Gestação e queimadura: experiência de unidade de queimaduras em Hospital Universitário / Pregnancy and burns: experience of a university hospital burn unit

Introdução: A incidência de queimaduras em gestantes não é bem estabelecida na literatura mundial, mas estima-se que varie entre 3% e 7%. Os cuidados da gestante queimada representam um grande desafio com impacto significante nos resultados e prognóstico materno-fetais. Relato de Caso: No presente estudo relatamos dois casos de gestantes vítimas de queimaduras que foram tratadas na unidade de tratamento de queimaduras na Escola Paulista de Medicina da Universidade Federal de São Paulo (EPM/UNIFESP), uma no primeiro trimestre e a outra no terceiro trimestre. Conclusão: Em ambos os casos, as gestantes receberam tratamento especializado para queimaduras em conjunto com acompanhamento clínico da equipe da obstetrícia, com boa evolução materno-fetal.

Introduction: The incidence of burns involving pregnant women is not well established in the literature, but is estimated to be between 3% and 7%. The management of burns in pregnancy represents a great challenge with significant impact on outcomes and maternal-fetal prognosis. Case Report: In the present study, we report two cases of pregnant burn victims who were treated in the burn unit in the Paulista School of Medicine, Federal University of São Paulo (EPM/UNIFESP). One patient was treated in the first trimester and the other in the third trimester. Conclusion: In both cases, the pregnant women received specialized treatment for burns in conjunction with clinical follow-up by the obstetrics team, with good maternal-fetal outcomes.

Perfil epidemiológico de niños con quemaduras del Hospital Civil de Guadalajara Dr. Juan I. Menchaca, 2009-2011 / Epidemiologic profile of children with burns from the Civil Hospital of Guadalajara "Dr. Juan I. Menchaca", 2009-2011

ResumenIntroducción: Las quemaduras son un problema de salud pública ubicado dentro de las 20 principales causas de morbilidad en México. Uno de los grupos más vulnerables son los niños. Al realizar un análisis de los casos, se aporta para un mejor entendimiento del problema y pueden generarse medidas preventivas al respecto. El objetivo de este trabajo fue determinar el perfil epidemiológico de niños con quemaduras que ingresan a la Unidad de Niños con Quemaduras del Hospital Civil de Guadalajara Dr. Juan I. Menchaca.Métodos: Se realizó un estudio transversal que incluyó características demográficas del lesionado, de sus padres y de las quemaduras de niños atendidos durante 2009 a 2011. El análisis estadístico se llevó a cabo mediante el cálculo de frecuencias absolutas, proporciones e intervalos de confianza de 95%.Resultados: El perfil epidemiológico de los niños lesionados fue principalmente de varones (63.4%) menores de cinco años de edad (65.2%), con escolaridad de acuerdo con su edad (69.2%); hijos de padres menores de 35 años con escolaridad básica. Las lesiones fueron causadas por agua (56.2%) durante el lapso de las 12 p.m. a las 11:59 p.m. (73.0%) produciendo quemaduras de segundo grado superficial y profundo o menores (69.2%) que afectaron menos del 20% de la superficie corporal total (74.5%).Conclusiones: Este perfil epidemiológico permite ampliar el panorama de las acciones preventivas, iniciando con investigaciones científicas que orienten el rumbo que se debe seguir, trabajando conjuntamente con instituciones públicas y privadas en la elaboración de programas y estrategias, así como el establecimiento de una política pública para lesiones no intencionales.

AbstractBackground: Burns are a public health problem, ranking among the 20 principal causes of morbidity in Mexico. Children are a more vulnerable group to suffer from these injuries. For that reason, we analyzed cases in order to gain a better comprehension and to propose preventive measures for this problem. The aim of the study was to determine the epidemiological profile of those injuries to allow us to plan and implement actions for burn prevention.Methods: We conducted a cross-sectional study that included demographic characteristics of the child, the parents and the burn injuries from children treated at this Burn Unit. Statistical analysis was done to calculate amounts, proportions and 95% confidence intervals.Results: The epidemiological profile of the injuries included males (63.4%) <5 years of age (65.2%) with educational level according to their age (56.2%). Parents of the included children were <35 years old with basic educational level. Burns were caused by hot water (56.2%) and occurred between noon and midnight (73.0%). The majority of the burns were shallow and deep second-degree or minor (69.2%) and affected <20% of body surface area (74.5%).Conclusions: This epidemiological profile paved the way for preventive actions beginning with scientific research to guide the actions in a progressive direction along with the cooperative actions of public and private institutions in the development of programs and strategies. The end result would be the establishment of a public policy for accidental injuries.

Nosocomial Infection in Burn Unit / 中华医院感染学杂志

OBJECTIVE To investigate the incidence of the nosocomial infection in a burn unit of our hospital,(analyze) the correlative factors and explore the approach to reduce the incidence.METHODS Retrospective surveys of nosocomial infection in 720 case patients with burns were carried out in our hospital between 2000-2004.The pathogen analysis and the drug-sensitivity test were done for cases with nosocomial infection.RESULTS There were 466 cases of nosocomial infection from 720 patients with burns.The infection rate was 64.72%,the burn wound infection 62.02%,the respiratory tract infection 19.31%,hematological system infection 10.52%,(urinary) tract infection 6.22%,and the other infection was 1.93%.Seven hundred and two strains were isolated.CONCLUSIONS It is important for nosocomial infection control to have a study on risk factors of postoperative(hospital) infection in the burn unit.