Wound Healing Southern Africa - Volume 7, Issue 1, 2014
Volume 7, Issue 1, 2014
Author Nikki AllortoSource: Wound Healing Southern Africa 7 (2014)More Less
The South African Burn Society (SABS) is dedicated to the prevention of burn injuries, the promotion of comprehensive burn care and the development of research in the field. We are responsible for setting and maintaining the highest clinical and ethical standards. This is achieved by developing best clinical guidelines, both with regard to practical application and advice for policy-makers and funders. Further regular meetings and congresses at which to exchange knowledge and ideas and to foster professional relations with other societies and paramedical fields facilitates this.
Source: Wound Healing Southern Africa 7, pp 5 –8 (2014)More Less
Burn injuries evoke a systemic body response that may lead to an immediate high mortality rate in the absence of adequate initial management. There are few burn units in South Africa with a multi-professional team and resources to treat the burn patient. The lack of exposure of young doctors to this injury contributes to inadequate initial assessment, management and proper transfer to the referral units. The approach to the burn patient should follow well established guidelines. Greater divulgation of the guidelines is necessary to improve the management of, and to ensure better outcomes for, the victims of burn injuries.
Source: Wound Healing Southern Africa 7, pp 9 –12 (2014)More Less
Burn wound fluid analysis can be useful in representing the physiological changes taking place in the underlying burn tissue micro-environment. These data may relate to cellular components, signalling mediators and protein content, and can provide clues as to the extent of local tissue damage, the depth of the wound and the potential for systemic complications. This information can impact on wound management decisions, and appears to provide a more accurate reflection of the burn wound pathophysiology than traditional blood or serum investigations. This review provides the historical context of burn fluid analysis, and suggests new avenues for utilising this untapped resource.
Author B. GreenSource: Wound Healing Southern Africa 7, pp 13 –16 (2014)More Less
Negative pressure has become a very valuable adjunct to wound care therapy over the last few years. This can be largely attributed to work that was carried out by Morykwas and Argenta in 1997. In a series of three articles, they describe a "new method for wound control and treatment" for open wounds by using open-cell foam as a wound interface (wound filler). An occlusive dressing was used to create an airtight seal so that subatmospheric pressure could be applied to the wound.
Source: Wound Healing Southern Africa 7, pp 17 –22 (2014)More Less
The burden of burn injuries at the accident and emergency department in a tertiary hospital in Northern Cape province : original researchSource: Wound Healing Southern Africa 7, pp 25 –28 (2014)More Less
Objectives : Statistics on admissions to the Kimberley Hospital Burn Unit are collected annually, but there are no current statistical data on the prevalence of burn injuries seen at the hospital's emergency and accident department.
Design : This was a retrospective descriptive assessment of emergency entries obtained from the accident and emergency department registry at Kimberley Hospital from 1 July 2012 to 30 June 2013.
Subjects and setting : A total of 25 540 patients were treated in the accident and emergency department of Kimberley Hospital, of whom 9 433 were trauma and 16 107 non-trauma patients.
Outcome measures : Epidemiological data were compiled and statistical analysis performed in order to obtain information on injury prevalence.
Results : Burn-related injuries within the trauma population corresponded to 3.18% of injuries. Sixty-seven per cent of the adults were male and 33% female. Fire was the most common cause of burns in adults. Being scalded was the most common cause of a burn injury in children aged five years and younger. Male (54%) and female (64%) children were almost equally injured. Fifty-one per cent of burn injuries seen in casualty were admitted to Kimberley Hospital's Burns Unit.
Conclusion : Prevalence studies are important to address prevention strategies with regard to burn injuries in the country. The prevalence of patients with burn-related injuries presenting to our accident and emergency department seemed to correlate with that in previously published studies.
Bacteriological profile at Kimberley Hospital Burns Unit : a four-year retrospective study : original researchSource: Wound Healing Southern Africa 7, pp 29 –32 (2014)More Less
Objective : Infection is one of the most significant causes of morbidity and mortality in burn units. With an evolving bacteriological profile and a high prevalence of infection, it is essential to regularly assess the causative pathogens and their patterns of resistance and sensitivity to available antimicrobials. This study aimed to perform a four-year microbiological surveillance in our setting.
Design : This was an observational descriptive epidemiological study.
Subjects and setting : A retrospective analysis of available results pertaining to wound swabs, blood culture, central venous pressure (CVP) catheters and sputum culture from burn patients admitted to the Kimberley Hospital Burns Unit was performed from January 2009 to December 2012 (four years).
Outcome measured : The results of microscopy and culture and antimicrobial sensitivity and resistance patterns were compiled and analysed for each year studied.
Results :Staphylococcus aureus was the most common isolated pathogen (40.17%) on wound swabs, followed by Pseudomonas aeruginosa (21.55%), Proteus mirabilis (12.97%), Acinetobacter baumannii (10.04%), Enterobacter cloacae (6.69%) and Klebsiella pneumonia (5.65%). Blood culture revealed that S. aureus (32.08%), K. pneumonia (20.75%) and P. aeruginosa (16.98%) were the most frequently seen pathogens. S. aureus (20.51%) was the most common pathogen grown on CVP tip testing and Pseudomonas spp. (33%) on sputum testing.
Conclusion : The bacterial profile of the unit showed an increase in the resistance pattern compared with audits performed in early years, stressing the importance of measures to control outbreaks of the previously mentioned species, leading to increased morbid mortality-related infection.