Five-year epidemiology of liquefied petroleum gas-related burns

Jin, Ronghua; Wu, Pan; Ho, Jon Kee; Wang, Xingang; Han, Chunmao

doi:10.1016/j.burns.2017.05.011

Cited by 12 publications

(5 citation statements)

References 21 publications

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“…Literacy patterns, cultural appropriateness (which is particularly challenging to address in countries with more than one official language and no clear common language) and access to the recommended technologies can be barriers to this approach; for example, it is not possible to avoid open fire cooking until a cheap, safe, readily available alternative is identified 95,98,99 . Furthermore, correction of one risk factor might introduce another; for example, use of liquefied petroleum gas burners as an alternative to open fire cooking without proper training can result in more injuries 100 . Robust data collection and reporting and evidence-based decision making is needed to provide the information to drive this process.…”

Section: Score Comprisesmentioning

confidence: 99%

Burn injury

Jeschke

Baar

Choudhry

et al. 2020

Nat Rev Dis Primers

908

585

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Burn injuries are under-appreciated injuries that are associated with substantial morbidity and mortality. Burn injuries, particularly severe burns, are accompanied by an immune and inflammatory response, metabolic changes and distributive shock that can be challenging to manage and can lead to multiple organ failure. Of great importance is that the injury affects not only the physical health, but also the mental health and quality of life of the patient. Accordingly, patients with burn injury cannot be considered recovered when the wounds have healed; instead, burn injury leads to long-term profound alterations that must be addressed to optimize quality of life. Burn care providers are, therefore, faced with a plethora of challenges including acute and critical care management, long-term care and rehabilitation. The aim of this Primer is not only to give an overview and update about burn care, but also to raise awareness of the ongoing challenges and stigmata associated with burn injuries.

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Section: Score Comprisesmentioning

confidence: 99%

Burn injury

Jeschke

Baar

Choudhry

et al. 2020

Nat Rev Dis Primers

908

585

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“…The patients received specialized treatment from a multidisciplinary team including burn surgeons, infectious diseases physicians and intensive care unit specialists. Based on the Chinese severity of burns standards, an extremely severe burn was defined as a burn area > 50% Total Body Surface Area (TBSA) or > 20% TBSA in a third-degree burn [ 1 ]. Consequently, 16 patients with a burn area of > 50% TBSA were included in this study and patient data were collected from the database.…”

Section: Methodsmentioning

confidence: 99%

“…Liquefied petroleum gas (LPG)-related burns are on the increase over the recent years and therefore pose a significant threat to numerous individuals [ 1 , 2 ]. Notably, several such disasters have been reported in both Turkey [ 3 , 4 ] and India [ 5 ] all of which left dozens of injured victims.…”

Section: Introductionmentioning

confidence: 99%

Epidemiology and Early Bacteriology of Extremely Severe Burns from an LPG Tanker Explosion in Eastern China

Jin

Min

Weng

et al. 2022

J Epidemiol Glob Health

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The incidence of liquefied petroleum gas (LPG)-related accidents in China has increased over the recent years. In addition, infection remains a big challenge in cases of severe burns. Therefore, the present study aimed to provide valuable information for a better control of infections in the event of such disasters. In this study, a total of 16 patients who suffered extremely severe burns after an LPG tanker explosion were included. Thereafter, bacteriological culture results were collected within a week. Of 16 patients, 13 (81.25%) were male and the average age of all patients was 60.63 years. In addition, the mean burned area was 83.03% TBSA. Additionally, a total of 553 organism cultures were conducted out of which 287 isolates (51.90%) showed positive results. Notably, 38.52% were Gram-negative bacteria, 7.59% were Gram-positive bacteria and 5.79% were fungi. Moreover, the most prevalent Gram-negative bacteria were Stenotrophomonas maltophilia (28.97%) followed by Acinetobacter baumannii (28.53%), and Klebsiella pneumoniae (14.02%). On the other hand, the three most predominant Gram-positive bacteria were Enterococcus faecalis (33.33%), Staphylococcus aureus (28.89%) and Staphylococcus sciuri (17.78%). Furthermore, the most common fungi included Candida (38.24%), Fusarium (20.59%) and Aspergillus fumigatus (14.71%). With regard to the bacterial resistance patterns, carbapenem-resistant organisms included Acinetobacter baumannii (97.80%), Pseudomonas aeruginosa (67.57%), and Klebsiella pneumoniae (75.56%). In addition, Staphylococcus sciuri, Staphylococcus epidermidis, and Staphylococcus haemolyticus were identified to be methicillin-resistant. This study revealed that there was a high incidence of infection in victims of severe burns as a result of mass burn accidents, accompanied by early fungal infection.

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“…A number of articles reported burn injury patterns from specific mechanisms including the following: portable heaters, 62 camphor burns, 63,64 combat burns, 65 hot press, 66 campfire burns, 67 friction burns, 68 Freon (contact frostbite), 69 e-cigarettes, [70][71][72][73][74][75] firework injuries, [76][77][78][79][80][81][82][83][84][85][86][87] liquified petroleum gas, 88 hot milk/oil, 89 jewelry ring associated, 90 hot water bottles, 91 and heat lamp burns on replanted digits and free flaps. 92 One case of a patient with Raynaud's phenomenon and hand burns had good outcomes with the use of sildenafil during the burn and split skin graft (SSG) healing.…”

Section: Specific Burn Etiologies or Associationsmentioning

confidence: 99%

Acute Management of Thermal Hand Burns in Adults

et al. 2021

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Introduction Advances in the evidence base of acute thermal hand burns help to guide the management of these common injuries. The aim of this literature review was to evaluate recent evidence in the field over 10 years. Methods The Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols methodology was used as a guide for this literature review. PubMed, MEDLINE, EMBASE, CINAHL, and Google Scholar were searched for English language articles related to hand burns published between 2009 and 2018 inclusive, and the Cochrane Library was reviewed. Exclusion criteria were as follows: participants younger than 18 years, scar or contracture management, rehabilitation, outcomes assessment, late reconstruction, and electrical or chemical burns. Results An initial search retrieved 6493 articles, which was narrowed to 403 full-text articles that were reviewed independently by 3 of the authors and categorized. Of 202 included articles, there were 8 randomized controlled trials and 2 systematic reviews. Six evidence-based guidelines were reviewed. Referral of hand burns to specialist centers, use of telemedicine, early excision and grafting, and immediate static splintage have been recommended. Enzymatic debridement results in earlier intervention, more accurate burn assessment, preservation of vital tissue, and fewer skin grafts, and ideally requires regional anesthesia. Guidance on escharotomy emphasizes indication, technique and adequate intervention, and potential for enzymatic debridement. Inclusion of topical negative pressure, dermal regenerative templates, acellular dermal matrices, and noncellular skin substitutes in management has helped improve scar and functional outcomes. Discussion The results of this literature review demonstrate that multiple national and international societies have published burns guidelines during the decade studied, with aspects directly relevant to hand burns, including the International Society for Burn Injuries guidelines. There are opportunities for evidence-based quality improvement across the field of hand burns in many centers. Conclusions More than 200 articles globally in 10 years outline advances in the understanding of acute management of thermal hand burns. Incorporating the evidence base into practice may facilitate optimization of triage referral pathways and acute management for hand burns.

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Five-year epidemiology of liquefied petroleum gas-related burns

Cited by 12 publications

References 21 publications

Burn injury

Burn injury

Epidemiology and Early Bacteriology of Extremely Severe Burns from an LPG Tanker Explosion in Eastern China

Acute Management of Thermal Hand Burns in Adults

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