Burns open : an international open access journal for burn injuries最新文献

{"title":"Corrigendum to “Evaluation of clinical presentation and management outcome of burns, experience at secondary referral hospital in a low-income, sub-Saharan country: A cohort study” [Burns Open 8(2) (2024) 82–86]","authors":"Mohammedbabalrahma Bashier Ahmed Koko , Mohamed Daffalla Awadalla Gismalla , Mohammed Yousof Bakhiet , Alshareef Mohamed Alshareef , Mohammed Aseri , Aimen Elsheikh Khalil Abuelnour","doi":"10.1016/j.burnso.2024.100369","DOIUrl":"10.1016/j.burnso.2024.100369","url":null,"abstract":"","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 4","pages":"Article 100369"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000579/pdfft?md5=a8d67f4a712fbe220b12b2ae75fa8629&pid=1-s2.0-S2468912224000579-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141978925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Double opposing five flaps as an easy way to correct post burn band contracture","authors":"Mahmoud Eloteify ,&nbsp;Mohamed Eloteify","doi":"10.1016/j.burnso.2024.100357","DOIUrl":"https://doi.org/10.1016/j.burnso.2024.100357","url":null,"abstract":"<div><p>Post burn contracture usually need interference mostly for functional or cosmetic correction. Release and skin graft is the first option in the reconstructive ladder; it has its drawbacks either re-contracture or pigmentation of the graft. Release and flap coverage when available is the best. Free flaps, at a time, was the best and last option in the reconstructive ladder. Still, it is the most expensive surgery that consumes a long time for flap raising, anastomosis of its vessels, in addition to donner site morbidity, the need for stages of defatening and the possibility of failure.</p><p>Local flaps if available is the easiest technique for all plastic surgeons even the beginners. Back to basic: advancement, transposition and rotation flap are easy for any plastic surgeon. Linear scaring or contracture usually can be corrected by Z plasty or multiple Z if long. Sometimes double opposing Z plasties (5 flaps release) is used if one side of the line is healthy and the other is scared.</p><p>Z plasty and its varieties are not enough to correct very broad band contracture since its release usually develops large defect. In that case even the free flap alone is not enough; split skin graft is mandatory to complete the defect coverage.</p><p>Our technique is only for band contracture that neither very broad nor linear, and is surrounded by healthy skin, that technique is double opposing 5 flap (DO5F) release.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 4","pages":"Article 100357"},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000415/pdfft?md5=6920e511cf669aacd9e42697ace88812&pid=1-s2.0-S2468912224000415-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141541240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integra® in burn care, an overview and an algorithm for success","authors":"Rohit Mittal ,&nbsp;Steven Alexander Kahn","doi":"10.1016/j.burnso.2024.06.003","DOIUrl":"https://doi.org/10.1016/j.burnso.2024.06.003","url":null,"abstract":"<div><p>Large surface full-thickness burns pose a significant clinical challenge to the burn surgeon. Integra® dermal matrix has now been commercially available for more than 3 decades. Over this time, its role continues to evolve, and it remains an important tool in the hands of a burn surgeon. Integra® is now being successfully used in acute burn injury, chronic wounds, and reconstructive surgery. Successful outcomes, however, are predicated on a multitude of factors. This overview serves to provide a history of the device, review data and lessons learned, and provide an algorithm for success based on the experience of the authors.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 3","pages":"Pages 220-227"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000373/pdfft?md5=bd56a5bff91f6381581fb45528ae057e&pid=1-s2.0-S2468912224000373-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141323513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A five-year retrospective antibiogram review in the paediatric burns unit at a tertiary South African Hospital","authors":"Mahavishnu Morgan Moodley,&nbsp;Prenika Jaglal,&nbsp;Jeannette Wadula","doi":"10.1016/j.burnso.2024.04.004","DOIUrl":"10.1016/j.burnso.2024.04.004","url":null,"abstract":"<div><h3>Background</h3><p>There is a global concern regarding increasing colonization and/or infection of paediatric burns patients with multi-drug-resistant organisms, especially in Africa. Surveillance of antimicrobial resistant patterns enables clinicians to opt for the most appropriate empiric antimicrobial agent according to the unit’s susceptibility profile.</p></div><div><h3>Objective</h3><p>This study sought to compile unit-specific antibiograms comparing the organism prevalence and their antimicrobial resistance trends in the paediatric burns unit, Chris Hani Baragwanath Academic Hospital (CHBAH) from January 2015 to December 2019.</p></div><div><h3>Methods</h3><p>A retrospective, laboratory-based review was conducted of bacterial and fungal isolates including antimicrobial susceptibility testing (AST) data from blood cultures and tissue samples. Enterobacterales, non-fermenters, gram-positive organisms, and yeasts were analysed as a percentage of total positive blood cultures comparing 2015–2017 to 2018–2019 data. Analysis of antimicrobial resistance trends was performed for extended-spectrum beta-lactamases (ESBLs), carbapenem-resistant Enterobacterales (CRE), extensively-drug-resistant (XDR) <em>Acinetobacter baumannii,</em> and meticillin-resistant <em>Staphylococcus aureus</em> (MRSA) for the years 2015, 2017, and 2019.</p></div><div><h3>Results</h3><p>A total of 1243 blood culture isolates were studied with <em>A.baumannii</em> (208/1243;17 %), coagulase negative staphylococci (141/1243; 11 %) and <em>Candida auris</em> (53/1243; 4 %) representing the predominant gram-negative bacteria, gram-positive bacteria, and yeast, respectively. A significant decrease in ESBLs (<em>p</em> = 0.00) was noted with a rise in CREs (<em>p</em> = 0.00) during the study period. Majority of the <em>A. baumannii</em> were XDR (≥77 %) despite an appreciable decrease. A notable decrease in MRSA (<em>p</em> = 0.00) isolates was observed. <em>Pseudomonas aeruginosa</em> (72/275; 26 %) was the leading organism recovered from a total of 275 tissue isolates.</p></div><div><h3>Conclusion</h3><p>The results of this study encourage review of the current antimicrobial choices in the unit for empiric antibacterial cover. Due to the low numbers of yeasts, we cannot comment on the institution of early antifungal strategies. We support reinforced infection prevention and control practices as well as antimicrobial stewardship initiatives.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 3","pages":"Pages 204-210"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000294/pdfft?md5=2199ad44fbf1f664fd25c7d51e344af8&pid=1-s2.0-S2468912224000294-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141042741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the long-term aesthetic outcomes of a customized nanofibrous temporary epidermal matrix in facial burn treatment","authors":"Alexandra Schulz,&nbsp;Carmo Kanho,&nbsp;Paul Christian Fuchs,&nbsp;Wolfram Heitzmann ,&nbsp;Jennifer Lynn Schiefer","doi":"10.1016/j.burnso.2024.06.004","DOIUrl":"https://doi.org/10.1016/j.burnso.2024.06.004","url":null,"abstract":"<div><h3>Introduction</h3><p>Facial burn injuries have a profound impact on patients’ lives due to the significant alterations in physical appearance. Recent advancements in medical technology aim to improve the healing process while minimizing scar formation. This study investigates the clinical outcomes of treating superficial to partial-thickness facial burns with a nanofibrous temporary epidermal matrix over a 12-month period, encompassing objective and subjective scar assessments.</p></div><div><h3>Methods</h3><p>A prospective cohort analysis was conducted involving ten patients with facial burns. The study assessed re-epithelialization time, complications, and long-term objective scar outcomes at the 8-month and 12-month marks.</p></div><div><h3>Results</h3><p>The study revealed a notable mean re-epithelialization time of 12.1 days (Standard Deviation: 3.78) without any complications. At the 8-month assessment, there were no discernible differences in objective scar outcomes between treated and intact areas. After a 12-month follow-up, a subtle reduction in skin quality was observed, which lacked clinical significance.</p></div><div><h3>Conclusion</h3><p>These findings emphasize the potential of nanofibrous temporary epidermal matrices as patient-friendly dressings for managing second-degree to partial-thickness facial burns. Their ability to address facial burns without increasing patient discomfort suggests the potential for a less traumatic healing experience, ultimately enhancing overall patient recovery.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 3","pages":"Pages 245-252"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000361/pdfft?md5=1745e654c7ce935aecb967875454f3a9&pid=1-s2.0-S2468912224000361-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141484579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The impact of a residential fire on occupational engagement and performance: A reflexive narrative approach","authors":"Gregory Chown","doi":"10.1016/j.burnso.2024.04.001","DOIUrl":"https://doi.org/10.1016/j.burnso.2024.04.001","url":null,"abstract":"<div><p>Residential fires are a devastating and stressful life event. The high number of residential fires per year and significant associated stressors impacts all aspects of daily life. This reflexive narrative approach highlights gaps in inpatient and outpatient burn care for those who have suffered a residential fire from an occupational therapy perspective. The findings show that healthcare professionals need to consider social support systems, use therapeutic listening, provide stress management techniques and be advocates throughout the recovery process.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 3","pages":"Pages 165-168"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000257/pdfft?md5=f3b29ce578eee9ad03dc0f9e2181524e&pid=1-s2.0-S2468912224000257-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140555343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Revisiting the taxonomy of abnormal calcium deposits in burn survivors: Semantics of heterotopic ossification versus calcinosis cutis","authors":"Henrietta Ehirim ,&nbsp;Hongyan Dai ,&nbsp;Duncan Nickerson","doi":"10.1016/j.burnso.2024.06.002","DOIUrl":"https://doi.org/10.1016/j.burnso.2024.06.002","url":null,"abstract":"<div><p>Abnormal calcium deposition is among the many sequelae that may arise following major burn injury. This may take the form of heterotopic ossification (HO) or calcinosis cutis (CC) within scarred skin. These two processes are distinct, but clinicians sometimes use the term “heterotopic ossification” as a catch-all term to reference any abnormal calcium deposition in a burn survivor. While HO is well-described, less attention has been devoted to CC. We present a case of CC to highlight the distinct presentations of CC vs. HO in hopes of promoting the use of semantically correct terms within the burn care community.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 3","pages":"Pages 217-219"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S246891222400035X/pdfft?md5=2a160dab9ab9391e21a203570c64fe05&pid=1-s2.0-S246891222400035X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141294559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Negative pressure wound therapy with instillation and dwelling (NPWTi-d) for skin graft dressing in hand burns: A case report","authors":"Kanako Danno ,&nbsp;Ryohei Ishiura ,&nbsp;Chihena H. Banda ,&nbsp;Yoshimoto Okada ,&nbsp;Makoto Shiraishi ,&nbsp;Kohei Mitsui ,&nbsp;Kento Hosomi ,&nbsp;Mitsunaga Narushima","doi":"10.1016/j.burnso.2024.04.005","DOIUrl":"10.1016/j.burnso.2024.04.005","url":null,"abstract":"<div><p>Skin graft fixation dressing is important in preventing graft shear and loss which are a major source of morbidity particularly in burn patients. We report the successful use of negative pressure wound therapy with instillation and dwell time (NPWTi-d) in burn injuries of the hand for both skin graft fixation and maintenance of safe hand positioning.</p><p>A 27-year-old man suffered burn injuries on his hands and face which included deep partial thickness burns of his right hand following an industrial explosion. A day after the injury, early debridement and skin grafting of the hand was performed. NPWTi-d was applied by cutting the form into smaller blocks and stacking them in an overlapping fashion we termed the “Jenga method” to securely fix the skin graft in place and fix the hand in intrinsic plus hand positioning for 1 week. The device was set to 10 ml saline immersion for 3 min every 3.5 h and section pressure reduced from −125 mmHg to −75 mmHg due to hand discomfort. Graft take was 95 % and the patient recovered with no joint contracture or other complications.</p><p>We report this case to demonstrate the use of NPWTi-d for effective skin graft fixation and non-invasive immobilization of the hands and fingers in a safe limb position in a patient with burn injuries and present the stacked block foams “Jenga method” as a useful easy technique for application of NPWT.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 3","pages":"Pages 193-196"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000300/pdfft?md5=2f80492ccda2a477c5d010f749c3d8fd&pid=1-s2.0-S2468912224000300-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141051665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep after discharge: A northwest regional burn model system cohort study of burn subjects in a home-based virtual rehabilitation randomized trial","authors":"Cameron J. Kneib ,&nbsp;Gretchen J. Carrougher ,&nbsp;Lori Rhodes ,&nbsp;Stephen H. Sibbett ,&nbsp;Caitlin M. Orton ,&nbsp;Andrew Humbert ,&nbsp;Aaron Bunnell ,&nbsp;Tam N. Pham ,&nbsp;Barclay T. Stewart","doi":"10.1016/j.burnso.2024.06.001","DOIUrl":"https://doi.org/10.1016/j.burnso.2024.06.001","url":null,"abstract":"<div><h3>Introduction</h3><p>Major burns and the intensive care required induce numerous physiologic changes and stress responses that impact recovery for months after hospital discharge. Little is known about sleep quantity and quality after index hospitalization discharge. We report on actigraphy and sleep outcome data from subjects enrolled in a prospective trial of home-based virtual rehabilitation (HBVR) after burn injury.</p></div><div><h3>Methods</h3><p>We conducted a randomized controlled trial of a HBVR program over 12 weeks after index hospitalization. In both HBVR and control (usual care) groups, subjects were provided a wrist actigraphy accelerometer device (Garmin vívofit®) to wear. Sleep data were retrieved remotely and analyzed. Actigraphy data were defined <em>a priori</em> as complete if subjects had 5 out of 7 days of actigraphy wear in a week. Average weekly sleep was calculated and reported by group assignment. Sleep-relevant and fatigue outcomes were measured by PROMIS questionnaires at randomization (discharge + 0–30 days), 12-weeks, and 12-months. Descriptive statistics were used for comparisons and linear mixed effect model were used to evaluate trends in PROMIS T-scores between groups.</p></div><div><h3>Results</h3><p>Fifty subjects were enrolled and 48 had complete sleep data. Mean age was 38 ± 14 years and mean burn size was 16 ± 13 % TBSA with a majority of subjects male (71 %). Average sleep duration was within general population norms, with little difference between subjects in the intervention and controls groups in the 12 weeks after study randomization (7.3 vs.7.2 h respectively, p = 0.25). Subjects in control group spent more time in light sleep (4.1 vs. 3.9 h, <em>p</em> &lt; 0.01) and experienced a higher proportion of nights with sleep disturbances (0.75 vs. 0.70, <em>p</em> = 0.006). Thirty-two subjects (66 %) completed PROMIS questionnaires at both time of randomization and following the 12-week intervention period. Average PROMIS sleep disturbance T-scores were not significantly different at 3-months. The control group had significant improvement in average PROMIS T-scores at 3-months compared to the HBVR group (<em>p</em> = 0.015). PROMIS scores trended towards improvement over the 12-month study period for both groups.</p></div><div><h3>Conclusions</h3><p>Actigraphy data complement self-reported sleep data among burn-injured adults after hospital discharge. People with burn injury had mildly increased sleep disturbance, sleep impairment, and fatigue after hospital discharge but trended toward population norms over time.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 3","pages":"Pages 228-236"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000348/pdfft?md5=216818c0ce769d255963ef5a7043ad97&pid=1-s2.0-S2468912224000348-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141328589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Burn Model System educational outputs: Domestic and global dissemination","authors":"Gretchen J. Carrougher ,&nbsp;Caitlin M. Orton ,&nbsp;Barclay T. Stewart","doi":"10.1016/j.burnso.2024.04.003","DOIUrl":"https://doi.org/10.1016/j.burnso.2024.04.003","url":null,"abstract":"<div><p>Knowledge translation and consumer testing aims to move research findings from scientists, professional journals, and conferences to the hands of end-users and organizations who use the information regularly. The purpose of this report is to outline the process by which the Burn Model System (BMS) has worked with the Model System Knowledge Translation Center (MSKTC) to develop and disseminate patient education materials to consumers. The National Institute on Disability, Independent Living, and Rehabilitation Research-funded BMS in collaboration with the MSKTC uses a multi-step process for developing and consumer-testing evidence-based/consensus-derived educational information prioritized by consumers. The final written products are made available in both English and Spanish at/below an 8th grade reading level. Products are disseminated through websites, clinical encounters, social media, and national/international engagement with clinicians and burn-related organizations. Written products are reviewed every five years to ensure they remain current and relevant. Number of online views for each product is a key measure of dissemination. Since 2011, the collaboration between the BMS and the MSKTC has produced or updated 22 educational factsheets, three videos, three infocomics, and one infographic. Collectively, these products have been viewed over two million times by people in 216 countries. Online views of all products have generally increased year-to-year. This process makes relevant health information accessible and understandable for consumers. As a result, Burn Model System informational products have been increasingly viewed by US and international consumers.</p></div>","PeriodicalId":72486,"journal":{"name":"Burns open : an international open access journal for burn injuries","volume":"8 3","pages":"Pages 183-187"},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2468912224000282/pdfft?md5=bd9b0cabcdec05cb372433a270eac40e&pid=1-s2.0-S2468912224000282-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140951264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}