Infant burns: A single institution retrospective review
Autor: | M.F. Scriba, Heinz Rode, M.E.H. Nathire, R. Martinez, C. Brink, Q. Isaacs |
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Rok vydání: | 2018 |
Předmět: |
Male
Pediatrics medicine.medical_specialty Body Surface Area medicine.medical_treatment Poison control Bacteremia HIV Infections Comorbidity Walking Critical Care and Intensive Care Medicine Conservative Treatment 030207 dermatology & venereal diseases 03 medical and health sciences South Africa 0302 clinical medicine Child Development Enteral Nutrition Injury prevention medicine Humans Mortality Child Respiratory Tract Infections Tuberculosis Pulmonary Retrospective Studies Mechanical ventilation Sitting Position business.industry Mortality rate Ventilator-associated pneumonia Infant Newborn Infant Pneumonia Ventilator-Associated 030208 emergency & critical care medicine Retrospective cohort study General Medicine Skin Transplantation medicine.disease Infant Nutrition Disorders Ambulatory Emergency Medicine Wound Infection Fluid Therapy Surgery Female business Burns Total body surface area |
Zdroj: | Burns : journal of the International Society for Burn Injuries. 45(7) |
ISSN: | 1879-1409 |
Popis: | Thermal injuries amongst infants are common and a cause of significant mortality and morbidity in South Africa. This has been attributed to the lack of an enabling environment (poverty-related lack of safe living conditions) and the cognitive and physical developmental immaturity of infants, who depend on their surroundings and adults to keep them safe. This is a retrospective observational study of 548 infant admissions over 48 months. Infant was defined as children below 13 months of age. The 548 infants constituted 23% of all paediatric burn admissions of ages 0-12 years. Three hundred and fourteen were males (57%) and 234 (42.7%) females. The infants were divided in a pre-ambulatory group of 143 (26%) infants of 0-6 months and an ambulatory group of 7 months to 12 months consisting of 457 (83.3%). The total body surface area (TBSA) ranged from 2-65%. Seventy-six percent (417 infants) occurred in the home environment. Scalds accounted for 86% (471 infants) and 6% (33 infants) were as a result of flame burns. Non-accidental injuries accounted for 1.2%. The anatomical distributions varied between the pre-ambulatory and ambulatory groups. Conservative management was done in 397 (72.4%) and 101(18.4%) infants underwent surgery. Infection was suspected in 76 (13.5%) infants with positive blood cultures in 15(20%) of the 76. ICU care was received in 46 (8.3%) infants and 15 (32.6%) of these had inhalation injuries. Of the inhalation injuries 11(23.9%) infants underwent mechanical ventilation of an average of 4.4 days. Ventilator associated pneumonia was diagnosed in 8(17%) of the ventilated children. The mortality rate was 0.36%. The surgically treated patients acquired more complications than the conservatively treated group. Special treatment considerations should be considered in this paediatric sub-group. |
Databáze: | OpenAIRE |
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