi, A.S., & Miahkota, S.V. (2015). Fluorestsentna spektroskopiia: mozhlyvosti zastosuvannia v medychnii praktytsi [Fluorescent Spectroscopy: ability to use in medical practice]. Lviv: Liha-Pres [in Ukrainian].

Herych, I., Bulavenko, O., & Ostapiuk, L. (2014). Spectral-fluorescent properties of serum as a reliable marker for early diagnosis of sepsis. Journal of Gynecology and Obstetrics, 2(5), 71-74 [Electronic resource]. Retrieved from: doi: 10.11648/j.jgo.20140205.11.

Bulavenko, O.V, Ostapiuk, L.R., Rud, V.O., Voloshynovskyi, A.S. (2016). Obhruntuvannia dotsilnosti zastosuvannia metodu fluorestsentnoi spektroskopii v kompleksnii diahnostytsi pisliapolohovoho endometrytu [Rationale of the method of fluorescence spectroscopy in complex diagnosis of postpartum endometritis]. Zdorovye zhenshchiny – Health of a Woman, 3 (109), 71-75 [in Ukrainian].

Bulavenko, O.V., Herych, I.D., Ostapiuk, L.R., Vashchuk V.V., Voloshynovskyi, A.S., & Miahkota, S.V. (2013). Modeliuvannia zmin syrovatky krovi pry riznykh zakhvoriuvanniakh ta likuvalnykh zakhodakh [Modeling changes in serum for different diseases and medical events]. Biomedical and biosocial anthropology – Biomedical and Biosocial Anthropology, 20, 8-14 [in Ukrainian].

Published

2019-03-25

How to Cite

Savchin, V. S., Ostapiuk, L. R., Voloshinovsky, A. S., & Malyi, T. S. (2019). A new look at the issue of diagnostics of endogenous intoxication in patients with burn injury. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (1), 20–24. https://doi.org/10.11603/2414-4533.2019.1.9907

Issue

Section

ORIGINAL INVESTIGATIONS