Bums are manifestations of injuries that are typically inflicted on the skin and other
epithelial tissues. The metabolic disturbance and fluid imbalance are direct results of burn trauma
and of fluid losses from the bum wound. Hypermetabolism and hypercatabolism characterize the
body's response to a burn injury resulting in increase in energy and protein requirements. This study
aimed to determine the effect of two nutritional regimens on wound healing of moderate burned
patients. It was carried out at the burns unit of the Assiut university hospital, from October 2002 till
December 2004. A sample included lOO adult recent moderately burned patients assigned
sequentially into a group I (n=50) who their calculated caloric requirement form natural nutrients
including the ordinary hospital diet, and group II (n=50) who received outline hospital diet &
supplementation by commercial products rich in protein and carbohydrates (sustagen or Ensure).
Monitoring the effect of &0 regimens was done by laboratory investigation. and anthropometric
measurements. The main results reveal significant increase in weight gain in group Il compared to
group I at discharge. There was an increase in value of mid-arm muscle circumference (MAMC)
body mass index (BMI) and triceps skin fold thickness(TSF) on discharge than 011 admission. In
addition, a significant relation ship of serum transferrine, albumin and serum protein among patients
groups.