An observational study of the outcome between early excision and resurfacing of deep thermal burns with the results of traditional dressing at a tertiary care center (original) (raw)
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International Journal of Environmental Research and Public Health
According to the World Health Organization (WHO), it is estimated that each year approximately 11 million people suffer from burn wounds, 180,000 of whom die because of such injuries. Regardless of the factors causing burns, these are complicated wounds that are difficult to heal and are associated with high mortality rates. Medical care of a burn patient requires a lot of commitment, experience, and multidirectional management, including surgical activities and widely understood pharmacological approaches. This paper aims to comprehensively review the current literature concerning burn wounds, including classification of burns, complications, medical care, and pharmacological treatment. We also overviewed the dressings (with an emphasis on the newest innovations in this field) that are currently used in medical practice to heal wounds.
Annals of Medical Research
In this study, we aimed to investigate the infections that developed in our burn-unit between 2014-2018 and to retrospectively evaluate the patients who have developed in all wound cultures. Materials and Methods: The files of the patients who received inpatient treatment between 2014 and 2018 were evaluated at the Burn Treatment Unit. Nineteen patients who were reproductive in their culture were included in the study. Patients whose files could not be accessed or no records were excluded from the study. Results: The mean age of 19 patients with recorded reproduction by our infection control committee was 15.16 ± 14.63 years and 63.2% were male. All 19 patients have had reproduction. The most common causative agent was Staphylococcus aureus. Reproduction was not detected in any of the blood cultures. When we examined the burn scores of the patients 3 (15.8%) patients had first degree burn, 13 (68.4%) patients had second degree burn, and 3 (15.8%) patients had third degree burn. When we examined the types of Burns, 2 patients had electrical burns (10.5%), 16 patients had hot water burns (84.2%) and 1 patient had hot oil burns (5.3%) Conclusion: As a result of our study, we found the rate of infection, especially the wound infections, in our burn unit to be lower in other (blood, urine and catheter) infections. We consider early surgical excision of patients hospitalized in our department and extreme sensitivity to environmental sterilization and environmental cleanliness of our department may be the cause.
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine, 2009
Introduction: Burn injury and its subsequent multisystem effects are commonly encountered by acute care practitioners. Resuscitation is the major component of initial burn care and must be managed to restore and preserve remote organ function. Later complications of burn injury are dominated by infection. Burn centers are often called to manage soft tissue problems outside thermal injury including soft tissue infection and Toxic Epidermal Necrolysis.
A comparison between occlusive and exposure dressing in the management of burn wound
Burns : journal of the International Society for Burn Injuries, 2016
Two types of dressing, occlusive and exposure dressing, are commonly used in burn units. A dressing is said to be occlusive if a moist wound surface is maintained when the dressing is in place. This study was designed to compare the effectiveness of occlusive and exposure dressing in controlling burn infections. Two hundred patients with second-degree burns admitted to Mottahari Hospital, Tehran, Iran, over a period of 12 months from May 2012 to May 2013 were studied. They were divided into two groups of 100 each, to receive either occlusive or exposure dressing. During the first week of treatment, wound specimens were obtained by sterile swab and cultured in selective media. Demographics (age and gender), burn areas, cause of burn, length of hospital stay (LOS), type of infections and time to total healing were compared between the two groups. Occlusive dressing was more susceptible to microbial contamination and infections than exposure dressing. The mean duration of treatment bas...
A retrospective analysis of ambulatory burn patients: focus on wound dressings and healing times
The Annals of The Royal College of Surgeons of England, 2010
INTRODUCTION In this study, we retrospectively analysed healing times of ambulatory burn patients after silver-based dressings were introduced in late December 2005, and compared the results with those obtained before. PATIENTS AND METHODS Data were collected in November–December 2005 and in January–February 2006. We excluded from the study: (i) admitted patients; (ii) patients with mixed superficial partial thickness and deep partial thickness burns; (iii) patients with full-thickness burns; and (iv) operated patients that came for follow-up. We recorded the age, sex, cause (flame vs scald), burn depth, dressings used and healing times. RESULTS We selected 347 patients corresponding to 455 burned areas (64.4% superficial and 35.6% deep; 47.7% treated in 2005 and 52.3% in 2006). During the years 2005 and 2006, there was an increase in the use of silver-based dressings (2005, 9.7%; 2006, 38.7%; chi-squared test, P < 0.001) and a decrease in the use of paraffin gauzes (2005, 66.4%;...
Clinical Microbiology Reviews, 2006
SUMMARY Burns are one of the most common and devastating forms of trauma. Patients with serious thermal injury require immediate specialized care in order to minimize morbidity and mortality. Significant thermal injuries induce a state of immunosuppression that predisposes burn patients to infectious complications. A current summary of the classifications of burn wound infections, including their diagnosis, treatment, and prevention, is given. Early excision of the eschar has substantially decreased the incidence of invasive burn wound infection and secondary sepsis, but most deaths in severely burn-injured patients are still due to burn wound sepsis or complications due to inhalation injury. Burn patients are also at risk for developing sepsis secondary to pneumonia, catheter-related infections, and suppurative thrombophlebitis. The introduction of silver-impregnated devices (e.g., central lines and Foley urinary catheters) may reduce the incidence of nosocomial infections due to p...
Surgical Repair of the Acute Burn Wound: Who, When, What Techniques? What Is the Future?
Journal of Burn Care & Research
Modern burns surgery is multidisciplinary, multimodal and includes a dermal preservation approach. The management of the surgical wound starts in the pre-hospital environment with stabilization and assessment of the burn injured patient according to protocols of trauma resuscitation with special emphasis in the assessment of the burn depth and surface area. A large burn requires fluid resuscitation and physiological support, including counterbalancing hyper metabolism, fighting infection and starting a long burns intensive care journey. A deep burn may impose the need for surgical debridement and cover through a staged approach of excision of devitalized tissue depending on its extension and patient circumstances. These methodologies warrant patients survivability and require professionals integrated in a multidisciplinary team sharing decisions and directing management. Burns Multimodality involves multiple techniques used according to patient’s needs, wound environment, operators ...