A systematic review of the epidemiology of unintentional burn injuries in South Asia

Golshan, Ashkan; Patel, Cyra; Hyder, Adnan A.

doi:10.1093/pubmed/fds102

Cited by 109 publications

(88 citation statements)

References 46 publications

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“…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.…”

Section: Mortalitymentioning

confidence: 99%

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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Section: Mortalitymentioning

confidence: 99%

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

Babakir‐Mina¹

2017

MOJGG

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“…Globally, scald injuries are an important public health issue and cause considerable morbidity and mortality [1][2][3]. They can be the most distressing and painful injuries a child can receive and may result in long-term physical and psychological effects.…”

Section: Introductionmentioning

confidence: 99%

“…It is noteworthy that the majority of scalds in childhood occur at home [1,[4][5][6] and are most commonly caused by hot liquids from kettles, cups and baths [2,[5][6][7][8]. Children under the age of 5 years are most at risk of sustaining a scald in the home [9,10] and the burden of paediatric scalds falls most heavily on those from the most disadvantaged groups [4,5,11,12] Preventing scalds requires understanding of modifiable risk factors for scalds.…”

Section: Introductionmentioning

confidence: 99%

Modifiable risk factors for scald injury in children under 5 years of age: A Multi-centre Case–Control Study

Stewart

Benford²,

Wynn³

et al. 2016

Burns

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“…In this case, the mother died of a burn injury; therefore, it is classified as an injury death rather a maternal death due to maternal complications (12)(13)(14). It was revealed that the mother caught fire in her "saree" during winter season when warming herself by the fire in the courtyard, a known risk factor (15). In India, 50.6% of women who suffered flame burns were found to be wearing traditional saree (15).…”

Section: Discussionmentioning

confidence: 99%

“…It was revealed that the mother caught fire in her "saree" during winter season when warming herself by the fire in the courtyard, a known risk factor (15). In India, 50.6% of women who suffered flame burns were found to be wearing traditional saree (15). This case study took place in Bangladesh where seasonal variations in fire-related and burn injuries occur, with winter being the most common season because of exposure of saree or winter cloths to open flame, cooking fire, traditional kerosene lamp, even to heating fire (4).…”

Section: Discussionmentioning

confidence: 99%

Burn Injury of a Pregnant Mother in Rural Bangladesh: A Case Report

Biswas¹,

Dalal

Deave

et al. 2017

Health Scope

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Introduction: This paper describes a case of pregnant mother who died of burn injury in order to understand the societal factors related to the event. We reviewed the case in the rural community. Initially, the case was reported as a maternal death to maternal and neonatal death review (MNDR) system being conducted in Bangladesh within exiting health system to explore the medical and social causes of maternal and newborn deaths. However, during the verbal autopsy, it was found that the mother died of bun injury. Therefore, we performed detailed case study. Case Presentation: A woman aged 18 years was nine months pregnant in a rural community in Moheskhali upazila of Cox's Bazar district. During the wintertime, the mother feels cold and goes near to the oven in the yard to be warm. Suddenly, part of her clothing (Anchal of Sari) catches fire; she does not recognized and starts to walk towards her room. A neighbor notices and starts to shout. The woman scars and tries to run. The neighbors come with a bucket of water. By this time, the fire spreads over whole body and cloths. Immediately after the event, she is transferred to a medical college hospital. Conclusions: Doctors tried to do immediate cesarean section; however, they could not save the life of the baby inside. The mother who was severely burnt also died after 10 days. Rural community in Bangladesh still does not have adequate awareness and knowledge about risk of burn. The scarce knowledge of appropriate steps immediately after burn was explored. Moreover, delays in decision-making and transferring the patient to the facility were identified. Specific interventions need to be taken to increase knowledge and awareness in the community, which could save thousands of lives.

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A systematic review of the epidemiology of unintentional burn injuries in South Asia

Abstract: Preventing burns in the household in South Asia, particularly around kitchen activities, is essential. Children in South Asia are susceptible to burns and are an important target population. Future research should focus on filling the gaps in burn epidemiology found in this review.

Cited by 109 publications

References 46 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

Modifiable risk factors for scald injury in children under 5 years of age: A Multi-centre Case–Control Study

Burn Injury of a Pregnant Mother in Rural Bangladesh: A Case Report

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