An evaluation of pediatric burn patients over a 15-year period

Tekin, Recep; YOLBAŞ, İlyas; Aldemir, Mustafa; SELÇUK, CAFERI TAYYAR; GÜNEŞ, Ali; ÖZHASANEKLER, Ayhan

An evaluation of pediatric burn patients over a 15-year period

Recep TEKİN, (Dicle Üniversitesi, Tıp Fakültesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Anabilim Dalı, Diyarbakır, Türkiye)

İlyas YOLBAŞ, (Dicle Üniversitesi, Tıp Fakültesi, Çocuk Hastalıkları Anabilim Dalı, Diyarbakır, Türkiye)

Caferi Tayyar SELÇUK, (Dicle Üniversitesi, Tıp Fakültesi, Plastik Cerrahi Bilim Dalı, Diyarbakır, Türkiye)

Ali GÜNEŞ, (Dicle Üniversitesi, Tıp Fakültesi, Çocuk Hastalıkları Anabilim Dalı, Diyarbakır, Türkiye)

Ayhan ÖZHASANEKLER, (Dicle Üniversitesi, Tıp Fakültesi, Acil Tıp Anabilim Dalı, Diyarbakır, Türkiye)

Mustafa ALDEMİR (Dicle Üniversitesi Tıp Fakültesi Genel Cerrahi Anabilim Dalı, Diyarbakır, Türkiye)

Ulusal Travma ve Acil Cerrahi Dergisi

4 0

Yıl: 2012 Cilt: 18 Sayı: 6 Sayfa Aralığı: 514 - 518 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

An evaluation of pediatric burn patients over a 15-year period

Öz:

AMAÇ Yanık yaralanmaları çocuklar için büyük bir halk sağlığısorunudur. Bu çalışmada Güneydoğu Anadolu bölgesinde15 yıl boyunca takip edilen 2346 çocuk yanık hastasıın demografik, etyolojik, yanık yara enfeksiyonu ve klinik gidişleri değerlendirildi ve çocuk hastalar için bir yanık önleme programı geliştirildi. GEREÇ VE YÖNTEM Dicle Üniversitesi yanık ünitesinde Ocak 1994 ile Aralık 2008 tarihleri arasında yatırılarak takip edilen 2346 çocuk hastanın (1064 erkek, 1282 kız; ort. yaş 4,42±3,56; dağılım 2 ay - 15 yıl) yaş, cinsiyet, yanık derecesi, dermografik özellikleri, yanık etyolojisi, yanık yara enfeksiyonu, hastanede kalma süresi, yanık yüzeyi yüzdesi ve hasta sonlanımı verileri geriye dönük olarak değerlendirildi. BULGULAR Erkek kız oranı 0,8:1 idi. En yüksek insidans %68,5 ile 0-4 yaş aralığında görüldü. Yanık tipleri 1828 (%77,9) haşlama yanığı, 332 (%14,2) alev yanığı ve 186 (%7,9) elektrik yanıklarından oluşuyordu. Yanık dereceleri açısından 19 (%0,8) birinci derece, 2172 (%92,6) ikinci derece ve 155 (%6,6) üçüncü derece yanıklardan oluşuyordu. Ortama toplam vücut yanık yüzdesi ortalaması 21,5±12,6 idi. Ortalama hastanede kalış süresi 12,87±10,02 gün idi. En sık izole edilen yanık yara enfeksiyonları (%52, 368) Pseudomonas aeruginosa, (%12, 83) Acinetobacter spp. ve (%9, 66) Escherichia coli idi. Olguların 2241’i (%95,5) hayatta kalırken, 105’i (%4,5) yaşamını yitirdi. SONUÇ Çalışmamızda yanık hastalarının özellikleri diğer bölgelerden farklı idi. Çocuk yanık önleme programı için bölge halkı eğiltilmelidir.

Anahtar Kelime:

Konular: Cerrahi

On beş yıllık çocuk yanık hastalarının değerlendirilmesi

Öz:

BACKGROUNDBurn injuries are a huge public health issue for children.The aim of this study was to determine the demographicand etiological features, burn wound infections, and clinical trends of 2346 pediatric burns patients over 15 years inthe southeast provinces of Turkey and to establish criteriafor a pediatric burn prevention program.METHODSAge, gender, degree of burn, demographics, etiology of burn, burn wound infections, length of hospital stay, total body surface area percentage, and outcome data of 2346 children (1064 males, 1282 females; mean age 4.42±3.56 years; range 2 months to 15 years) who admitted to the Burn Center of Dicle University between January 1994 and December 2008 were recorded. RESULTS The male to female ratio was 0.8:1. The highest incidence appeared in the 0-4 years of age group (68.5%). Burn type was scalding burns in 1828 (77.9%), flame burns in 332 (14.2%) and electrical burns in 186 (7.9%). Distribution of the degree of burns was 19 (0.8%) first-degree, 2172 (92.6%) second-degree and 155 (6.6%) third-degree. The mean total body surface area burn was 21.5±12.6%. The mean length of hospitalization was 12.87±10.02 days. The most frequently isolated burn wound infections were Pseudomonas aeruginosa (52%, 368), Acinetobacter spp. (12%, 83), and Escherichia coli (9%, 66). 2241 (95.5%) cases were survivors and 105 (4.5%) were non-survivors. CONCLUSION The epidemiological features of pediatric burns in thesoutheast region of Turkey differ from those of other regions. Burn prevention education should include trainingin pediatric burn prevention.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Tekin R, YOLBAŞ İ, SELÇUK C, GÜNEŞ A, ÖZHASANEKLER A, Aldemir M (2012). An evaluation of pediatric burn patients over a 15-year period. , 514 - 518.
Chicago	Tekin Recep,YOLBAŞ İlyas,SELÇUK CAFERI TAYYAR,GÜNEŞ Ali,ÖZHASANEKLER Ayhan,Aldemir Mustafa An evaluation of pediatric burn patients over a 15-year period. (2012): 514 - 518.
MLA	Tekin Recep,YOLBAŞ İlyas,SELÇUK CAFERI TAYYAR,GÜNEŞ Ali,ÖZHASANEKLER Ayhan,Aldemir Mustafa An evaluation of pediatric burn patients over a 15-year period. , 2012, ss.514 - 518.
AMA	Tekin R,YOLBAŞ İ,SELÇUK C,GÜNEŞ A,ÖZHASANEKLER A,Aldemir M An evaluation of pediatric burn patients over a 15-year period. . 2012; 514 - 518.
Vancouver	Tekin R,YOLBAŞ İ,SELÇUK C,GÜNEŞ A,ÖZHASANEKLER A,Aldemir M An evaluation of pediatric burn patients over a 15-year period. . 2012; 514 - 518.
IEEE	Tekin R,YOLBAŞ İ,SELÇUK C,GÜNEŞ A,ÖZHASANEKLER A,Aldemir M "An evaluation of pediatric burn patients over a 15-year period." , ss.514 - 518, 2012.
ISNAD	Tekin, Recep vd. "An evaluation of pediatric burn patients over a 15-year period". (2012), 514-518.

APA	Tekin R, YOLBAŞ İ, SELÇUK C, GÜNEŞ A, ÖZHASANEKLER A, Aldemir M (2012). An evaluation of pediatric burn patients over a 15-year period. Ulusal Travma ve Acil Cerrahi Dergisi, 18(6), 514 - 518.
Chicago	Tekin Recep,YOLBAŞ İlyas,SELÇUK CAFERI TAYYAR,GÜNEŞ Ali,ÖZHASANEKLER Ayhan,Aldemir Mustafa An evaluation of pediatric burn patients over a 15-year period. Ulusal Travma ve Acil Cerrahi Dergisi 18, no.6 (2012): 514 - 518.
MLA	Tekin Recep,YOLBAŞ İlyas,SELÇUK CAFERI TAYYAR,GÜNEŞ Ali,ÖZHASANEKLER Ayhan,Aldemir Mustafa An evaluation of pediatric burn patients over a 15-year period. Ulusal Travma ve Acil Cerrahi Dergisi, vol.18, no.6, 2012, ss.514 - 518.
AMA	Tekin R,YOLBAŞ İ,SELÇUK C,GÜNEŞ A,ÖZHASANEKLER A,Aldemir M An evaluation of pediatric burn patients over a 15-year period. Ulusal Travma ve Acil Cerrahi Dergisi. 2012; 18(6): 514 - 518.
Vancouver	Tekin R,YOLBAŞ İ,SELÇUK C,GÜNEŞ A,ÖZHASANEKLER A,Aldemir M An evaluation of pediatric burn patients over a 15-year period. Ulusal Travma ve Acil Cerrahi Dergisi. 2012; 18(6): 514 - 518.
IEEE	Tekin R,YOLBAŞ İ,SELÇUK C,GÜNEŞ A,ÖZHASANEKLER A,Aldemir M "An evaluation of pediatric burn patients over a 15-year period." Ulusal Travma ve Acil Cerrahi Dergisi, 18, ss.514 - 518, 2012.
ISNAD	Tekin, Recep vd. "An evaluation of pediatric burn patients over a 15-year period". Ulusal Travma ve Acil Cerrahi Dergisi 18/6 (2012), 514-518.