Management of burn in poor equipped hospital

Abstract EN

This is prospective study conducted in department of surgery in Al Nasyria general hospital The aim of study is attempt to reduce morbidity and mortality rate in patients who suffering from burn injuries 116 patients admitted in the burn unit in Al Nasyria hospital who suffering from moderate burn (between 20-50 % of TBSA) 23 patients (20 %) were died (group A) patients who admit hospital for less than 72 hours for resustation then go home and follow them as out patient, While (group B) complete there management and follow up at hospital until they be well or die, I find the mortality rate in group A (11 %) is less than group B (27 %) in spit of they managed at hospital and under supervision of senior, The most age group suffering from burn injury is under 10 years 59 patients among 116 patients (about 50 %) but subgroup (who under 2 years) poorly resistance to burn complications 10 among 21 patients (about 48 %) of them died during few days of admission in hospital While subgroup (3-10 years) have good resistance to complications (only 2 patients of 38 patients about 4.5 %) are diedthat both sexes are equally suffering from burn injury but mortality rate in female is larger than male (24 % in F, 15 % in M ) Most cause of death in burn is septicaemia specially most resistant nasocomial infection (pseudomonas), because at home those patients are less exposure to such infections so may be this is cause of this dramatic drop in mortality rate So in poorly equipped hospital (when no good isolation of patient no good sterilization, no ideal dressing or ventilation or accommodation and so) in such circumstances its better to treat moderate burn at home because the ward become source of serous infections.