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Study Showing Sepsis and Outcome Following Burn Injury at Tertiary Health Care Centre

DOI : https://doi.org/10.36349/easms.2021.v04i11.005
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Introduction: The World Health Organization (WHO) broadly defines a burn as an injury caused by heat (hot objects, gases or flames), chemicals, electricity, and lightning, friction or radiation [1]. Annually, burns result in more than 7.1 million injuries, the loss of almost 18 million disability-adjusted life years (DALYs) and more than 250,000 deaths worldwide. Burn injuries are more common in developing countries like India due to various socio-cultural factors namely illiteracy, poor living and housing conditions, poverty, poor substandard electrical wiring and malpractices like dowry. There is lack of awareness and ignorance regarding burn injuries coupled with the difficulty in accessing health-care services. Methods: This was a three and a half years’ retrospective and prospective study and included all patients of burn injuries who were admitted in IGMC Shimla from 1st January 2014 to 30th June 2016 and patients who either reported to the Casualty OPD or were admitted in the wards of IGMC Shimla from 1st July 2016 to 30th June 2017. Percentage of Burn was calculated by using Lund and Browder chart. Inj. Tetanus toxoid and painkillers such as tramadol were given to all patients. Intravenous fluids were administrated according to parklands formula(3-4 ml/kg/TBSA, 1/2 in first 8 hours and rest in next 16 hours) to patients of burns >10% total burn surface area(TBSA) in children <12 years of age and >20% TBSA in adults. Intravenous or oral antibiotics were given depending on the severity of the burn. Patients with respiratory distress were given oxygen support. Result: In our study we found that maximum patient who underwent burn injury is <18 years and are male, married, unemployed. Most common type of burn is flame urns and second degree burns are most common one. There were 24 patients who expired during the course of hospitalization due to sepsis and 8 patients were referred to the higher center. There were 206 (86.19%) patients who recovered .............

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Lecturer, Dept. of Pharmacology and Therapeutics, Shaheed Monsur Ali Medical College & Hospital, Uttara, Dhaka-1230, Bangladesh

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