BACKGROUND The guidelines for the treatment of severely burned patients, included in the explicit guarantees in health care (GES), accept having a Garces' index over 70, among others, as an inclusion criterion. This criterion allows elderly patients with small total burn surface area (TBSA) to have access to GES. AIM To analyze if a universal access to GES for this group of patients is justif...

Background: This study was conducted to know, understand and document the current bacterial isolates their antimicrobial susceptibility profile in our tertiary healthcare facility. Aim isolate, identify profiles of from patients with burn wound infections admitted care hospital.Methods: Wound swabs ICU wards were collected on day 1, 3, 5 10. Samples processed using standard microbiologic proced...

background: burn injuries impose a considerable burden on healthcare systems in iran. it is among the top ten causes of mortality and a main cause of disability. objectives: this study aimed to examine factors influencing mortality in burn patients admitted to the main educational tertiary referral hospital in kermanshah. patients and methods: all patients admitted to the imam khomeini hospital...

BACKGROUND Our research purpose was to compare the curative efficacy of different skin grafting methods for treating third-degree burn wounds. MATERIAL AND METHODS A total of 105 patients with third-degree burns were involved in this study. The burn wounds of these patients were treated using three different methods: Meek skin grafting, Stamp skin grafting, and Microskin grafting. Patients trea...

The aim of this study was to find out whether the charging costs (calculated using interventional burn score) increased as mortality decreased.During the last 2 decades, mortality has declined significantly in the Linköping Burn Centre. The burn score that we use has been validated as a measure of workload and is used to calculate the charging costs of each burned patient.We compared the chargi...

BACKGROUND Self-inflicted burn injuries carry considerable mortality and morbidity among otherwise fit young individuals. This study assessed the epidemiologic pattern and outcome of these injuries in a burn care facility in Pakistan. METHODS The study was carried out at Pakistan Institute of Medical Sciences (PIMS) Burn Care Centre in Islamabad over a period of 2 years. It included all adul...

BACKGROUND In practice, current burn resuscitation formulas, designed to estimate 24-hour fluid resuscitation needs, provide only a starting point for resuscitation. To simplify this process, we devised the "rule of 10" to derive the initial fluid rate. METHODS We performed an in silico study to determine whether the rule of 10 would result in acceptable initial fluid rates for adult patients...

Background Dysnatremias are associated with increased mortality in critically ill patients. Hypernatremia in burn patients is also associated with poor survival. Based on these findings, we hypothesized that high plasma sodium variability is a marker for increased mortality in severely burn-injured patients. Methods We performed a retrospective review of adult burn patients with a burn injury...

BACKGROUND Split skin grafting (SSG) is the cornerstone in the treatment of deep burns and large skin defects. Frequently used donor sites are the thigh, abdomen and buttocks. The scalp is less common while considered as a reliable donor site. Advantages are a large surface area, rapid wound healing, cosmetically favourable results and multiple harvests from the same donor site. Complications i...

Patients with severe burns are susceptible to infection with Gram-positive organisms including methicillin-resistant Staphylococcus aureus, and often require higher antibiotic dosages compared with other patients. This study examined the pharmacokinetics of a single iv dose of teicoplanin (12 mg/kg) in 15 adults and five children with severe burns. Adults were aged 21-82 years with a median tot...