Retrospective analysis of patients with burn injury treated in a burn center in Turkey during the Syrian civil war

Yüce, Yücel; Acar, Hakan; Erkal, Kutlu Hakan; Arditi, Nur B.

doi:10.15537/smj.2017.1.16448

Cited by 12 publications

(9 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In a study by Uwingabiye et al, the results were in contrast to our results so that the resistance rate was significantly higher in BICU than in wards (19). This difference can be related to environmental differences between hospitals such as the level of hygiene in ICUs and the proficiency of personnel in different wards (34). Different levels of hand hygiene and environmental disinfection can change the results.…”

Section: Discussioncontrasting

confidence: 99%

Antibacterial Resistance Pattern of Acinetobacter baumannii in Burn Patients in Northeast of Iran

Sedaghat

Khadem‐Rezaiyan

Ahmadabadi

et al. 2019

Jundishapur J Microbiol

View full text Add to dashboard Cite

Background: Globally, Acinetobacter spp., most commonly, Acinetobacter baumannii, are one of the most common Gram-negative nosocomial infections, especially in Intensive Care Units (ICUs) and burn wards. Because of the pathogens' ability to survive for a long time, the eradication of the pathogen from these wards remains a great concern. Simultaneously, the remarkable increase in antibacterial resistance among A. baumannii strains in recent years has raised a great deal of concern. Objectives: The study assessed the prevalence and antibacterial resistance pattern of A. baumannii in the only academic-affiliated burn center in northeastern Iran in 2012-2014. Methods: In this cross-sectional study, 5,080 samples from patients admitted to two burnt wards and one burn ICU were included. The samples were from different sources including wound tissue, blood, bronchial secretion, and urine. The antibacterial resistance pattern was determined using relevant antibiotics based on the Clinical and Laboratory Standards Institut (CLSI) instructions. Results: Acinetobacter spp. were found in 39% of the acquired cultures (1,985 out of 5,080) and 51.9% of bacterial positive cultures (1985 out of 3823). The resistance rate of Acinetobacter spp. against antibiotics varied from 0.9% for colistin to 100% for piperacillin-tazobactam. All Acinetobacter spp. were multidrug-resistant (MDR) due to considerable resistance to fluoroquinolones (95%), cephalosporins (93%-98%), penicillins (97%), carbapenems (94%-95%), and beta-lactamase inhibitors (87%-100%). Conclusions: Given that infections are a major cause of mortality in burn wards, the high prevalence of MDR isolates of Acinetobacter spp. in this burn center suggests that local antibiotic prescription policies should be revised and infection control strategies should be improved. Also, antibiotic cycling and restrict infection control strategies should be implemented in high-risk wards such as burn units.

show abstract

Section: Discussioncontrasting

confidence: 99%

Antibacterial Resistance Pattern of Acinetobacter baumannii in Burn Patients in Northeast of Iran

Sedaghat

Khadem‐Rezaiyan

Ahmadabadi

et al. 2019

Jundishapur J Microbiol

View full text Add to dashboard Cite

show abstract

“…Especially; they affect the young population and this changes the structure of the community, for example, as we have seen in burn patients, more children and young people are affected. As we have seen in the studies done, it is stated that the population migrating to other countries is mostly in the group of males (70 -100 %) and young people (16-34 years) (16)(17)(18)(19). In this study, similar data were obtained.…”

Section: Discussionsupporting

confidence: 85%

Epidemiology and cost of burns in emergency department during Syrian civil war

Kuvandık¹,

Uçar²,

Karakuş³

2018

BLL

View full text Add to dashboard Cite

BACKGROUND: We aimed to emphasize the importance of regional hospitals' capacities and emergency services for burn patients in war and disaster situations, in addition to assessing the costs and clinical situations of seriously burned patients who have come to the emergency service due to the bomb and heater burst during the Syrian civil war. METHODS: In this study, we analyzed these 217 burn patients and analyzed these patients' data for retrospective analysis. RESULTS: Burn patients were more often seen during the winter months. The majority of the patients were children, young adults and male (1-16 age, 95 % burn, 44 %,17-40 age 94 % burn, 44 %, ≥ 41-65 age, 28 % burn, 12 %). The most common body surface burns ≥ 20 % body surface in surviving patients n = 184, 78 % were determined. 14 of the burned patients died within the fi rst 24 hours. The total cost of the burned patients in the emergency unit was observed to be 33.4 ± 25.9 Turkish Lira (10.2-6813.2). CONCLUSION: The present study showed that burn patients need much longer treatment time. The need for trained personnel in case of mass disasters and warfare, the identifi cation of burn intensive care units and hospitals to be referred is important (Tab. 2, Fig. 4, Ref. 23).

show abstract

“…In total, 38 publications met the inclusion criteria of this systematic review as shown in Figure 1 10–47. There was no other systematic review on this area of research found.…”

Section: Resultsmentioning

confidence: 99%

“…A total of 13 842 patients were reported across the 38 publications. Seven papers did not indicate the gender of the casualties 10 11 15 23 26 29 40. Eight papers met the eligibility criteria and had specific data for children aged less than 18 years 12 13 19 24 27 44–46.…”

Section: Resultsmentioning

confidence: 99%

Syrian Civil War: a systematic review of trauma casualty epidemiology

McIntyre¹

2020

BMJ Mil Health

View full text Add to dashboard Cite

BackgroundThe Syrian Civil War has caused over 400 000 traumatic deaths. Understanding the nature of war casualties is crucial to deliver healthcare improvement. Historic regional conflicts and Syrian mortality data have been characterised by blast injuries. The aim of this novel review is to assess the trauma epidemiology of Syrian Civil War casualties from the perspective of healthcare facilities.MethodsThis review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses method. Studies addressing Syria, trauma and war were investigated. Eligibility criteria included being conducted from a healthcare facility, published in English and peer reviewed. The outcomes were demography, mechanism of injury and anatomical injury site.Results38 papers satisfied the eligibility criteria. 13 842 casualties were reported across the entire data set. Casualties were 88.8% male (n=4035 of 4544). Children contributed to 16.1% of cases (n=398 of 2469). Mortality rate was 8.6% (n=412 of 4774). Gunshot wound was the most common mechanism of injury representing 66.3% (n=7825 of 11799). Head injury was the most common injured site at 26.6% (n=719 of 2701).ConclusionsThis conflict has a distinct trauma profile compared with regional modern wars. The prevalence of gunshot wounds represents a marked change in mechanism of injury. This may be related to higher mortality rate and proportion of head injuries identified. This review cannot correlate mechanism of injury, demographics or injuries sustained to outcomes. The quality of data from the included studies lacked standardisation; future research and consistent reporting tools are required to enable further analysis.

show abstract

Retrospective analysis of patients with burn injury treated in a burn center in Turkey during the Syrian civil war

Cited by 12 publications

References 14 publications

Antibacterial Resistance Pattern of Acinetobacter baumannii in Burn Patients in Northeast of Iran

Antibacterial Resistance Pattern of Acinetobacter baumannii in Burn Patients in Northeast of Iran

Epidemiology and cost of burns in emergency department during Syrian civil war

Syrian Civil War: a systematic review of trauma casualty epidemiology

Contact Info

Product

Resources

About