Araştırma Makalesi
BibTex RIS Kaynak Göster

Clinical Evaluation of Pediatric Age Group Patients Followed in Burn Unit

Yıl 2019, Cilt: 16 Sayı: 3, 535 - 539, 25.12.2019
https://doi.org/10.35440/hutfd.653706

Öz

Background: The aim of this study was to discuss the clinical features of all pediatric patients followed in the burn unit in Sanliurfa.
Methods: The clinical data of 274 pediatric patients hospitalized in the burn unit between January 2019 and November 2019 were reviewed retrospectively.
Results: Of the 274 cases followed in the burn unit, 57.7% were male and 42.3% were female. The mean age of the patients was 40.27 ± 41.56 months. Liquids such as tea, milk, hot water, 83.8%, 12.8%, fire, electric shock in 2.6% and hot objects in 1.5% were the causes of burns. Wound dressing and medical treatment were applied to 27% of the patients, debridement was applied additionally to the wound dressing and medical treatment in 61.7% of the patients, while skin grafting was performed in 11.3% of the patients.
Conclusion: It is seen that pediatric burn cases are frequently between 1 and 6 years old and boys are exposed to burns more frequently than girls. It should be taken into consideration that both gram-negative and gram-positive infectious agents can be seen in burn cases due to impaired skin integrity.

Kaynakça

  • Ardahan E, Sarı HY. Pediyatrik yanık olgularında besin desteği. Çocuk Cerrahisi Dergisi 2016;30(2):106-13.
  • Shah AR, Liao LF. Pediatric Burn Care: Unique Considerations in Management. Clin Plast Surg. 2017;44(3):603-10.
  • Gülhan B, Kanık Yüksek S, Hayran M, Özkaya Parlakay A, Güney D, Akın Kağızmanlı G, et al. Infections in Pediatric Burn Patients: An Analysis of One Hundred Eighty-One Patients. Surg Infect (Larchmt). 2019 Oct 7 [Epub ahead of print] Original Article doi: 10.1089/sur.2019.010.
  • Hoffman HG, Rodriguez RA, Gonzalez M, Bernardy M, Peña R, Beck W, et al. Immersive Virtual Reality as an Adjunctive Non-opioid Analgesic for Pre-dominantly Latin American Children With Large Severe Burn Wounds During Burn Wound Cleaning in the Intensive Care Unit: A Pilot Study. Front Hum Neurosci. 2019;13:262.
  • Sönmezer M, Tezer H, Şenel E, Parlakay A, Yüksek S, Gülhan B, et al. Bir Pediatrik Yanık Ünitesinde Gelişen Hastane Enfeksiyonları, İzole Edilen Mikroorganizmalar ve Antibiyotik Dirençleri. Türkiye Çocuk Hast Derg. 2014; 8(4): 171-5.
  • Asena M, Aydin Ozturk P, Ozturk U. Sociodemographic and culture results of paediatric burns. Int Wound J. 2019 Nov 3. doi: 10.1111/iwj.13244. [Epub ahead of print]
  • Abdel-Sayed P, Hirt-Burri N, de Buys Roessingh A, Raffoul W, Applegate LA. Evolution of Biological Bandages as First Cover for Burn Patients. Adv Wound Care (New Rochelle). 2019;8(11):555-64.
  • Greenhalgh DG. Sepsis in the burn patient: A different problem than sepsis in the general population. Burns Trauma 2017;5:23.
  • Ramirez-Blanco CE, Ramirez-Rivero CE, Diaz-Martinez LA, Sosa-Avila LM. Infection in burn patients in a referral center in Colombia. Burns. 2017;43(3):642-53.
  • Grudziak J, Snock C, Mjuweni S, Gallaher J, Cairns B, Charles A. The effect of pre-existing malnutrition on pediatric burn mortality in a sub-Saharan African burn unit. Burns. 2017;43(7):1486-92.
  • Al-Hajj S, Pike I, Oneissi A, Zheng A, Abu-Sittah G. Pediatric Burns Among Refugee Communities in Lebanon: Evidence to Inform Policies and Programs. J Burn Care Res. 2019;40(6):769-75.
  • Öztorun Cİ, Demir S, Azılı MN, Şenaylı A, Livanelioğlu Z, Şenel E. The outcomes of becoming a pediatric burn center in Turkey. Ulus Travma Acil Cerrahi Derg. 2016;22(1):34-9.
  • Goldstein B, Giroir B, Randolph A; International Consensus Conference on Pediatric Sepsis. International pediatric sepsis consensus conference: Definitions for sepsis and organ dysfunction in pediatrics. Pediatr Crit Care Med 2005;6:2–8.
  • Weed RO, Berens DE. Basics of burn injury: implications for case management and life care planning. Lippincotts Case Manag. 2005;10(1):22-9.
  • Aldemir M, Kara IH, Girgin S, Güloglu C. Factors affecting mortality and epidemiological data in patients hospitalised with burns in Diyarbakir, Turkey. S Afr J Surg 2005;43:159–62.
  • Soleimani T, Evans TA, Sood R, Hartman BC, Hadad I, Tholpady SS. Pediatric burns: Kids' Inpatient Database vs the National Burn Repository. J Surg Res. 2016;201(2):455-63.
  • Moehrlen T, Szucs T, Landolt MA, Meuli M, Schiestl C, Moehrlen U. Trauma mechanisms and injury patterns in pediatric burn patients. Burns. 2018;44(2):326-34.
  • Trop M, Herzog SA, Pfurtscheller K, Hoebenreich AM, Schintler MV, Stockenhuber A, et al. The past 25 years of pediatric burn treatment in Graz and important lessons been learned. An overview. Burns. 2015;41(4):714-20.
  • Ghorbel I, Bouaziz F, Loukil K, Moalla S, Gassara M, Ennouri K. Epidemiological profile of burns in children in central and southern Tunisia: A 67-case series. Arch Pediatr. 2019;26(3):158-60.
  • Devrim İ, Kara A, Düzgöl M, Karkıner A, Bayram N, Temir G, et al. Burn-associated bloodstream infections in pediatric burn patients: Time distribution of etiologic agents. Burns. 2017;43(1):144-8.
  • Ramirez-Blanco CE, Ramirez-Rivero CE, Diaz-Martinez LA, Sosa-Avila LM. Infection in burn patients in a referral center in Colombia. Burns. 2017;43(3):642-53.
  • Rosanova MT, Stamboulian D, Lede R. Risk factors for mortality in burn children.Braz J Infect Dis 2014;18:144–9.
  • Tegtmeyer LC, Herrnstadt GR, Maier SL, Thamm OC, Klinke M, Reinshagen K, et al. Retrospective analysis on thermal injuries in children-Demographic, etiological and clinical data of German and Austrian pediatric hospitals 2006-2015-Approaching the new German burn registry. Burns. 2018;44(1):150-7.
  • Li H, Wang S, Tan J, Zhou J, Wu J, Luo G. Epidemiology of pediatric burns in southwest China from 2011 to 2015. Burns. 2017;43(6):1306-17.
  • Singer M, Deutschman CS, Seymour CW, Shankar-Hari M, Annane D, Bauer M, et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA. 2016;315(8):801-10.
  • Schlapbach LJ, Straney L, Bellomo R, MacLaren G, Pilcher D. Prognostic accuracy of age-adapted SOFA, SIRS, PELOD-2, and qSOFA for in-hospital mortality among children with suspected infection admitted to the intensive care unit. Intensive Care Med. 2018;44(2):179-88.

Yanık Ünitesinde Takip Edilen Pediatrik Yaş Grubu Olguların Klinik Değerlendirmesi

Yıl 2019, Cilt: 16 Sayı: 3, 535 - 539, 25.12.2019
https://doi.org/10.35440/hutfd.653706

Öz

Amaç: Bu çalışmanın amacı Şanlıurfa ilinde yanık ünitesinde takip edilen pediatrik yaş grubu tüm olguların klinik özelliklerinin tartışılmasıdır.
Materyal ve Metot: Ocak 2019 ile Kasım 2019 tarihleri arasında yanık ünitesinde yatırılarak takip edilen pediatrik yaş grubu 274 olgunun klinik verileri geriye dönük olarak incelendi.
Bulgular: Yanık ünitesinde takip edilen 274 olgunun % 57.7’si erkek iken % 42.3’ü kadındı. Olguların ortalama yaşı 40.27±41.56 ay idi. Olguların % 83.2’sinde çay, süt, sıcak su gibi sıvılar, % 12.8’inde yangın, % 2.6’sında elektrik çarpması ve % 1.5’unda ise sıcak objeler yanık sebeplerini oluşturmaktaydı. Olguların % 27’sine yara pansumanı ve medikal tedavi, % 61.7’sine yara pansumanı ve medikal tedaviye ilave olarak debritman işlemi uygulanırken olguların % 11.3’ünde deri grefti işlemi uygulanmıştı.
Sonuç: Pediatrik yaş grubu yanık olgularının sıklıkla 1-6 yaş arasında olduğu ve erkek çocukların kız çocuklarına göre daha sık yanık etkenine maruz kaldığı görülmektedir. Deri bütünlüğü bozulduğundan dolayı yanık olgularında hem gram-negatif hem de gram-pozitif enfeksiyon etkenlerinin görülebileceği göz önünde bulundurulmalıdır.

Teşekkür

Mehmet Akif İnan Eğitim ve Araştırma Hastanesi yanık ünitesi çalışanlarına teşekkür ediyoruz.

Kaynakça

  • Ardahan E, Sarı HY. Pediyatrik yanık olgularında besin desteği. Çocuk Cerrahisi Dergisi 2016;30(2):106-13.
  • Shah AR, Liao LF. Pediatric Burn Care: Unique Considerations in Management. Clin Plast Surg. 2017;44(3):603-10.
  • Gülhan B, Kanık Yüksek S, Hayran M, Özkaya Parlakay A, Güney D, Akın Kağızmanlı G, et al. Infections in Pediatric Burn Patients: An Analysis of One Hundred Eighty-One Patients. Surg Infect (Larchmt). 2019 Oct 7 [Epub ahead of print] Original Article doi: 10.1089/sur.2019.010.
  • Hoffman HG, Rodriguez RA, Gonzalez M, Bernardy M, Peña R, Beck W, et al. Immersive Virtual Reality as an Adjunctive Non-opioid Analgesic for Pre-dominantly Latin American Children With Large Severe Burn Wounds During Burn Wound Cleaning in the Intensive Care Unit: A Pilot Study. Front Hum Neurosci. 2019;13:262.
  • Sönmezer M, Tezer H, Şenel E, Parlakay A, Yüksek S, Gülhan B, et al. Bir Pediatrik Yanık Ünitesinde Gelişen Hastane Enfeksiyonları, İzole Edilen Mikroorganizmalar ve Antibiyotik Dirençleri. Türkiye Çocuk Hast Derg. 2014; 8(4): 171-5.
  • Asena M, Aydin Ozturk P, Ozturk U. Sociodemographic and culture results of paediatric burns. Int Wound J. 2019 Nov 3. doi: 10.1111/iwj.13244. [Epub ahead of print]
  • Abdel-Sayed P, Hirt-Burri N, de Buys Roessingh A, Raffoul W, Applegate LA. Evolution of Biological Bandages as First Cover for Burn Patients. Adv Wound Care (New Rochelle). 2019;8(11):555-64.
  • Greenhalgh DG. Sepsis in the burn patient: A different problem than sepsis in the general population. Burns Trauma 2017;5:23.
  • Ramirez-Blanco CE, Ramirez-Rivero CE, Diaz-Martinez LA, Sosa-Avila LM. Infection in burn patients in a referral center in Colombia. Burns. 2017;43(3):642-53.
  • Grudziak J, Snock C, Mjuweni S, Gallaher J, Cairns B, Charles A. The effect of pre-existing malnutrition on pediatric burn mortality in a sub-Saharan African burn unit. Burns. 2017;43(7):1486-92.
  • Al-Hajj S, Pike I, Oneissi A, Zheng A, Abu-Sittah G. Pediatric Burns Among Refugee Communities in Lebanon: Evidence to Inform Policies and Programs. J Burn Care Res. 2019;40(6):769-75.
  • Öztorun Cİ, Demir S, Azılı MN, Şenaylı A, Livanelioğlu Z, Şenel E. The outcomes of becoming a pediatric burn center in Turkey. Ulus Travma Acil Cerrahi Derg. 2016;22(1):34-9.
  • Goldstein B, Giroir B, Randolph A; International Consensus Conference on Pediatric Sepsis. International pediatric sepsis consensus conference: Definitions for sepsis and organ dysfunction in pediatrics. Pediatr Crit Care Med 2005;6:2–8.
  • Weed RO, Berens DE. Basics of burn injury: implications for case management and life care planning. Lippincotts Case Manag. 2005;10(1):22-9.
  • Aldemir M, Kara IH, Girgin S, Güloglu C. Factors affecting mortality and epidemiological data in patients hospitalised with burns in Diyarbakir, Turkey. S Afr J Surg 2005;43:159–62.
  • Soleimani T, Evans TA, Sood R, Hartman BC, Hadad I, Tholpady SS. Pediatric burns: Kids' Inpatient Database vs the National Burn Repository. J Surg Res. 2016;201(2):455-63.
  • Moehrlen T, Szucs T, Landolt MA, Meuli M, Schiestl C, Moehrlen U. Trauma mechanisms and injury patterns in pediatric burn patients. Burns. 2018;44(2):326-34.
  • Trop M, Herzog SA, Pfurtscheller K, Hoebenreich AM, Schintler MV, Stockenhuber A, et al. The past 25 years of pediatric burn treatment in Graz and important lessons been learned. An overview. Burns. 2015;41(4):714-20.
  • Ghorbel I, Bouaziz F, Loukil K, Moalla S, Gassara M, Ennouri K. Epidemiological profile of burns in children in central and southern Tunisia: A 67-case series. Arch Pediatr. 2019;26(3):158-60.
  • Devrim İ, Kara A, Düzgöl M, Karkıner A, Bayram N, Temir G, et al. Burn-associated bloodstream infections in pediatric burn patients: Time distribution of etiologic agents. Burns. 2017;43(1):144-8.
  • Ramirez-Blanco CE, Ramirez-Rivero CE, Diaz-Martinez LA, Sosa-Avila LM. Infection in burn patients in a referral center in Colombia. Burns. 2017;43(3):642-53.
  • Rosanova MT, Stamboulian D, Lede R. Risk factors for mortality in burn children.Braz J Infect Dis 2014;18:144–9.
  • Tegtmeyer LC, Herrnstadt GR, Maier SL, Thamm OC, Klinke M, Reinshagen K, et al. Retrospective analysis on thermal injuries in children-Demographic, etiological and clinical data of German and Austrian pediatric hospitals 2006-2015-Approaching the new German burn registry. Burns. 2018;44(1):150-7.
  • Li H, Wang S, Tan J, Zhou J, Wu J, Luo G. Epidemiology of pediatric burns in southwest China from 2011 to 2015. Burns. 2017;43(6):1306-17.
  • Singer M, Deutschman CS, Seymour CW, Shankar-Hari M, Annane D, Bauer M, et al. The Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). JAMA. 2016;315(8):801-10.
  • Schlapbach LJ, Straney L, Bellomo R, MacLaren G, Pilcher D. Prognostic accuracy of age-adapted SOFA, SIRS, PELOD-2, and qSOFA for in-hospital mortality among children with suspected infection admitted to the intensive care unit. Intensive Care Med. 2018;44(2):179-88.
Toplam 26 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Klinik Tıp Bilimleri
Bölüm Araştırma Makalesi
Yazarlar

Özlem Kazanasmaz 0000-0002-4450-5559

Nadire Dinç 0000-0003-3865-7748

Yayımlanma Tarihi 25 Aralık 2019
Gönderilme Tarihi 1 Aralık 2019
Kabul Tarihi 17 Aralık 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 16 Sayı: 3

Kaynak Göster

Vancouver Kazanasmaz Ö, Dinç N. Yanık Ünitesinde Takip Edilen Pediatrik Yaş Grubu Olguların Klinik Değerlendirmesi. Harran Üniversitesi Tıp Fakültesi Dergisi. 2019;16(3):535-9.

Harran Üniversitesi Tıp Fakültesi Dergisi  / Journal of Harran University Medical Faculty