Burn injuries caused by ship fire: A 12-year study in Shanghai

Ben, Dao-feng; Ma, Bing; Chen, Xulin; Zhu, Shishu; Tang, Haichao; Lu, Wei; Xia, Zenan

doi:10.1016/j.burns.2009.08.003

Cited by 13 publications

(2 citation statements)

References 10 publications

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“…Moreover, the mean TBSA of the fungal infected burn patients was the highest, followed by mixed bacterial Gram-positive and Gram-negative bacteria. These results are expected, as flame burns tend to relate to more extensive burn areas [ 38 ]. We also found higher rates of fungal infections in electric burns among children, possibly because they involve multi-organ damage and put a high-systemic demand on the patient’s immune system.…”

Section: Discussionmentioning

confidence: 71%

Blood Stream Infections in Burns: A 14-Year Cohort Analysis

Nitsani,

Michael,

Halpern

et al. 2023

Life

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Background: Blood stream infections are a significant cause of morbidity and mortality in burns, and pathogen identification is important for treatment. This study aims to characterize the microbiology of these infections and the association between the infecting pathogen and the hospitalization course. Methods: We conducted a cohort study that included records of burn patients treated at the Soroka University Medical Center between 2007–2020. Statistical analysis of demographic and clinical data was performed to explore relationships between burn characteristics and outcomes. Patients with positive blood cultures were divided into four groups: Gram-positive, Gram-negative, mixed-bacterial, and fungal. Results: Of the 2029 burn patients hospitalized, 11.7% had positive blood cultures. The most common pathogens were Candida and Pseudomonas. We found significant differences in ICU admission, need for surgery, and mortality between the infected and non-infected groups (p < 0.001). Pathogen groups differed significantly mean TBSA, ICU admission, need for surgery, and mortality (p < 0.001). Multivariate analysis showed flame (OR 2.84) and electric burns (OR 4.58) were independent risk factors for ICU admission and surgical intervention (p < 0.001). Gram-negative bacterial infection was found to be an independent predictor of mortality (OR = 9.29, p < 0.001). Conclusions: Anticipating specific pathogens which are associated with certain burn characteristics may help guide future therapy.

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Section: Discussionmentioning

confidence: 71%

Blood Stream Infections in Burns: A 14-Year Cohort Analysis

Nitsani,

Michael,

Halpern

et al. 2023

Life

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“…For severe burns, all patients were resuscitated with Ringer’s lactated fluid and plasma according to the Chinese formula (1.5 mL/[kg·%TBSA] crystalloids and colloids plus 2000 mL of water) during the first 24 h after the burn occurred. However, the fluid resuscitation formula for burns is only an estimate, and the specific fluid treatment plan needs to be determined based on vital signs, urine output, other injuries, and other medical conditions [ 9 ]. Aggressive excision and wound closure have been documented to be effective treatments to improve the outcome of severe burns [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

Retrospective Study from a Single Center on the Efficacy of Pulsed Lavage Following Excision of Burns ≥30% of the Total Body Surface Area in 63 Patients

Jia

Chen

et al. 2022

Med Sci Monit

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Background Ensuring the take rate of skin grafting and reducing the mortality of patients with severe burns have remained big challenges worldwide. This retrospective study from a single center aimed to evaluate the efficacy of pulsed lavage following excision of burns ≥30% of the total body surface area (TBSA) in 63 patients. Material/Methods Among 63 patients, the types of burns sustained were severe burns and extremely severe burns (≥30% TBSA). The degrees of the burns were second degree and third degree, and the causes were thermal, chemical, and electric. Patients with early aggressive excision were divided into a pulsed lavage group and control group. The constituent of the lavage fluid was 0.9% physiological saline. The evaluation of wound healing and complications was based on the wound healing rate and time, clinical symptoms, and examination. We determined the take rate of skin grafting, positive rate of postoperative bacterial cultures, changes in perioperative serum C-reactive protein (CRP) and procalcitonin (PCT) levels, and incidence of secondary grafting. Results The take rate of skin grafting and the decreased rates of perioperative serum CRP and PCT levels were significantly higher in the pulsed lavage group than in the control group ( P <0.05). Moreover, the positive rate of wound postoperative bacterial cultures and mortality in the pulsed lavage group showed remarkably lower levels ( P <0.05). Conclusions Pulsed lavage following excision of burns ≥30% TBSA increased the take rate of skin grafting, alleviated the positive rate of postoperative bacterial cultures, decreased serum CRP and PCT levels, and reduced mortality.

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Pool Fires in a Corner Ceiling Vented Cabin: Ghosting Flame and Corresponding Fire Parameters

et al. 2015

Fire Technol

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Burn injuries caused by ship fire: A 12-year study in Shanghai

Cited by 13 publications

References 10 publications

Blood Stream Infections in Burns: A 14-Year Cohort Analysis

Blood Stream Infections in Burns: A 14-Year Cohort Analysis

Retrospective Study from a Single Center on the Efficacy of Pulsed Lavage Following Excision of Burns ≥30% of the Total Body Surface Area in 63 Patients

Pool Fires in a Corner Ceiling Vented Cabin: Ghosting Flame and Corresponding Fire Parameters

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