Characteristics of Burn Injury and Factors in Relation to Infection among Pediatric Patients

Babakir‐Mina, Muhammed

doi:10.15406/mojgg.2017.01.00013

Cited by 11 publications

(16 citation statements)

References 59 publications

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“…But many studies noted more incidence in male or equal incidence [1,2,4,5,6,8] in this region of Indian pupils give less importance to female as compared to male so level of care and observation get low in female that may be the cause of high incidence in female In our study, scalds were the main cause of burn in the majority of patients, similar to other studies. [1,2,4,5,6,7,8,9] Flame burn is the second most common cause of pediatric burn injury. Flame burns are generally caused by chimni (homemade lamp,), choola and other open fires.…”

Section: Discussionsupporting

confidence: 87%

“…In our study 40.31%children were up to 5 years of age some other studies also noted same in their studies [1,4,5,6,7,8] . The higher incidence in this age group is due to the curious nature of infants and toddlers and the urge to mostly pull and push things around.…”

Section: Discussionsupporting

confidence: 85%

“…Most of the injuries 90.70% occurred in domestic circumstances with accidental 93.02%.aetiology being most common [10,11,12,[13][14][15] other studies also shows high incidence in the domestic circumstance [1,2,4,5,6,7,8] . In our study most common area was kitchen to get injury.…”

Section: Discussionmentioning

confidence: 99%

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A Study of Burn Injury Cases in Pediatric Age Group in Vindhya Region of India

Sing¹

2018

jmscr

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Background: Burns in children are reported to be amongst the most prevalent traumatic injuries around the world, most of which occurring in accidental domestic environment, that are preventable. With this study, we aim to suggest measures that may be taken to prevent burns in children. Methods: Retrospective analysis of data of children with burns, up to 15 years of age, admitted to the Burns Unit of S.S. Medical College associated S.G.M. Hospital Rewa Madhya Pradesh, India during the study period of June 2014 to may 2015 was done. For the purpose of analysing, these children were divided into three groups based on their age. Results: A total of 129 pediatric burn cases were studied. Female children (51.93%) were more commonly affected. 93.02% burns were accidental in etiology. Scalds were the most common mode of injury in toddler age group (0-5 years). Overall mortality was 10.89% Conclusions: This study highlights the etiology and risk factors for burns in children of different age groups, which help in establishing safety measures that can be included in preventive programs. Through a combination of prevention strategies and improved burns care, considerable progress can be made not only in lowering the death rates, but also in achieving the goal of physical, social and psychological rehabilitation in pediatric burn patients.

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Section: Discussionsupporting

confidence: 87%

Section: Discussionsupporting

confidence: 85%

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A Study of Burn Injury Cases in Pediatric Age Group in Vindhya Region of India

Sing¹

2018

jmscr

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“…This study is similar to other previous studies. 13,31,[33][34][35][36] This can be explained by the mechanism of injury: when someone contacts with hot or boiling water, hot tea, chemical, electrical, and radiation, patients may present with different burned anatomic sites, in which extremities are common due to manipulation of different objects.…”

Section: Discussionmentioning

confidence: 99%

Clinical Profiles and the Outcomes of Burn Patients Admitted to the Burn Unit of Jimma Medical Center

Mulugeta¹,

Alemayehu²,

Gerema³

2021

CCID

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Background: Burn is a serious public health problem and a leading cause of disability and disfigurement. However, there was no published study from our Hospital Burn Unit that assessed the clinical profiles and the outcomes of burn patients. Objective: This study was aimed to assess the clinical profiles and the outcomes of patients admitted with burn injuries. Methods: Hospital-based retrospective cross-sectional study was conducted at the Burn Unit of JMC. Systematic random sampling was used to include the burn patients. Data were analyzed using SPSS version 25. Descriptive statistics, chi-square (χ 2 ), and student-t-test were performed to describe and assess the relationships between the variables. Multivariate logistic regression was performed to determine the factors affecting the length of hospital stays. Results: One hundred twenty-four burn patients (51.6% female) were included. The majority (79.84%) of the patients were in the age category of less than 29 years. Scalds (47.6%) were the most common cause of burns with three times in females. The extremities (93.5%) were the most frequently affected areas. Patients with second-degree superficial burns accounted for 61.3% of all patients. In 95.88% of the patients, the total body surface area burn (TBSA) was below 20%. Lactated ringers (69.4%) and tramadol (71.0%) were the most frequently used IV fluid for resuscitation and analgesic agent for pain, respectively. Patients who undergo any of the surgical procedures stayed in the hospital for greater than 30 days more than 4 times likely (OR = 4.8, 95% CI 2.08-11.2, P < 0.001). Conclusion: Scalds are the most common cause of burn injury, particularly in patients aged less than 14 years. Educating the community about the risk groups, household safety precautions, and early seeking medical care may reduce the incidence and morbidity of burn injuries.

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“…A study conducted in Iraq among pediatric burn patients reported a significant relationship between wound infection and death in 37.7% of the deaths recorded. The deaths were attributed to inappropriate antibiotic use due to delays in laboratory testing including wound swab and blood culture that might have resulted in septicemia and eventually death [ 6 ]. In studies involving pediatric patients, sepsis was found to be the leading cause of death in Mozambique (100%) and the second cause of death in Cameroon (24%) [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

High Level of Multidrug-Resistant Gram-Negative Pathogens Causing Burn Wound Infections in Hospitalized Children in Dar es Salaam, Tanzania

Kabanangi

Joachim

Nkuwi

et al. 2021

International Journal of Microbiology

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Background. Bacterial infection remains the most common cause of morbidity and mortality in pediatric patients with burn wounds. The increase in infection and multidrug-resistant (MDR) pathogens necessitates a periodic review of antimicrobial susceptibility patterns in the burn units. The study aimed to determine the magnitude of multidrug-resistant Gram-negative (MDRGN) bacteria in children with burn wound infections and describe the resistance patterns in the tertiary and regional hospitals in Dar es Salaam, Tanzania. Materials and Methods. The study was a hospital-based cross-sectional study design conducted between May 2017 and February 2018. Bacterial isolates from 103 wound swabs of pediatric patients with burn wounds were identified using conventional methods and API 20E. The antimicrobial susceptibility pattern was determined by the Kirby–Bauer disc diffusion method. Data were analyzed using Statistical Package for Social Science (SPSS) version 23.0. Results. A total of 136 pathogenic Gram-negative organisms were isolated from burn wound infections in pediatric patients. The most isolated Gram-negative bacterium was Pseudomonas aeruginosa (39.0%), followed by Acinetobacter spp. (28.7%) and Klebsiella spp. (16.2%). MDRGN strains made up 80.1% of all Gram-negative isolates. All (100%) Klebsiella spp. and E. coli were MDR, while 69.2% and 79.2% of Acinetobacter spp. and P. aeruginosa, respectively, displayed MDR strains. We observed high levels of resistance to commonly prescribed antibiotics. Among P. aeruginosa isolates, highest resistance (81.8%) was seen toward meropenem and piperacillin, 79.5% of Acinetobacter spp. showed resistance to aztreonam, while 93–100% of Klebsiella spp and E. coli displayed resistance to amoxyclavulanic acid, ceftriaxone, and ceftazidime. The proportion of extended-spectrum beta-lactamase producers among Enterobacteriaceae was 78.6%. There was a significant higher rate of infection with MDRGN organisms in pediatric patients with a higher percentage of total burn surface area (TBSA) than patients with lower TBSA ( p = 0.016). Conclusions. P. aeruginosa, Acinetobacter spp., and Klebsiella spp. are the common Gram-negative pathogens causing burn wound infections in hospitalized pediatric patients in our setting. A high proportion of these organisms were multidrug resistant. The findings appeal for regular antimicrobial resistance surveillance in burn wound infection to inform empirical therapy.

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Characteristics of Burn Injury and Factors in Relation to Infection among Pediatric Patients

Cited by 11 publications

References 59 publications

A Study of Burn Injury Cases in Pediatric Age Group in Vindhya Region of India

A Study of Burn Injury Cases in Pediatric Age Group in Vindhya Region of India

Clinical Profiles and the Outcomes of Burn Patients Admitted to the Burn Unit of Jimma Medical Center

High Level of Multidrug-Resistant Gram-Negative Pathogens Causing Burn Wound Infections in Hospitalized Children in Dar es Salaam, Tanzania

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