Burns in Children and Adults Surgery Department Sikasso Hospital

Résumé fourni par la source

Objectives: The aim of this work was to determine the frequency of burns in adults and children, to describe the clinical and para-clinical aspects of burns and to analyze the results of treatment. Patient and Method: Retrospective and prospective study, January 1, 2014 to December 31, 2018, included all patients with severe burns admitted to the surgery department who had sometimes stayed in intensive care. Results: We collected 42 patients, the average age was 11.09 years with a standard deviation = 16.09 and extremes of 1 and 85 years, the sex ratio was 2.5 at the risk of men. 83.33% of patients came from an urban area. 90.48% were burned at home, thermal burn accounted for 92.86% and hot liquid was involved in 61.54%. 35.71% of patients were burned During the cold period (December). The upper limbs were affected in 76.19%. 20 patients (51.80%) had a burned body surface area greater than 10%. The superficial second degree was observed in 30 patients (71.43%). 26 patients (61.96%) had a standard burn unit less than 50%. 4 patients (9.52%) presented with ocular damage. Electrolyte disorders were observed in 6 patients (14.29%) on admission. The swab was taken from 14 patients (33.33%) and Escherichia coli was isolated from 3 patients (21.42%). All germs were sensitive to Imipenem; Amikacin; Fosfomycin. We adopted the PARK LAND formula for rehydration in 25 cases (59.53%). Within 24 hours all patients had received vascular filling, analgesic, dressing, anti-tetanus serum and 38 patients (90.48%) had undergone excision of the blisters. The Paracetamol+Tramadol combination was the analgesic observed in 24 patients. The combination of amoxicillin + clavulanic acid was used in 22 patients. The average length of hospitalization was 15 days with extremes of 3 to 35 days. The most common complication was local infection. The after-effects were brittleness (4 cases), keloids (3 cases). The death rate was 14.29% (6 patients).

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