Treatment of partial-thickness burns with a tulle-gras dressing and a hydrophilic polyurethane membrane: a comparative study

Şahi̇n, Ci̇han; Kaplan, Pinar; Öztürk, Savaş; Alpar, Şule Ecevi T; Karagöz, Hüseyi̇n

doi:10.12968/jowc.2019.28.1.24

Cited by 4 publications

(3 citation statements)

References 14 publications

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“…Despite of the advance technology and researches, pathogenesis and antibiotic. 15 Resistance mechanisms, Enterobacter and P. aeruginosa were found to be MDR. All isolates, in our study were found to be imipenem and meropenem sensitive.…”

Section: Methodsmentioning

confidence: 99%

Incidence, Clinical Evaluation and Antibiogram of Bacterial Isolates Obtained from Burn Patients

Raza¹,

Ibrahim²,

Romah³

et al. 2022

PJMHS

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Background: Microbiological contamination plays salient role in governing the outcome and time span in the hospital for burn victims in burn unit. Therefore, regular supervision of microbes and its resistance pattern is mandatory. The emergence of Multi Drug Resistant (MDR) bacteria provoked researchers to develop new plans to combat against the threat. Objective: To assess the infectious organisms, to know the drug resistance of isolates and ascertain the effectiveness of antibiotics against microbes that are found in burn patients. Methodology: Descriptive case series study performed and Quantitative data was collected in Jan 2019 to April 2019. Two hundred sample from burn patients admitted in Pak Italian Burn Unit Multan was collected, processed for culture, bacterial identifications and to test the antibiotics sensitivity in accordance with CLSI (clinical and laboratory standards institute) guidelines. Results: Gram negative bacteria were 189 (94.5%) and gram positive were 11 (5.5%).Organisms isolated were Proteus vulgaris 53 (26.5%) followed by Escherichia coli 47 (23.5%), Pseudomonas aeruginosa 45 (22.5%), Enterobacter 44 (22%) and Staphylococcus aureus 11 (5.5%). Imipenem 156 (78%), Meropenem150 (75%), Moxifloxacin 17(8.5%), Levofloxacin 67 (33.5%), Piperacillin/Tazobactam 123 (61.5%), Oxifloxacin 22 (11%) and Amikacin 16 (8%) were used for antibiotic sensitivity. Practical implication: Our study results can helpful for all health care personals to select new regime of antibiotics which significantly declined in all types of burn patients and also we are able to decrease the mortality rate in such patients. Assertive contagion limitations can helpful in confining the disease and proliferation of MDR pathogens. Conclusion: This study proved to be successful because antibiotic associated complications were decreased significantly as a result mortality rate declination was also noticed in all the types of burn patients. Keywords: Antibiogram, Burn, Clinical evaluations, Infection, Multi drug resistance (MDR), Mortality.

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Section: Methodsmentioning

confidence: 99%

Incidence, Clinical Evaluation and Antibiogram of Bacterial Isolates Obtained from Burn Patients

Raza¹,

Ibrahim²,

Romah³

et al. 2022

PJMHS

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“…Location is another important factor to consider in association with changes in body image. 68,69 The prevision of outcomes is another element that needs to be considered, trying to determine the characteristics of patients' lives after discharge. Some validated scales can be helpful.…”

Section: Main Findings Of the Studymentioning

confidence: 99%

What are the triggers for palliative care referral in burn intensive care units? Results from a qualitative study based on healthcare professionals’ views, clinical experiences and practices

Ribeiro,

Martins Pereira,

Nunes

et al. 2024

Palliat Med

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Background: Burns are a global public health problem, accounting for around 300,000 deaths annually. Burns have significant consequences for patients, families, healthcare teams and systems. Evidence suggests that the integration of palliative care in burn intensive care units improves patients’ comfort, decision-making processes and family care. Research is needed on how to optimise palliative care referrals. Aim: To identify triggers for palliative care referral in critically burned patients based on professionals’ views, experiences and practices. Design: Qualitative study using in-depth interviews. Setting/participants: All five Burn Intensive Care Units reference centres across Portugal were invited; three participated. Inclusion criteria: Professionals with experience/working in these settings. A total of 15 professionals (12 nurses and 3 physicians) participated. Reflexive thematic analysis was performed. Results: Three main triggers for palliative care referral were identified: (i) Burn severity and extension, (ii) Co-morbidities and (iii) Multiorgan failure. Other triggers were also generated: (i) Rehabilitative palliative care related to patients’ suffering and changes in body image, (ii) Family suffering and/or dysfunctional and complex family processes, (iii) Long stay in the burn intensive care unit and (iv) Uncontrolled pain. Conclusions: This study identifies triggers for palliative care in burn intensive care units based on professionals’ views, clinical experiences and practices. The systematisation and use of triggers could help streamline referral pathways and strengthen the integration of palliative care in burn intensive care units. Research is needed on the use of these triggers in clinical practice to enhance decision-making processes, early and high-quality integrated palliative care and proportionate patient and family centred care.

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“…a tulle dressing). However dressing changes often result in pain and reinjury of the tissue, increased length of the re-epithelialization process and may require anesthetization of the patient [ 24 , 25 ].…”

Section: Reviewmentioning

confidence: 99%

Hydrogels for the management of second-degree burns: currently available options and future promise

et al. 2022

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Burn wounds result from exposure to hot liquids, chemicals, fire, electric discharge or radiation. Wound severity ranges from first-degree injury, which is superficial, to fourth-degree injury, which exposes bone, tendons and muscles. Rapid assessment of burn depth and accurate wound management in the outpatient setting is critical to prevent injury progression into deeper layers of the dermis. Injury progression is of particular pertinence to second-degree burns, which are the most common form of thermal burn. As our understanding of wound healing advances, treatment options and technologies for second-degree burn management also evolve. Polymeric hydrogels are a class of burn wound dressings that adhere to tissue, absorb wound exudate, protect from the environment, can be transparent facilitating serial wound evaluation and, in some cases, enable facile removal for dressing changes. This review briefly describes the burn level classification and common, commercially available dressings used to treat second-degree burns, and then focuses on new polymeric hydrogel burn dressings under preclinical development analyzing their design, structure and performance. The review presents the follow key learning points: (1) introduction to the integument system and the wound-healing process; (2) classification of burns according to severity and clinical appearance; (3) available dressings currently used for second-degree burns; (4) introduction to hydrogels and their preparation and characterization techniques; and (5) pre-clinical hydrogel burn wound dressings currently being developed.

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Treatment of partial-thickness burns with a tulle-gras dressing and a hydrophilic polyurethane membrane: a comparative study

Cited by 4 publications

References 14 publications

Incidence, Clinical Evaluation and Antibiogram of Bacterial Isolates Obtained from Burn Patients

Incidence, Clinical Evaluation and Antibiogram of Bacterial Isolates Obtained from Burn Patients

What are the triggers for palliative care referral in burn intensive care units? Results from a qualitative study based on healthcare professionals’ views, clinical experiences and practices

Hydrogels for the management of second-degree burns: currently available options and future promise

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