We report the first outbreak of nosocomial orf infection in a hospital burn unit in Gaziantep, Turkey. The outbreak lasted from October to December 2012 and involved a total of thirteen cases. It demonstrates the risk of introduction of orf virus to a burn unit, and the potential for extensive transmission among patients with compromised skin integrity. The importance of hygiene measures and infection control are highlighted and possible transmission routes of the virus discussed.
AMAÇHastanemizin yanık merkezinde perine yanıklarında kullanılmakta olan geçici fekal diversiyon ve toplama sisteminin (Flexi-Seal ® FMS) klinik sonuçları değerlendirildi. GEREÇ VE YÖNTEMYanık merkezimizde Agustos 2008 ile Agustos 2009 arasında geçici fekal diversiyon ve toplama sistemi uygulanan tüm hastalar çalışmaya dahil edildi. Hastaların demografik bilgileri, yanık etyolojileri, yanık yüzdeleri, yoğun bakım ihtiyaçları, erken mortalite ve uygulama sonrası klinik bilgileri prospektif olarak hazırlanan bir veritabanında toplandı. Bunların yanında bu sistemin uygulandığı hastalarda fekal kaçak riskini arttırabilecek çeşitli faktörler de incelendi. BULGULARÇalışmaya 15 hasta (10 erkek, 5 kadın; ortalama yaş 43,1±22,1) dahil edildi. Ortalama yanık yüzdesi 40,7±16,6 idi. Fekal kaçak 6 hastada görüldü. Perinede lokal enfeksiyon gelişen 6 hastanın 4'ü fekal kaçaklı hastalardı. Elektrik yanığı sistemden fekal kaçak için bir risk faktörü olarak bulundu (p<0,05). Çalışmamızda sistemin uygulandığı 5 hasta kaybedildi. Kaybedilen hastaların tümünde yanık yüzde-si ≥50 idi. Otolog split greft uygulanan toplam 8 hastada ciddi komplikasyon görülmedi. Sistemin ortalama uygulama süresi 22,5±5,7 gündü ve 2 hastada yüzeyel rektal mukozal erozyon dışında sisteme bağlı komplikasyon görül-medi. Çalışmamızda sistemin uygulama ihtiyacı 29 günü aşan 1 hastaya kolostomi uygulandı. Hastaların ortalama yatış süresi ise 46,7±12,7 gündü. SONUÇGeçici fekal diversiyon ve toplama sistemlerinin güvenilir-liği yapılacak daha güçlü ve prospektif çalışmalarla kanıt-lanabilirse perine yanıklarında saptırıcı stoma gereksinimini azaltabilirler.Anahtar Sözcükler: Fekal diversiyon; perine yanıkları.
BACKGROUND: The present study was conducted to examine topic of issuing early do-not-resuscitate (DNR) order at first diagnosis of patients with severe burn injuries in light of current law in Turkey and the medical literature. DNR requires withholding cardiopulmonary resuscitation in event of respiratory or cardiac arrest and allowing natural death to occur. It is frequently enacted for terminal cancer patients and elderly patients with irreversible neurological disorders.
Objectives:To report the management of burn injuries that occured in the Syria civil war, which were referred to our burn center.Methods:Forty-three patients with burns, injured in the civil war in Syria and whom were referred to Dr. Lütfi Kırdar Kartal Educating and Training Hospital Burn Centre of İstanbul, Turkey between 2011-2015 were analyzed in a retrospective study.Results:Most of our patients were in major burn classification (93%; 40/43) and most of them had burns >15% total on body surface area. Most of them were admitted to our center late after first management at centers with improper conditions and in cultures of these patients unusual and resistant strains specific to the battlefield were produced.Conclusion:Immediate transfer of the patients from the scene of incidence to burn centers ensures early treatment, this factor may be effective on the outcome of these patients.
BACKGROUND:In this study, we aimed to evaluate the clinical efficacy and safety of negative-pressure wound therapy (NPWT) in the treatment of the patients with electrical burns. METHODS:This study was retrospectively performed using a database placed prospectively in the burn center of our hospital. All consecutive patients with electrical burns treated using NPWT at our center between August 2008 and December 2012 were included. The treatment results in our study were grouped as successful or unsuccessful considering the treatment objectives in accordance with therapy indications. RESULTS:In total, 39 patients were included in our study; of them, 36 (92.3%) were men. The average age was 34.9±9.8 years (range, 17-63 years). The majority of the patients in our study (92.3%) had been exposed to high voltage electricity. The mean total burned body surface area (TBSA) was 19.3±9.8 (range, 4-44). Six patients (15.4%) had TBSAs ≥30%, 31 (79.5%) had third degree burns, and 8 (20.5%) had fourth degree burns. In our study, indications of NPWT included bone and/or tendon exposed deep wounds that are not suitable for early grafting or flap applications owing to the lack of supporting tissue in 27 (69.2%) patients, graft fixation in 8 (20.5%) patients, and secondary grafting following graft loss in 4 (10.3%) patients. The general success rate of NPWT was 90.7% according to indications and treatment objectives in our study. CONCLUSION:In the light of our results, NPWT may contribute to the present conventional treatments used in severe electrical burns.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.