Main Article Content

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.”

Keywords

Burn patients Mortality Prevention

Article Details

How to Cite
Sumita Shankar, Vamsi Krishna Boyanagari, Mehul Shankar, Paramjot Panda, & Ravi Shankar Ayyanar. (2021). Epidemiology of Burn Injuries across Andhra Pradesh and the Practice of Systemic Antibiotic Prophylaxis. International Journal of Research in Pharmacology & Pharmacotherapeutics, 5(4), 361-367. Retrieved from https://ijrpp.com/ijrpp/article/view/375

References

  1. [1]. Murray CJL, Lopez AD. The global burden of disease: a comprehensive assessment of mortality and disability from deceases, injuries and risk factors in 1990 and projected to 2010. Harvard Univ Press. 1, 1996, 1–35.
  2. [2]. Forjuoh SN. Burns in low- and middle-income countries: A review of available literature on descriptive epidemiology, risk factors, treatment, and prevention. Burns. 32(5), 2006, 529–37.
  3. [3]. Peck MD, Kruger GE, van der Merwe AE, Godakumbura W, Ahuja RB. Burns and fires from non-electric domestic appliances in low and middle income countries. Part I. The scope of the problem. Burns. 34(3), 2008, 303–11.
  4. [4]. Parikh JK. Providing Clean Cooking Fuel in India : Challenges and solutions. 2016.
  5. [5]. Makhija L, Bajaj S, Gupta J. National programme for prevention of burn injuries. Indian J Plast Surg. 43(3), 2010, 6.
  6. [6]. Avni T, Levcovich A, Ad-El DD, Leibovici L, Paul M. Prophylactic antibiotics for burns patients: systematic review and meta-analysis. BMJ. 340(15 1), 2010, c241–c241.
  7. [7]. Barajas-Nava LA, López-Alcalde J, RoquéiFiguls M, Solà I, BonfillCosp X. Antibiotic prophylaxis for preventing burn wound infection. In: Cochrane Database of Systematic Reviews. 2013.
  8. [8]. Barajas-nava L, López-Alcalde J, Figuls MR i, I S, X BC. Antibiotic prophylaxis for preventing burn wound infection ( Review ). Cochrane Collab. (6), 2013, 1–174.
  9. [9]. Ahn CS, Maitz PKM. The true cost of burn. Burns. 38(7), 2012, 967–74.
  10. [10]. Khan AA, Rawlins J, Shenton AF, Sharpe DT. The Bradford Burn Study: The epidemiology of burns presenting to an inner city emergency department. Emerg Med J. 24(8), 2007, 564–6.
  11. [11]. Ansari-Lari M, Askarian M. Epidemiology of burns presenting to an emergency department in Shiraz, South Iran. Burns. 29(6), 2003, 579–81.
  12. [12]. Islam SS, Nambiar AM, Doyle EJ, Velilla AM, Biswas RS, Ducatman AM. Epidemiology of work-related burn injuries: Experience of a state-managed workers’ compensation system. J Trauma - Inj Infect Crit Care. 49(6), 2000, 1045–51.
  13. [13]. Batra AK. Burn mortality: Recent trends and sociocultural determinants in rural India. Burns. 29(3), 2003, 270–5.
  14. [14]. Mohanty MK, Arun M, Monteiro FNP, Palimar V. Self-inflicted burns fatalities in Manipal, India. Med Sci Law. 45(1), 2005, 27–30.
  15. [15]. Ahuja RB, Bhattacharya S. An analysis of 11,196 burn admissions and evaluation of conservative management techniques. Burns. 28(6), 2002, 555–61.
  16. [16]. Ghaffar UB, Husain M, Rizvi SJ. Originals and Papers Thermal Burn : An Epidemiological Prospective Study. Analysis. 30(1), 10–4.
  17. [17]. Haralkar Santosh Jagannath,Tapare Vinay S RM V. Study of Socio-Demographic Profile of Burn Cases Admitted in Shri ChhatrapatiShivaji Maharaj General Hospital, Solapur. Natl J COMMUNITY Med. 2(1), 2011, 119–22.
  18. [18]. Bilwani K, Gupta R. The Epidemiological profile of Burn Patients in. 2003, 0–1.
  19. [19]. Gupta AK, Uppal S, Garg R, Gupta A, Pal R. A clinico-epidemiologic study of 892 patients with burn injuries at a tertiary care hospital in Punjab, India. J Emergencies, Trauma Shock. 4(1), 2011, 7–11.
  20. [20]. Chamania S, Patidar GP, Dembani B. Ective Analysis of Early Excision and Skin Grafting From. 24, 1998, 177–80.
  21. [21]. Gupta M, Gupta OK, Yaduvanshi RK, Upadhyaya J. Burn epidemiology: The pink city scene. Burns. 19(1), 1993, 47–51.
  22. [22]. Stewart BT. Routine systemic antibiotic prophylaxis for burn injuries in developing countries: A best evidence topic (BET). Int J Surg. 21, 2015, 168–72.