Indian journal of burns最新文献

{"title":"Atrial fibrillation - A rare arrhythmia after electrical burns","authors":"A. Makharia, V. Tiwari, K. Barupal, M. Lakhotia","doi":"10.4103/ijb.ijb_32_21","DOIUrl":"https://doi.org/10.4103/ijb.ijb_32_21","url":null,"abstract":"Electrical injuries are a commonly encountered hazard at both home and the workplace. While most electric-induced arrhythmias are conduction abnormalities or ventricular tachycardia, atrial fibrillation is uncommon. Sparse literature and lack of systematic recommendations on this topic create a challenge in treating such patients. We present a case of a young man who developed atrial fibrillation with fast ventricular rate after an episode of electrical burns, which was reverted successfully with beta-blockers.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"30 1","pages":"91 - 93"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46092056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Study of management of postburn flexion contracture of finger by glabrous versus nonglabrous split skin graft","authors":"P. Mankare, Manav P. Suri, Jayesh P Sachde","doi":"10.4103/ijb.ijb_22_22","DOIUrl":"https://doi.org/10.4103/ijb.ijb_22_22","url":null,"abstract":"Aims and Objectives: This prospective study was designed to determine the outcome of split-thickness glabellar and nonglabellar skin graft for the coverage of defects on palmar aspect of hand after release of postburn contracture in terms of graft take, complications, recurrence, and patient satisfaction for color and texture match. Materials and Methods: This prospective comparative study was carried out on patients from December 2018 to December 2020. Fifty patients were randomly divided into two groups by simple randomization method. Group A was offered treatment with split-thickness graft from glabellar region and other Group B was offered treatment with split-thickness graft from nonglabellar skin. Frequencies and percentages of both recipient and donor sites complications such as infection, hypertrophic scarring on the Vancouver scar assessment scale, recurrence, and difficulty in walking were noted. Patient satisfaction for colour and texture match to neighboring skin at recipient site were assessed 3 months after the operation using five points Likert scale. Results: At follow-up of the Group A, the donor areas were completely healed in all the cases 100%. The grafted area showed excellent color and texture match with the adjacent palmer skin. The graft was mobile, stable and without any pigmentation. There was also no hypertrophic scarring, hyperpigmentation or pain at the donor site as compared to ordinary skin graft. Walking and weight bearing were smooth and the instep curvature appeared normal. In Group B, 100% of patients had hyperpigmentation, 20% had marginal scarring and scar hypertrophy at hand. While 40% had scar hypertrophy at 80% had hyperpigmentation over the donor site. Recurrence was noted in 32% of patients in Group B as compared to 8% in Group A. Conclusions: Glabellar skin of the instep is the best replacement for the palmar skin of the digits and hand because of the similarities in their characteristics. Results are excellent in terms of color and texture match, no hyperpigmentation, less marginal scarring, scar hypertrophy, and less recurrence of contracture in patients with area grafted with glabellar skin. Donor site morbidity is very low and hardly any donor site scar is visible. So in conclusion for the management of postburn flexion contracture of the finger. An ideal skin substitute is glabellar skin grafts from the instep region of foot.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"30 1","pages":"57 - 64"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44065485","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiology of severe scald in 0–5–year-old children at the Department of Plastic and Reconstructive Surgery, Gauhati Medical College and Hospital – A 5-year retrospective study","authors":"Jyotirmay Baishya, M. Nithin, Poresh Boruah, K. Kalita","doi":"10.4103/ijb.ijb_8_22","DOIUrl":"https://doi.org/10.4103/ijb.ijb_8_22","url":null,"abstract":"Background: The 0–5-year-old age group has the highest incidence of scalds. In assessing a child with scalds, it will be beneficial to look at the interactions between the host, substance, mechanism, and environment. These factors have an effect on the degree, percentage, distribution, and pattern of injury sustained by the child. Subjects and Methods: This retrospective study comprised children aged 0–5 years who were admitted to the Burn Unit of the GMCH, Guwahati, with scald wounds between January 1, 2017, and December 31, 2021, for a period of 5 years. After receiving ethical committee approval, the records of the patients were gathered from the medical records department of GMCH, Guwahati, during this time period. Results: Majority of the incidences were found in male children aged 9–12 months. Scalds commonly occur in rural areas and indoor at home. The upper lower class had the most scald injuries and parents had a poor educational status. The most common substance was hot water in a vessel. The most common mechanism was for a child to pull a hot water down over themselves. In descending order, children suffered a significantly higher proportion of scalds to the hand, chest, and face. Conclusions: Children should be closely supervised by elders or parents, particularly in the kitchen while at home. Parents and caregivers should receive preventive education and training. All kitchen practices, such as floor cooking, low-level shelves, and keeping hot liquids in easily accessible places, should be avoided to prevent childhood scalds.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"30 1","pages":"45 - 50"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44500575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sensitivity and specificity of abbreviated burn severity index and revised Baux score in mortality prediction in burn patients admitted to a tertiary care center in South India","authors":"Naren Shetty, Narendra S. Mashalkar, Sunderraj Ellur, Rajeswari Dharmarajan, S. Selvam","doi":"10.4103/ijb.ijb_15_22","DOIUrl":"https://doi.org/10.4103/ijb.ijb_15_22","url":null,"abstract":"Background: Mortality still remains the most significant adverse outcome encountered ever since the inception of burn management despite significant advances. Predicting mortality in the initial stages by mortality prediction models can help in many ways. Abbreviated Burn Severity Index (ABSI) and Revised Baux Score (RBS) are two commonly used models. However, these mortality prediction models have varied levels of sensitivity and specificity when applied in different clinical settings. Hence, validation in a particular clinical setting becomes important before using it. Our purpose was to understand the sensitivity and specificity of ABSI and RBS in mortality prediction in our tertiary care center. Methods: Data of all burn patients admitted into our tertiary care center from January 2018 to December 2020 were retrospectively collected. The ABSI and RBS scores were calculated for each patient. The scores between survivors and nonsurvivors were compared using statistical methods. Sensitivity and specificity of ABSI and RBS was calculated. The Receiver Operating Characteristic curve was plotted, and the area under the curve (AUC) was calculated to assess the accuracy of each model. Results: Three hundred and fifty patients were included in the study sample (Mean age: 27.3 years. Avg TBSA: 17.63%). Forty-seven patients had inhalational injury and 131 patients had full thickness burn. The mortality rate was 12.3% (43 patients). Sensitivity, specificity, and AUC for ABSI were 88%, 93%, and 0.96 and that for RBS were 74%, 96%, and 0.93, respectively. The optimal cutoff for ABSI and RBS was 7 and 85, respectively. Conclusion: Both ABSI and RBS mortality prediction models have acceptable levels of sensitivity and specificity in mortality prediction.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"30 1","pages":"78 - 83"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43474747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Seven-year microbiological profile and antibiotic sensitivity pattern of burn wound infections in a tertiary care hospital in New Delhi","authors":"Vikas Singh, N. Grover, K. Tandel, Salil Jena","doi":"10.4103/ijb.ijb_27_21","DOIUrl":"https://doi.org/10.4103/ijb.ijb_27_21","url":null,"abstract":"Introduction: Burn patients are vulnerable for opportunistic colonization by organisms of endogenous and exogenous origin. Hence, it is necessary to evaluate the flora obtained from wounds of burn patients to determine the most effective treatment. The aim of this study was to determine the incidence of various bacteria isolated from burn patients and to determine their antimicrobial susceptibility and resistance pattern spanning 7 years. Materials and Methods: The retrospective study included all the culture reports obtained over a period of 7 years (2012–2018). Results: Out of the total 1474 positive samples analyzed, the most common sample reported was pus (n = 816), followed by blood culture (n = 314), tissue (n = 188), and urine (n = 156). The most common organism cultured was Pseudomonas aeruginosa (n = 377), followed by Klebsiella pneumoniae (n = 309). Other commonly isolated organisms were Acinetobacter baumannii (n = 206), Escherichia coli (n = 89), coagulase-negative staphylococci (n = 88), Proteus mirabilis (n = 55), Burkholderia cepacia (n = 54), Staphylococcus aureus (n = 42), Candida spp. (n = 39), and Enterococci spp. (n = 36). Pseudomonas was seen to be sensitive to only colistin with resistance to all other major antibiotic classes. Klebsiella was sensitive to colistin, tigecycline, and cefoperazone/sulbactam. A. baumannii was observed to be sensitive only to colistin and tigecycline by the end of 2018 and E. coli was sensitive to amikacin, colistin, meropenem, and tigecycline. Conclusion: Antibiotic resistance is rampant, rapidly progressing and devouring down all the antibiotic classes one after other. The high antimicrobial resistance may be ascribed to the inappropriate use of broad-spectrum antibiotics and lack of a definite antibiotic policy in hospitals. Treating surgeons should frequently evaluate the burn patient and run regular tests to localize the most common organisms causing the infections with their antibiotic sensitivity profiles.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"30 1","pages":"18 - 23"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43238272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A case of electric injury with exposed neck vessels and scapula treated with flaps","authors":"V. Bhatia, A. Thakur, Sruja Narola, Manisha Singh, R. Kaushik, Deepanjali Kalra","doi":"10.4103/ijb.ijb_20_22","DOIUrl":"https://doi.org/10.4103/ijb.ijb_20_22","url":null,"abstract":"In modern times, the use of electricity has increased many times and so has the incidence of high-voltage electrical injuries. The incidence of high-voltage electrical injuries is much higher in developing countries when compared to developed countries, lack of proper transmission systems being the cause. Electric burn injuries lead to debilitating morbidity to the affected patients and are often deadly. In such cases with exposed vessels in the neck, major flaps such as the deltopectoral flap or forehead flap or free flaps increase the hospital stay or two-staged procedures and hence increase the morbidity of such patients. Here, we present a case of a young male patient who sustained an electric injury to his foot, neck, and shoulder, which was managed with the platysma flap and parascapular flap with no donor site morbidity.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"30 1","pages":"94 - 99"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49535387","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burn reconstruction: Severe mentosternal adhesion","authors":"Turan Mehdizade, E. Ozcan, Melih K Sifil, Ufuk Durgun, Ahmet Kirazoğlu, M. Çamlı, Yusuf Erbayat, Susen Asgerzade, Reha Ekici, C. Koç, Nuh Evin, E. Guneren","doi":"10.4103/ijb.ijb_18_22","DOIUrl":"https://doi.org/10.4103/ijb.ijb_18_22","url":null,"abstract":"Burn injuries are severe traumatic events with a range of local and systemic repercussions. Various complications may occur in the early and late stages of burn injuries depending on the causative agent, duration of contact, degree of burn, and extent of the harm. Long after their burn scars have healed, many patients still struggle with issues related to their burn injuries. Burn scars, hypertrophic scars, keloid, contractures, heterotopic ossifications, chronic ulcerations, and marginal ulcers are late-onset complications that hurt the quality of life and result in lost productivity. Escharotomy, fasciotomy, repeated debridement, and primary wound management can lower mortality and potential complications. Complex burns should ideally be treated in specialized burn centers supervised by plastic surgeons and a multidisciplinary team of experts who treat patients holistically. This case report presents a contracture that occurred following an extensive burn to the neck, arm, and finger joints, which was successfully treated with surgery and healed without complications.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"30 1","pages":"100 - 105"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42723025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burn depth assessment in tattooed patients: Diagnostic challenges and potential pitfalls in treatment","authors":"H. Chu, J. Bechar, J. Zakaraite, J. Dickson","doi":"10.4103/ijb.ijb_7_22","DOIUrl":"https://doi.org/10.4103/ijb.ijb_7_22","url":null,"abstract":"Tattoos are commonly accepted as a lifestyle choice, with an estimated 10-20% of the global population having a tattoo. Burn injuries in tattooed skin can be challenging to assess, and incorrect management can lead to an unnecessary burden on resources. This may lead to preventable patient morbidity. We present a case series of patients presenting to our unit with burn injuries on tattooed skin, and discuss recommendations for assessing and optimising care in this cohort. Four male patients aged 23 to 50 years old are discussed in this study, with burn injuries to limb tattooed skin. One patient underwent surgical management and upon a test shave of the apparent full thickness burn with tattoo pigmentation, showed a bleeding dermis which would indicate a more superficial burn. A second patient had burn depth masked a colour tattoo that mimicked a mid to deep dermal burn. We highlight the difficulties in assessing patients with burn injuries in tattooed skin and the importance of ensuring the correct diagnosis in depth of burn. This is to allow optimal treatment and avoid potential complications that may occur as a result of misdiagnosis.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"30 1","pages":"87 - 90"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44249948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postoperative positioning following the release of neck contractures","authors":"H. Sharma, Amrita More","doi":"10.4103/ijb.ijb_17_22","DOIUrl":"https://doi.org/10.4103/ijb.ijb_17_22","url":null,"abstract":"","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"30 1","pages":"106 - 107"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43219025","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epidemiological clinical profile and outcome of electric burn at our tertiary care center in Hadoti region","authors":"V. Neniwal, Rakesh Sharma, Akhilesh K. Meena","doi":"10.4103/ijb.ijb_20_20","DOIUrl":"https://doi.org/10.4103/ijb.ijb_20_20","url":null,"abstract":"Introduction: The incidence of electrical accidents has increased due to the use of electricity in households, institutions, and industries. Electrical injury is a major cause of burn injury and significant cause of mortality, morbidity, and disability. Materials and Methods: This prospective analytical study which was conducted in the department of surgery of our tertiary care center MBS hospital from July 2016 to June 2017. A total of 120 patients of electric burn were included in our study burn unit. We reviewed the following variables such as age, sex, occupation, socioeconomic status, mechanism of injury, body surface area involve, voltage, course at hospital stay, prognosis, and surgical modalities. Results: There were 111 males and 9 females. Seventy-four electric injuries were due to high-tension line above 1000 V and remaining by household line. In 84% of patients, upper limbs were involved. Most of the patients were farmer and student who belong to farmer families and most were of the working age group. Twenty-three (19.17%) patients underwent major amputation due to extensive tissue and bone destruction. During the follow-up period, 22 patients had only the ability to perform their usual and daily activities and could not work at all. Conclusions: Electric burns are preventable public health problem. Preventative strategies need to be put in place to decrease the incidence of electrical injuries. The prevention is possible by increasing awareness through primary education and advice precautions such as the use of insulated gloves and footwear.","PeriodicalId":13336,"journal":{"name":"Indian journal of burns","volume":"29 1","pages":"19 - 25"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49088437","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}