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Evania Setiawan https://orcid.org/0000-0002-4130-5295 Aditya Wardhana https://orcid.org/0000-0002-7577-8357 Wina Sinaga https://orcid.org/0000-0002-9805-0748 Ayu Diandra Sari https://orcid.org/0000-0002-6229-8290 Metta Satyani https://orcid.org/0000-0001-7443-4571 Lily Indriani Octovia https://orcid.org/0000-0003-2314-5731

Abstract

Backgrounds: Diarrhea frequently occurs in severely burned patients attributable to impaired intestinal integrity and dysbiosis. Soluble fiber may improve intestinal barrier function, avoid bacterial translocation, then subsequently prevent and treat diarrhea. Soluble fiber is rapidly fermented by commensal bacteria and produces short-chain fatty acids (SCFA).


Case Reports: A 51-year-old male with severe burn injury involving 53,5% total body surface area (TBSA) and diarrhea were given soluble fiber as part of his diet.


Results: Administration of 6–10 g/d soluble fiber clinically improves stool consistency, assessed by Bristol Stool Scale, in the severely burned patient. The patient was discharged after 19 days of hospitalization with improvement in clinical condition.


Summary: SCFA maintains intestinal integrity, supports the growth of commensal bacteria, and inhibits pathogens. There is no specific recommendation regarding fiber intake in burned patients

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Section
Burns

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