Annals of burns and fire disasters最新文献_第4页

Cooperation Between The Rescue And Fire Brigade Corps And The Medical Rescue Service Representing A Basis For An Effective Integrated Rescue System In The Slovak Republic. 救援和消防部队与医疗救援服务之间的合作代表了斯洛伐克共和国有效综合救援系统的基础。

Annals of burns and fire disasters Pub Date : 2021-12-31

J Drotárová, M Mesároš, P Lošonczi

引用次数: 0

Measurements Of Injury-Related Outcomes: Statistical And Analytical Data From Albania. 损伤相关结果的测量:来自阿尔巴尼亚的统计和分析数据。

Annals of burns and fire disasters Pub Date : 2021-12-31

M K Belba, L N Deda, G P Belba

{"title":"Measurements Of Injury-Related Outcomes: Statistical And Analytical Data From Albania.","authors":"M K Belba, L N Deda, G P Belba","doi":"","DOIUrl":"","url":null,"abstract":"Numerous burn mortality indicators and prognostic scores are necessary to classify with priorities severely burned patients in order to predict outcome. The purpose of this paper is to evaluate mortality predictors on admission, in order to determine Lethal Area 50 and to validate burn prognostic scores. The study is retrospective, clinical and analytical. The data utilized were accessed by investigating the medical charts of 5033 patients hospitalized with severe burns within the Intensive Care Unit of the Service of Burns in Tirana, Albania over the period 1992-2019. Descriptive and inferential statistics were performed using PSS 23 software. Statistical significance is defined as p<0.05. The incidence rate of hospitalization of patients with severe burns initially increased from 4.1 to 7.9 persons per 100,000 population/year in the period 1992 to 1999, followed by a decrease from 7.9 to 4.8 in 2019. Mortality was 12.2% and the average burn crude death rate was 0.7 patients per 100,000 population/year. Lethal Area 50 for the second decade (2010-2019) was 82.2%. All tested burn prognostic scores had good predictive values. In addition to the commonly used outcome predictors such as age, burn size and inhalation burn, we concluded that additional determinants like depth of burn and etiology of burns determined an unfavorable outcome. Fatality risk was 4 times higher in patients with full-thickness burns, 2.6 times higher in patients with flame burns, and 4 times higher in patients with inhalation injury.","PeriodicalId":8392,"journal":{"name":"Annals of burns and fire disasters","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8717911/pdf/Ann-Burns-and-Fire-Disasters-34-301.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39824965","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}

引用次数: 0

MBC REPORT. MBC报道。

Annals of burns and fire disasters Pub Date : 2021-12-31

引用次数: 0

Eyelid Chemical Burns: A Multidisciplinary And Challenging Approach. 眼睑化学烧伤：一种多学科且具有挑战性的方法。

Annals of burns and fire disasters Pub Date : 2021-12-31

C Keilani, A De Faria, A Baus, M Delbarre, J V Schaal, F Froussart-Maille, E Bey, P Duhamel

{"title":"Eyelid Chemical Burns: A Multidisciplinary And Challenging Approach.","authors":"C Keilani, A De Faria, A Baus, M Delbarre, J V Schaal, F Froussart-Maille, E Bey, P Duhamel","doi":"","DOIUrl":"","url":null,"abstract":"During second- and third-degree eyelid sulfuric acid burns, many surgeons prefer to wait until primary wound separation occurs before grafting. However, this approach may miss the chance to recover the eyelids and can cause ectropion, resulting in delayed eyeball healing with exposure keratitis. We propose that early eyelid release and grafting makes a significant difference in long-term outcomes and improves eyeball healing. Here, we present the case of a woman who presented second- and third-degree burns of the eyelids secondary to physical domestic assault with acid, who had an early surgical management with a full-thickness skin graft. Ten days after surgery, we found that the graft had survived totally, and the donor site of the right arm had already healed. Eyelids were successfully grafted and the functions of both eyelids were well recovered, allowing complete cover of the eyeball. Two months after surgery, functional and cosmetic results were satisfying, with no postoperative lagophthalmos or difficulties with exposure-related problems. Case reports of eyelid chemical burns are very few. No specific and codified management of eyelid chemical burns was found in the literature search. This case report demonstrated that a multidisciplinary approach led by both ophthalmologists and plastic surgeons must be decided early (<6h) in order to achieve synergistic and coordinated management between the eye and the eyelid. There is a significant improvement in ocular healing with early excision and grafting of eyelids after sulfuric acid burn.","PeriodicalId":8392,"journal":{"name":"Annals of burns and fire disasters","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8717906/pdf/Ann-Burns-and-Fire-Disasters-34-312.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39824966","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}

引用次数: 0

Selective Enzymatic Debridement For The Management Of Acute Upper Limb Burns. 选择性酶清创治疗急性上肢烧伤。

Annals of burns and fire disasters Pub Date : 2021-12-31

M Cherubino, L Valdatta, T Baroni, I Pellegatta, F Tamborini, L Garutti, P Di Summa, R Adani

{"title":"Selective Enzymatic Debridement For The Management Of Acute Upper Limb Burns.","authors":"M Cherubino, L Valdatta, T Baroni, I Pellegatta, F Tamborini, L Garutti, P Di Summa, R Adani","doi":"","DOIUrl":"","url":null,"abstract":"Upper limb burn treatment represents a major medical and surgical challenge. Enzymatic escharolysis is a rather new technique to treat thermal burns in an easy and rapid way, as an alternative to the standard of care. The aim of the study was to investigate and describe the efficacy of treatment of upper limb burns with NexoBrid® in a non-burn referral center. All patients suffering from upper limb burns and admitted within 36 hours to the Hand and Microsurgery Unit of the ASST Sette Laghi from December 2016 to June 2018 were enrolled in the study. A retrospective analysis was performed, evaluating time to wound healing, time of hospitalization, and scar aesthetic appearance with patient and observer scar assessment scale (POSAS) and disabilities of the arm, shoulder and hand score (DASH). A total of 18 patients with burns involving the upper limb from December 2016 to June 2018 were treated. The mean TBSA% involved was 3%; 4 out of 18 patients suffered circumferential burns. The mean POSAS score was 14; the mean DASH score at 6-month follow up was 21, while it reduced to 11 at the last follow up visit. Enzymatic escharolysis is a novel, rapid and selective treatment option that allows early physiotherapy with overall satisfying functional results. We believe that enzymatic escharolysis should be considered, in most cases, as the standard of care in the treatment of upper limb burn wounds in non-burn referral centers.","PeriodicalId":8392,"journal":{"name":"Annals of burns and fire disasters","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8717899/pdf/Ann-Burns-and-Fire-Disasters-34-334.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39824970","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}

引用次数: 0

The 2020 Beirut Explosion: A Healthcare Perspective. 2020年贝鲁特爆炸:医疗保健视角。

Annals of burns and fire disasters Pub Date : 2021-12-31

M S Hajjar, G M Atallah, H Faysal, B Atiyeh, J Bakhach, A E Ibrahim

{"title":"The 2020 Beirut Explosion: A Healthcare Perspective.","authors":"M S Hajjar, G M Atallah, H Faysal, B Atiyeh, J Bakhach, A E Ibrahim","doi":"","DOIUrl":"","url":null,"abstract":"On August 4th, 2020, at 6:07pm local time, an explosion took place in Beirut's port near the central district. This tragic event reportedly left more than 204 victims dead, more than 6,500 wounded, and displaced around 300,000 from their homes. Patients were transported to several hospitals, which became quickly overwhelmed within minutes by the large number of patient admissions. This is a retrospective chart review conducted on 292 patients, who presented to the American University of Beirut Medical Center (AUBMC) after sustaining blast-related injuries during the Beirut port explosion on August 4th, 2020. Measures including age, gender, location of the injury, mechanism of blast injury (primary, secondary, tertiary, and quaternary) and outcomes were collected. Time of arrival of the first victim was 10 minutes after the explosion. Patients across all ages presented to the medical center (age range from 3 months to 86 years) and the majority of injuries were in the upper extremity (45.6%), and head and neck region (43.2%). Most blast-related injuries were due to secondary and tertiary types, 78.4% and 24.1% respectively. This study aims to expand the literature and widen the knowledge regarding the mechanism of injury associated with the Beirut port explosion. Moreover, it could be helpful in preparing medical staff, healthcare centers and other communities to work under difficult conditions in similar disasters and improve the global response to devastating events.","PeriodicalId":8392,"journal":{"name":"Annals of burns and fire disasters","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8717904/pdf/Ann-Burns-and-Fire-Disasters-34-293.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39915001","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}

引用次数: 0

International Abstracts. 国际摘要。

Annals of burns and fire disasters Pub Date : 2021-12-31

引用次数: 0

Corrélation Entre La Consommation D’Antibiotiques Et Les Taux D’Antibiorésistance Chez P. Æruginosa Dans Un Service De Réanimation Des Brûlés Tunisien: Étude Sur 6 Ans (2014-2019). 抗生素和消费之间的相关性D’Antibiorésistance率pÆruginosa突尼斯在烧伤科病房的一个6岁:研究(2014-2019)。

Annals of burns and fire disasters Pub Date : 2021-09-30

L Thabet, S Frigui, A Mellouli, M Gargouri, B Maamar, I Harzallal, J Boukadida, A A Messadi

{"title":"Corrélation Entre La Consommation D’Antibiotiques Et Les Taux D’Antibiorésistance Chez P. Æruginosa Dans Un Service De Réanimation Des Brûlés Tunisien: Étude Sur 6 Ans (2014-2019).","authors":"L Thabet, S Frigui, A Mellouli, M Gargouri, B Maamar, I Harzallal, J Boukadida, A A Messadi","doi":"","DOIUrl":"","url":null,"abstract":"Antibiotics are one of the greatest advances in modern medicine. Antibiotic resistance is one of the most serious threats to global health, aggravating the prognosis of immunocompromised patients, especially burn patients. Our objective was to study the consumption of antibiotics of critical importance according to the WHO and the correlation between antibiotic resistance in Pseudomonas æruginosa and the consumption of these antibiotics. Our study took place in the Medical Laboratory in collaboration with the Trauma and Burn Center's Burn Unit in Tunisia. In our retrospective study, 1384 non-repetitive strains of Pseudomonas æruginosa responsible for colonization or infection were included, between January 2012 and December 2019. Pseudomonas æruginosa was the most isolated bacterial strain in the service, with an average rate of 15.9% of the service's bacterial ecology. The antibiotic resistance rates tested were high: 77.1% to piperacillin-tazobactam, 56% to ceftazidime, 74.9% to imipenem, 78.8% to amikacin, 54.7% to ciprofloxacin and 32.8% to fosfomycin. Among our strains, 81.8% were multi drug-resistant strains. The analysis of the correlation between the level of consumption of antibiotics and the antibiotic resistance levels in Pseudomonas æruginosa showed that the increased consumption of piperacillin-tazobactam increased resistance not only to piperacillin-tazobactam but also to imipenem and amikacin as well as multi drug resistance. Similarly, the increase in the consumption of fosfomycin correlates with resistance to piperacillin-tazobactam and imipenem.","PeriodicalId":8392,"journal":{"name":"Annals of burns and fire disasters","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8534311/pdf/Ann-Burns-and-Fire-Disasters-34-245.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39597287","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}

引用次数: 0

Epidemiology And Risk Factors For Death Of Pediatric Burns In A Developing Country. An Experience From The National Burn Hospital. 发展中国家儿童烧伤死亡的流行病学和危险因素来自国家烧伤医院的经验。

Annals of burns and fire disasters Pub Date : 2021-09-30

N N Lam, N T Hung, N M Duc, N V Luong

{"title":"Epidemiology And Risk Factors For Death Of Pediatric Burns In A Developing Country. An Experience From The National Burn Hospital.","authors":"N N Lam, N T Hung, N M Duc, N V Luong","doi":"","DOIUrl":"","url":null,"abstract":"This retrospective study investigated burn features and predicted factors for death of pediatric burn patients in Vietnam. The results showed that pediatric burn accounted for 48.1% of total admitted burn patients. Preschool children and boys were predominant, burns were mostly caused by scald (76.2%) and the majority of patients lived in a rural area (64.1%). In addition, 94.5% had burn size less than 30% total body surface area and deep burn injury was seen in 45.5% patients. Moreover, a significantly higher incidence of deep burn injury was recorded in preschool age, patients living in a rural area, and non-scald burn. Overall LA50 was 81.5% and a significantly higher mortality rate was seen in non-scald burns, older children, extensive burn and inhalation injury. Multivariate logistic analysis indicated that only burn extent and inhalation injury were independent risk factors for death. An increased 1% of burn extent resulted in a .7 probability unit of death (OR=1.08) and this was 2.16 in the case of inhalation injury (OR=8.67). This health issue should be highlighted in order to develop appropriate policies and intervention measures in developing countries.","PeriodicalId":8392,"journal":{"name":"Annals of burns and fire disasters","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8534302/pdf/Ann-Burns-and-Fire-Disasters-34-213.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39596849","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}

引用次数: 0

Colonisation Et Infection À Acinetobacter Baumannii Dans Une Unité De Réanimation Des Brûlés En Tunisie. 突尼斯烧伤患者重症监护室鲍曼不动杆菌的定植和感染。

Annals of burns and fire disasters Pub Date : 2021-09-30

A Mellouli, B Maamar, F Bouzakoura, A A Messadi, L Thabet

{"title":"Colonisation Et Infection À Acinetobacter Baumannii Dans Une Unité De Réanimation Des Brûlés En Tunisie.","authors":"A Mellouli, B Maamar, F Bouzakoura, A A Messadi, L Thabet","doi":"","DOIUrl":"","url":null,"abstract":"Acinetobacter baumannii is a feared pathogen in the burn center due to its opportunistic nature and its multidrug resistance. Our purpose was to study the incidence density of Acinetobacter baumannii colonization and infection and to determine the antibiotic susceptibility of the strains isolated in patients hospitalized in the Trauma and Burn Center Burn Unit in Tunisia. Our retrospective study included 1517 non-repetitive strains of Acinetobacter baumannii, between January 2012 and September 2020, with an average rate of 12.2% of the service's bacterial ecology. The incidence density of Acinetobacter baumannii colonization and infection was 13.7‰ days of in-patient stay and 14.1‰ days of in-patient stay, respectively. A positive and statistically significant correlation between Acinetobacter baumannii colonization and infection (rs=0,7; p=0.005) was noted in our study. The colonization strains were mainly isolated from central catheters (71.2%) and skin swab samples (22.9%). Infections were dominated by bacteremia (47.6%) and respiratory tract infections (25.4%). Bacteremia was microbiologically documented in 53% of cases. The most common source of bacteremia was central catheters (60.8%), skin (22.2%) and respiratory tract (15.5%). The rates of resistance inAcinetobacter baumannii to the antimicrobial agents tested were high: ceftazidime (85.2%), pipéracillin-tazobactam (95.6%), imipenem (95.3%), amikacine (91.1%), ciprofloxacin (93.5%), rifampicin (36.4%) and cotrimoxazole (88.1%). The resistance of colistin was noted in 1.8% of cases.","PeriodicalId":8392,"journal":{"name":"Annals of burns and fire disasters","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8534301/pdf/Ann-Burns-and-Fire-Disasters-34-218.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39596850","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}

引用次数: 0