Risk factors for mortality in burn children

Rosanova, María Teresa; Stamboulián, Daniel; Lede, Roberto

doi:10.1016/j.bjid.2013.08.004

Cited by 33 publications

(31 citation statements)

References 25 publications

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“…This finding is consistent to the previous pediatric burn studies, 61,82 . 55,54,83,84 It is important, to report hospital mortality rate that relate to TBSA burnt.…”

Section: Mortalitysupporting

confidence: 93%

“…This finding is in agreement with the most of previous studies. 61,89,90 The highest level of death caused by infection is probably due to the lack of early wound swab and blood culture for bacteria and sensitivity of organism which is leading to septicemia and then death. Furthermore, a study by Ramakrishnan, M., et al showed that early management and empirical antibiotic regimes decrease wound sepsis resulting to the increase of survival.…”

Section: Mortalitymentioning

confidence: 99%

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Untitled

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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“…This finding is consistent to the previous pediatric burn studies, 61,82 . 55,54,83,84 It is important, to report hospital mortality rate that relate to TBSA burnt.…”

Section: Mortalitysupporting

confidence: 93%

Section: Mortalitymentioning

confidence: 99%

Untitled

2017

MOJGG

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“…Similarly, Rosanova et al also determined that mechanical ventilation was an independent variable related to mortality in children with burns. [15] Queiroz et al also reported that mechanical ventilation requirement was associated with significantly increased mortality rate in burn victims. [5] These results were also compatible with our findings.…”

Section: Discussionmentioning

confidence: 94%

General Characteristics Of Paint-Thinner Burns: Single Center Experience

Haksal¹,

Tiryaki²,

Yazıcıoğlu

et al. 2016

Ulus Travma Acil Cerrahi Derg

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“…1 A pesar de los avances en el cuidado del paciente quemado, las infecciones continúan siendo una causa fundamental de morbimortalidad en estos pacientes, debido al daño en la integridad de la barrera cutánea y al compromiso del sistema inmune, son una complicación frecuente en los pacientes hospitalizados por lesión térmica. [2][3][4] El diagnóstico y tratamiento oportuno de la infección están asociados con una mejor evolución, de allí la importancia de disponer de marcadores precoces. El tiempo de tratamiento en estos pacientes no está definido con claridad, por lo que un parámetro de seguimiento de la respuesta inflamatoria sería potencialmente útil para las decisiones terapéuticas.…”

Section: Introductionunclassified