Başkent Üniversitesi Yayınları
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Item Infectious Features of Burn Wounds and Their Influence on the Course of Clinical Outcomes in Burn Victims(Başkent Üniversitesi, 2023-06) Ayse Ebru Abali; Cem Aydogan; Burak Ozkan; Elif Unlu; Mehmet HaberalABSTRACT OBJECTIVES: This study sought to determine the interactions between infectious features of burn wounds and in-hospital clinical outcomes among patients treated at our burn center. MATERIALS AND METHODS: Our study group included 192 inpatients seen from 2020 to 2023. We collected data on age, sex, etiology, total body surface area burned, length of hospital stay, documentation of isolated microorganisms at admission and during hospitalization, requirement of antibiotic therapy, and mortality. We evaluated data among 3 subgroups: group 1 (length of hospital stay of 0-10 days), group 2 (length of hospital stay of 11-30 days), and group 3 (length of hospital stay of >30 days). RESULTS: Mean ± SE age was 32.2 ± 1.6 years (range, 0-86 y), and male-to-female patient ratio was 2.1:1. Mean ± SE total body surface area burned was 12.6 ± 1.3% (range, 1%-85%). Scalds were the most common burn cause. Mean ± SE length of hospital stay was 17 ± 2.4 days (range, 1-363 d). Among the 27 positive wound swab cultures at admission, 9 were resistant. Gram-positive bacteria were the most common at admission. During hospitalization, microorganisms were isolated in wound swabs or tissues in 48 cases. Staphylococcus epidermidis and multidrug-resistant Acinetobacter baumannii were the most common bacteria. Therapeutic antibiotherapy was needed for 83.3% of group 3, 53.1% of group 2, and 20.2% of group 1. Mortality rate was 3.6% (n = 7/192 patients), with 3 patients in group1, 2 patients in group 2, and 2 patients in group 3 who had at least 1 microorganism at admission. CONCLUSIONS: Evaluations of microflora in burn centers and precautions against wound contamination during emergency and transport phases can contribute to informed decisions at burn centers.Item Did COVID-19 Pandemic Conditions Change the Features of Pediatric Minor Burn Injuries? A Single-Center Experience(Başkent Üniversitesi, 2021) Ayse Ebru Abali; Mehmet Haberal; Nigar Turkmen; Semra Kamilova; Cem AydoganABSTRACT OBJECTIVES: Social life changes during the COVID-19 pandemic may have influenced burn injury characteristics among children. Here, we compared features among pediatric burn outpatients who were treated at our burn center before and during the COVID-19 pandemic. MATERIALS AND METHODS: We compared medical records of 217 patients treated between March 2018 and May 2019 (pre-pandemic; group I) and 212 patients treated between March 2020 and May 2021 (during the pandemic; group II). P < .05 was significant. RESULTS: In group I versus group II, mean age was 4.19 ± 0.4 versus 4.25 ± 0.3 years, male-to-female ratio was 0.9:1 versus 1.1:1, and mean total surface area burned was 1.87 ± 0.2% versus 1.93 ± 0.3%, respectively (P > .05). Most patients in both groups lived in urban settings, had mostly day-time injuries, and were under the umbrella of the social security system, with cause of burns being mostly scalds (P > .05). Injuries occurred mostly at home in both groups, but more patients in group II had outdoor burns (P < .05). Hands, head, and neck regions were more commonly involved in group I than in group II (P < .05). Group II patients were more frequently admitted on the same day as injury (P < .05), but rates of direct burn center admission were similar with resembling numbers of other medical center admissions before reaching to our burn-center (P > .05). CONCLUSIONS: The COVID-19 pandemic did not change primary burn injury features among our pediatric outpatients. Decreases in burns to hands, head, and neck and increases in admissions on the same day as injury during the pandemic may be a clue for enhanced caregiver precaution against injuries to children during lockdowns. Increased admissions on the same day as injury may reflect our uninterrupted burn care service, because many other medical centers had to serve COVID-19 patients rather than burn victims.Item Treatment of the Pediatric Patients With Fire Injuries(Başkent Üniversitesi, 2021-12) Anna Zioła; Tomasz Koszutski; Andrzej BulandraABSTRACT OBJECTIVES: Among children, adolescents are most at risk of burns from fire. These occurrences are often associated with unsafe behavior and experiments with fire, flammable materials, and explosive materials. In this report, we have presented our experiences with treating children severely burned by fire. MATERIAL AND METHODS: Our study involved 5 cases of children who were burned by fire over the past 2 years. RESULTS: Ages of the children ranged from 2 to 17 years, and patients were exclusively boys. Burn area ranged from 10% to 47% of total body surface area and were deep second-degree B and third-degree burns. All children required staged surgical treatment, including excision of necrosis, temporary wound closure with skin substitutes, and then split thickness skin grafts. Hospitalization time ranged from 3 to 23 weeks. All patients were discharged home with wounds healed. After discharge, outpatient rehabilitation with the use of physical therapy, compression therapy, and laser therapy were initiated. CONCLUSIONS: The applied treatment enabled the patients to fully return to physical well-being and normal social functionality.Item Development of Tissue Banks in Developing Nations: A Journey From Past to Future(Başkent Üniversitesi, 2021-03) Hari Shankar Meshram; Sanshriti Chauhan; Vivek B. KuteTissue banks are a relatively new concept in the emerging world. This review aims to comprehensively analyze the challenges and solutions for establishing tissue banks in developing nations. The burden of burns and road traffic accidents in the developing nations is disproportionately higher than in developed countries and so are the mortality rates associated with them. There is an unmet need for more tissue banks to counteract these problems. This was obvious from the historical aspect, with the era of tissue transplant emerging 3 decades later in developing nations versus developed nations and with many regions that have still not yet initiated tissue transplantation. The challenges ahead involve a lack of infrastructure, a lack of awareness, and many legal and ethical issues. A multidisciplinary team effort, even despite a lack of resources, is the mainstay of progress in tissue banks in resource-limited regions. The potential solutions to overcome this problem include simplified and applicable legislations, the development of continuous and long-term awareness programs, and integrated and harmonious efforts from all regions of the world. We hope that this review will help transplant authorities throughout the world to understand this problem statement and the need for timely action for concerting the path to successful tissue banking in emerging nations.