Hydrotherapy in burn care: A survey of hydrotherapy practices in the UK and Ireland and literature review

Langschmidt, Jenna; Caine, Paul; Wearn, Christopher M.; Bamford, Amy; Wilson, Yvonne; Moiemen, Naiem

doi:10.1016/j.burns.2013.11.006

Cited by 13 publications

(6 citation statements)

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“…In the UK and US burns patients receive shower cart hydrotherapy as a mainstay of burns treatment. [23][24][25][26] A previous hospital audit suggested that up to one-third of such patients became colonised with P. aeruginosa. We hypothesised that this high rate of acquisition may relate to transmission from hospital shower water during therapy.…”

Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Seeking the source ofPseudomonas aeruginosainfections in a recently opened hospital: an observational study using whole-genome sequencing

et al. 2014

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ObjectivesPseudomonas aeruginosa is a common nosocomial pathogen responsible for significant morbidity and mortality internationally. Patients may become colonised or infected with P. aeruginosa after exposure to contaminated sources within the hospital environment. The aim of this study was to determine whether whole-genome sequencing (WGS) can be used to determine the source in a cohort of burns patients at high risk of P. aeruginosa acquisition.Study designAn observational prospective cohort study.SettingBurns care ward and critical care ward in the UK.ParticipantsPatients with >7% total burns by surface area were recruited into the study.MethodsAll patients were screened for P. aeruginosa on admission and samples taken from their immediate environment, including water. Screening patients who subsequently developed a positive P. aeruginosa microbiology result were subject to enhanced environmental surveillance. All isolates of P. aeruginosa were genome sequenced. Sequence analysis looked at similarity and relatedness between isolates.ResultsWGS for 141 P. aeruginosa isolates were obtained from patients, hospital water and the ward environment. Phylogenetic analysis revealed eight distinct clades, with a single clade representing the majority of environmental isolates in the burns unit. Isolates from three patients had identical genotypes compared with water isolates from the same room. There was clear clustering of water isolates by room and outlet, allowing the source of acquisitions to be unambiguously identified. Whole-genome shotgun sequencing of biofilm DNA extracted from a thermostatic mixer valve revealed this was the source of a P. aeruginosa subpopulation previously detected in water. In the remaining two cases there was no clear link to the hospital environment.ConclusionsThis study reveals that WGS can be used for source tracking of P. aeruginosa in a hospital setting, and that acquisitions can be traced to a specific source within a hospital ward.

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Section: Strengths and Limitations Of This Studymentioning

confidence: 99%

Seeking the source ofPseudomonas aeruginosainfections in a recently opened hospital: an observational study using whole-genome sequencing

et al. 2014

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“…Burn patients could possibly benefit from all those factors in inflammation reduction, wound healing [ 67 ], edema control, scar maturation and improvement of muscle and soft tissue conditions. The most commonly used are paraffin therapy, hydrotherapy [ 68 ], low-frequency electrotherapy [ 69 , 70 ], medium-frequency electrotherapy, microwave therapy, shortwave therapy, air compression therapy [ 71 ], laser [ 72 , 73 ], ultraviolet therapy [ 74 ], ultrasound [ 75 ], and cold therapy [ 76 ], which can be used alone or in combination according to the specific needs and conditions of the patients.…”

Section: Implementation Of Rehabilitation Therapiesmentioning

confidence: 99%

Guidelines for burn rehabilitation in China

Cen

Chai

Chen³

et al. 2015

Burns &Amp; Trauma

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Quality of life and functional recovery after burn injury is the final goal of burn care, especially as most of burn patients survive the injury due to advanced medical science. However, dysfunction, disfigurement, contractures, psychological problems and other discomforts due to burns and the consequent scars are common, and physical therapy and occupational therapy provide alternative treatments for these problems of burn patients. This guideline, organized by the Chinese Burn Association and Chinese Association of Burn Surgeons aims to emphasize the importance of team work in burn care and provide a brief introduction of the outlines of physical and occupational therapies during burn treatment, which is suitable for the current medical circumstances of China. It can be used as the start of the tools for burn rehabilitation.

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“…Nursing assessment should be provided throughout inpatient care and support by social workers, clinical psychology services through inpatients admission and following discharge, these services provide ongoing support to burn patients to assist them to pass the very critical period in their life and develop coping mechanisms to improve the quality of life. Nurses have a key role in helping the burn patients to adapt to their new body image by using self-care model, counseling and brochures to facilitate knowledge and guidance (Langeschmid, et al, 2014) [34].…”

Section: Discussionmentioning

confidence: 99%

Bio-Psychosocial Needs for Patients with Second Degree Burns: Suggested Rehabilitation Program and Follow up Care

Chazi

Abdel-Hakeim

Hamza

2019

IJND

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Burn injuries are considered, worldwide, one of the leading causes of injury, morbidity and mortality. Second-degree burns may affect patients: physically, socially and psychologically. The aim of the study is to identify the physical, social, and psychological needs of patients with second degree burns to suggest are habilitation program and follow up care that will improve quality of life after acute stage recovery. To achieve the aima descriptive research was undertaken. The study was conducted at the outpatient clinic of a burn unit, affiliated to a University hospital, in Cairo, Egypt. A convenience sample of 154 patients with second degree burns from both genders and aged 18 years old or above were the subjects of the study. Five tools were adopted for data collection: 1) An interview sheet, 2) Brief burn specific health scale (BSHS-B), 3)Self-esteem scale, 4) Body image and appearance scale, and 5) Social needs assessment. The results revealed that patients with second degree burns need physical, social, and psychological support to pass through the life-threatening experience. There is a highly statistically significant relation among bio-psychosocial needs for patents with second degree burn. Second degree burns affect patients' physical, psychological, and social well-being and preparation is needed to achieve a healthy recovery. The study recommends the implementation of a health awareness program to overcome the incidence of problems due to burns that might have a serious impact on the quality of life. A targeted rehabilitation program will enhance physical, psychological, and social adaptation as well as a healthy reintegration to the society.

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Hydrotherapy in burn care: A survey of hydrotherapy practices in the UK and Ireland and literature review

Cited by 13 publications

References 28 publications

Seeking the source ofPseudomonas aeruginosainfections in a recently opened hospital: an observational study using whole-genome sequencing

Seeking the source ofPseudomonas aeruginosainfections in a recently opened hospital: an observational study using whole-genome sequencing

Guidelines for burn rehabilitation in China

Bio-Psychosocial Needs for Patients with Second Degree Burns: Suggested Rehabilitation Program and Follow up Care

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