Epidemiology of Burn Injuries across Andhra Pradesh and the Practice of Systemic Antibiotic Prophylaxis
Journal Title: International Journal of Research in Pharmacology & Pharmacotherapeutics (IJRPP) - Year 2016, Vol 5, Issue 4
Abstract
Background Trauma due to burns is a significant cause of injury worldwide. Ninety percent (90%) of the burn injuries are preventable but in a developing country like India, burn injuries continue to be a challenging problem. Among the burns patients infections arising from multiple sources delay the wound healing process, increase scarring and invasive infection may result in the death of the patient. Materials & Methods A retrospective study, on patients admitted in the Plastic surgery Departments of various Network Hospitals of Dr.NTRVST was conducted from January 2015 to September 2016. Data regarding the patient’s age and sex, etiology, timing of burn injury, place of burn, Total body surface area (TBSA) involved, Antibiotic regimen and mortality were collected and analysed. Results We observed that flame was the most common cause of the injury (n=213, 78.30%). Highest incidence of burns was seen in the age group 21-30 years (33.09%). Male to female ratio observed in our study was 0.7:1. Ceftriaxone, Amikacin and Metronidazole are the common systemic antibiotics used for treating burns patients. The mortality rate was 39.33 %, out of 107 deaths, 97(87.85) patients had >45% TBSA burn and 13 patients had 14-45%. Conclusion We can conclude that domestic and peri-domestic burn is totally preventable and manageable. This basic education should be imparted from the primary school level and reinforced at every level till graduation of a person. The innovative approaches can include a broad theme “how one can save himself/ herself and others from burns at home or work place.”
Authors and Affiliations
Sumita Shankar
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