Epidemiology of Pediatric Burn Injuries in Istanbul, Turkey

Arslan, Hakan; Kul, Baran; Derebaşınlıoğlu, Handan; Çetinkale, Oğuz

doi:10.5505/tjtes.2013.44442

Cited by 27 publications

(35 citation statements)

References 13 publications

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“…This finding is consistent to the results of a study by Arslan, H., and his coaouthores 4.3%. 43 It was higher than the other previous literatures from high income countries such as 1.3% in Kuwait, 80 0.7% in America, and 1.1% in Europe, 25 but was less than the result obtained by Golshan, et al in South Asia 9%.81 An important point is that the burnt patients from other provinces treated or died as outpatients and were excluded. In addition, hospitals mortality rates are likely to be related to the quality of hospital care and case mix in terms of factors associated with mortality.…”

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confidence: 53%

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

Babakir‐Mina¹

2017

MOJGG

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Burn injury is one of the most common and devastating forms of trauma and a major health problem of pediatric morbidity and mortality worldwide. The risk of infection in pediatric burns is well-known. An observational checklist was used by the researcher to assess the patients' characteristics and factors related to burn injury and infection from 1037 pediatric patients. The observational data collection showed that 56.5% of patients were males. The highest risk groups for burn injury are preschool stages. The most frequent places for burns were home 97.5%. The mechanism of burn includes scalds 72.5%, flame 22.8%, contact 2.1%, electrical 1.8%, chemical 0.8% and friction 0.2%. The prevalence of infection was 23.4%. Patients from flame burns more likely get infections 39.1% (p=0.001). Other factors associated with infection such as degree of burns, extent of body burn surface and length of hospital stay. Regarding etiology of scald burn injury, hot water is a predominant cause of burn injury 78.99%. There was a significant relation between Total Body Surface Area (TBSA) and mortality p<0.001. Patients with >40% of TBSA has a high proportion rate for death 55.7%. The majority of died patients caused by flame 65.6% and statistically highly significant P<0.001. Infection and inhalation injury are the main factors related to death 37.7% vs. 58.0%. From 748 positive samples, the most common found organism was MethicillinResistant Staphylococcus aureus (MRSA) 34.2%, followed by Pseudomonas aerogenosa and Acienetobacter baumannii 16.7%, 16.4% respectively. Patients with greater mean TBSA and prolonged hospital stay more likely to get Gram-negative bacterial and fungal infections and highly statistically significant p<0.001. Many other studies are need to determine the epidemiology and factors related to microbiological infection among pediatric burn patients. Keywords: pediatric, burn patient, nosocomial infection, tbsa & mrsa MOJ Gerontology & Geriatrics Research ArticleOpen Access Source of organisms are found in the patient's own endogenous, from exogenous in the environment, and from healthcare personal or parents. The most common type of Nosocomial infections in burned children's is bloodstream infections, pneumonia, UTI, skin and surgical site infections. Organisms such as gram-negative bacteria, gram-positive bacteria, viral and yeast/fungal are the main causes of burn nosocomial infections. 16,17 Burn centers and burn hospitals should routinely determine and observe the specific pattern of burn microbial infection, time-related changes in the predominant microbial flora of the burn patient, the antimicrobial susceptibility profiles of microorganisms implicated in burn wound infections in a given time period, and trends in the nosocomial spread of these agents. Characteristics of burn injury and factors in relation to infection among pediatric patients 18,19 Methods Study design and settingThe study was conducted at Sulaimani Burn and Plastic Surgery Hospital, Kurdistan Region, Iraq. The data collection w...

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confidence: 53%

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

Babakir‐Mina¹

2017

MOJGG

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“…(4) Most epidemiological studies have focussed on burns admissions, which by their nature capture larger severe burns, predominantly scalds, and often with data from Burn Centres and units. (5)(6)(7)(8)(9)(10) This misrepresents the true scale of the challenge in burns prevention. Although 90% of childhood burns are managed in the ED, many of these ED studies have been short, retrospective, single centre studies, which either combine scalds and non-scald burns (11,12) or observe scalds alone.…”

Section: Introductionmentioning

confidence: 99%

Agents, mechanisms and clinical features of non-scald burns in children: A prospective UK study

Johnson

Maguire

Hollén³

et al. 2017

Burns

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General rightsThis document is made available in accordance with publisher policies. Please cite only the published version using the reference above. Full terms of use are available: http://www.bristol.ac.uk/pure/about/ebr-terms Methods: A prospective cross-sectional study was conducted across Cardiff, Bristol and Manchester, including six emergency departments, three minor injury units and one burns unit between 13/01/2013-01/10/2015. Data collected for children aged <16 years with any burn (scald, contact, flame, radiation, chemical, electrical, friction) included: demographics, circumstances of injury and clinical features. Scalds and burns due to maltreatment were excluded from current analysis.Results: Of 564 non-scald cases, 60.8% were male, 51.1% were <3 years old, 90.1% of burns affected one anatomical site; Contact burns accounted for 86.7%, 34.8% of which were from objects placed at >0.6meters and 76.5% affected the hands. Hairstyling devices were the most common agent of contact burns (20.5%), 34.1% of hairstyling devices were on the floor. 63.7% of children aged 10-15 years sustained contact burns of which 23.2% were preparing food, and in burns from hairstyling devices, 73.3% were using them at the time of injury. Conclusions:Parents of toddlers must learn safe storage of hazardous items. Older children should be taught skills in safe cooking and hairstyling device use.

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“…14 Isaac et al also concluded that boiling water was the main cause of burns in children in South Africa. 15 Also, in the study by Arslan et al, 16 boiling water was the most important cause of burn injuries. Most deaths were due to burns from fire.…”

Section: Discussionmentioning

confidence: 99%

“…They suggested that changes in the living habits of parents have reduced this injury. 16 Shams et al have concluded that in a population under 20 years, burn injuries in the lower limbs and due to boiling water were more common at home. 17 In this study, 90.9% (200 patients) of mothers of patients were housewives and 40.4% had a diploma (their education level).…”

Section: Discussionmentioning

confidence: 99%

Demographic features of pediatric patients with burn injuries referred to the emergency department of Sina hospital in Tabriz, Iran, in 2014

Rahmani¹,

Bakhtavar²,

Ahmad³

et al. 2017

J Anal Res Clin Med

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Introduction:The aim of this study was to evaluate the demographic status of children with burn injuries who were referred to the emergency department of the Sina hospital in Tabriz, Iran, in 2014. Methods: Total of 220 pediatric patients with burn injuries, who referred to the emergency department of Sina hospital, were enrolled in this prospective descriptive study. Data such as age, gender, type of injury, location of injury, and severity of burns was collected, and analyzed using SPSS statistical software. Results: Most patients were the first children of their families (61.8%). Two-year-old children had a higher incidence of burn injuries (33.2%). Most of the burns (94.5%) occurred at home. The most common cause of injury was hot liquids (74.5%). The position of the burn injuries in most patients was the upper extremities (47.3%) and second-degree burn severity was more frequent (70.5%). There were no significant statistical differences between the two genders regarding cause, severity, percentage, and anatomical area of the burn. Conclusion: It is necessary to design effective strategies to reduce the incidence of burn injuries in pediatric patients, so that steps can be taken to reduce burn injuries and their complications.

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Epidemiology of Pediatric Burn Injuries in Istanbul, Turkey

Cited by 27 publications

References 13 publications

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

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

Agents, mechanisms and clinical features of non-scald burns in children: A prospective UK study

Demographic features of pediatric patients with burn injuries referred to the emergency department of Sina hospital in Tabriz, Iran, in 2014

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