Immunosuppression following thermal injury has been noted in recent years.
Both cellular and humoral immune systems have been reported to be affected.
The present study aimed to compare the quantitative differences between cu
taneous and electrical burn patients in respect to the partition and levels
of lymphocyte populations. From March 1997 through February 1998, 15 patie
nts with major thermal injury or high voltage electrical injury were includ
ed in this clinical prospective study. Blood samples were collected at thre
e and seven days postburn. The evaluation of lymphocyte populations of pati
ents was performed by SimulTest IMK plus(TM). T cell and B cell populations
, activated T cells, natural killer and helper T cell levels were all suppr
essed in both groups. Suppressor T cell levels were elevated in electrical
burn group at both three and seven days. Therefore, CD 4/CD 8 ratios were m
ore suppressed in electrical burn group. In conclusion, lymphocyte populati
ons in electrical burn patients and also contributing factors which play im
portant roles in the development of sepsis in both group need to be investi
gated further. (C) 2000 Elsevier Science Ltd and ISBI. All rights reserved.