The authors have analyzed the data files of 580 child patients up to 15 years of age who were hospitalized at the Burn Center of the FNsP Hospital in Ostrava in the years 1999 - 2003. The authors focused on mechanisms of burn injury in relation to the age of a child as well as extent, depth, localization, and local treatment of the injury. The data file was divided to four age groups: up to two years of age, 2 - 5 years of age, 5 - 10 years of age, and 10 - 15 years of age. As regards the mechanisms of injury, the authors have analyzed scalding by hot liquids, burns due to contact with a hot object, burns due to electric current, explosion, and injury caused by burning clothing. Injury by scalding prevails to a very significant degree in the youngest children. In the second age group the incidence of burn following contact with hot objects increases, as does the percentage of children injured by burning of clothing in children aged 5 - 10. The older children have increased prevalence of injuries caused by explosions. The greatest average extent of an injury is from burning of clothing. Most of the areas are burned deeply, localized in more areas of the body, and almost half of the cases required surgical intervention. Scalding comes second in terms of average extent of an injury. More than half of the injured areas are superficial, and areas of injury are different in the individual age groups. We addressed about a fifth of the cases surgically. The explosion of combustible materials caused a smaller extent of injury, on average, taking third place. The injuries were predominantly superficial, most commonly involving the head, trunk, and upper extremities. In none of the cases it was necessary for us to operate. Burn injuries caused by contact with hot objects are of a smaller extent. More than half of the burned areas are deep, localized most commonly in the upper extremities. Surgical intervention was necessary in more than half the cases. In terms of average extent of an injury, the smallest burn injuries are caused by electric current. However, these injuries are deep, and surgical intervention was necessary in all cases.

• MeSH
• dítě MeSH
• exploze statistika a číselné údaje   MeSH
• kojenec MeSH
• kraniocerebrální traumata epidemiologie   MeSH
• lidé MeSH
• mladiství MeSH
• popálení elektrickým proudem epidemiologie   chirurgie   MeSH
• popálení epidemiologie   chirurgie   MeSH
• předškolní dítě MeSH
• retrospektivní studie MeSH
• Check Tag
• dítě MeSH
• kojenec MeSH
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• předškolní dítě MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika epidemiologie   MeSH

The authors present a data file of 279 children with severe and critical burn injury, hospitalized in the Intensive Care Unit or the Pediatric Resuscitation Unit of the FNsP Hospital in Ostrava in the years 1999 - 2003. The severity of the burn trauma in children is determined by age, extent, depth, localization, circumstances of the injury, its mechanism, and by other serious illnesses of a child. The authors have divided the data file into two groups, severe and critical, using classification of a burn injury in children according to the extent of injury as well as localization and other circumstances (1). Complex therapy of extensive burn injuries in children is based on adequate fluid resuscitation, treatment of burned areas, algosedation, and appropriate antibiotic therapy. The authors have unequivocally confirmed that in the group of children with diagnosis of critical burns complications occur more often, while the overall course of illness is serious and requires more therapeutical interventions than in the group of children with severe burns.

• MeSH
• dítě MeSH
• lidé MeSH
• popálení komplikace   epidemiologie   terapie   MeSH
• předškolní dítě MeSH
• retrospektivní studie MeSH
• tekutinová terapie MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• mužské pohlaví MeSH
• předškolní dítě MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika epidemiologie   MeSH

Authors are summing up basic approach in the treatment of severe burn injury in children. Thorough evaluation of severity of the injury is essential and determines further therapy. In this phase connection between care prior to hospitalization and in hospital is important. During the course of therapy in hospital, interdisciplinary teamwork is essential for the solution of various complications after burn injury. Important part of the care is cooperation with family of the child.

• MeSH
• dítě MeSH
• jednotky intenzivní péče MeSH
• lidé MeSH
• popálení mortalita   terapie   MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika epidemiologie   MeSH

Thermic injury is always associated with pain. The objective of authors was to create algorithm of analgesia for children with burn injuries during pre-hospitalization and hospitalization.

• MeSH
• analgetika terapeutické užití   MeSH
• bolest etiologie   prevence a kontrola   MeSH
• dítě MeSH
• lidé MeSH
• popálení komplikace   terapie   MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• Názvy látek
• analgetika MeSH

The control of a shock associated with burns has marked effects on the further course of burn injuries. In spite of the steadily increasing improvement of intensive care of severe burn children sometimes are not applied essential recommended procedures which are necessary during the first aid and the transport of burn cases to a burn centre. These procedures are determined by the assessment of a lot factors. A misinterpretation of these factors can lead to an insufficient or to an excessively aggressive therapy with their sequelae. This holds true both for a local and for a systemic therapy of severe burn children. The most important problems are documented by 2 case reports.

• MeSH
• dítě MeSH
• kojenec MeSH
• lidé MeSH
• mladiství MeSH
• náhlé příhody MeSH
• novorozenec MeSH
• popálení diagnóza   terapie   MeSH
• popáleninové jednotky * MeSH
• předškolní dítě MeSH
• tekutinová terapie MeSH
• transport pacientů MeSH
• třídění pacientů MeSH
• Check Tag
• dítě MeSH
• kojenec MeSH
• lidé MeSH
• mladiství MeSH
• novorozenec MeSH
• předškolní dítě MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika MeSH

The aims of this retrospective study covering the years 1984-1998 were: 1. to survey burn injuries in children at the present time and 2. to compare the current results with the conclusions of an analogous study performed in the years 1964-1983. A decline in the occurrence of lethal burn wounds was found, as well as in burn shock as a direct cause of death. Children 1-4 years old continue to be the most frequent victims of fatal accidents. The most common cause of burn injury in this group remains scalding in the household.

• MeSH
• dítě MeSH
• fatální výsledek MeSH
• kojenec MeSH
• lidé MeSH
• mladiství MeSH
• novorozenec MeSH
• popálení mortalita   patologie   MeSH
• předškolní dítě MeSH
• prevalence MeSH
• Check Tag
• dítě MeSH
• kojenec MeSH
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• novorozenec MeSH
• předškolní dítě MeSH
• Publikační typ
• časopisecké články MeSH
• kazuistiky MeSH
• Geografické názvy
• Česká republika MeSH

We present 3 cases of boys aged 5, 11 and 12 years who sustained very deep burn injury of their extremities. Their future lives were extremely limited. All the 3 boys had a strong emotional reaction to the injury. Two of them sustained amputation of upper extremities as a result from electrical injury, the youngest boy survived without the feet and with mutilated fingers on his hands. To encourage their survival and sense of life we admitted their mothers. Our aim was not only to secure psychological support to the patients but also to prepare the family to accept the sequelae of the injury. This accompaniment in the ward was very useful for both. The mothers were able to watch the progress in the treatment. In this way they were involved in the future care and they coped with the problems from a realistic point of view. The mothers helped the boys with physiotherapy under supervision. All the families were well prepared for discharge of their boys from the hospital without any fear of the following care. The significance of the family member influence upon the patient's resocialization we saw in early acceptance of the child to the society.

• MeSH
• amputace psychologie   MeSH
• dětská psychologie MeSH
• dítě MeSH
• končetiny zranění   chirurgie   MeSH
• lidé MeSH
• popálení psychologie   chirurgie   MeSH
• předškolní dítě MeSH
• rodiče psychologie   MeSH
• Check Tag
• dítě MeSH
• lidé MeSH
• mužské pohlaví MeSH
• předškolní dítě MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• kazuistiky MeSH

Early excision and grafting of the burn wound in the first 9 days remain the keys to survival for patients with major burn injuries. In the last 7-year-period, 54 major burn cases were treated in our burn facility, the only Burn Center in Istanbul. Early excision and grafting were performed to 32 of them, admitted in the first week. Others were admitted later and managed conservatively. Their follow-up results in terms of mortality and morbidity rates were compared. In addition to improvement in the prognosis, early excision and grafting procedures decreased the duration of hospitalization and cost of burn treatment.

• MeSH
• časové faktory MeSH
• dítě MeSH
• dospělí MeSH
• kojenec MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladiství MeSH
• následné studie MeSH
• popálení komplikace   epidemiologie   chirurgie   MeSH
• popáleninové jednotky MeSH
• předškolní dítě MeSH
• revize kvality lékařské péče MeSH
• senioři MeSH
• transplantace kůže metody   MeSH
• Check Tag
• dítě MeSH
• dospělí MeSH
• kojenec MeSH
• lidé středního věku MeSH
• lidé MeSH
• mladiství MeSH
• předškolní dítě MeSH
• senioři MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Turecko epidemiologie   MeSH

UNLABELLED: The aim of this study was to determine the basic epidemiological characteristics of severely burned children who were admitted to the intensive care unit (ICU), Department of Burns and Reconstructive Surgery Faculty Hospital Brno, Czech Republic in the years 1997-2009. METHODS: We collected and evaluated epidemiological data such as age, sex, burn etiology, length of hospitalization, duration of the ICU stay, surgical or conservative therapeutic strategies, the use of mechanical ventilation and its duration, day and month of injury and the extent of burned area. RESULTS: In total 383 children (253 boys, 130 girls) aged 0-14 years, underwent intensive care for at least 48h. Male to female ratio was 1.95:1. The average range of burn area in the group was 16.43±12.86% TBSA (total body surface area). During the reporting period, 16 children were admitted with burns over 50% TBSA. 328 children suffered burns indoors, with 55 children being burned outdoors. Indoor/outdoor ratio was set at 5.96:1. The most frequent etiological agent was scalding (hot water, soup, coffee, oil, tea). The total number of scalded children in this group was 312 (81.46%). Mechanical ventilation was used in 96 cases (25.07% of all the admitted patients). The duration of mechanical ventilation in these patients was 8.03±5.67 days in average. The average length of stay in ICU was 10.71±10.92 days and total length of hospital stay was an average of 21.55±14.55 days. A total of 184 patients (48.04%) were treated surgically and therefore required necrectomy and skin grafting. The other 199 (51.96%) patients were treated conservatively. During the reporting period 3 children died (0.78%). CONCLUSION: In our report we identify basic epidemiological data defined in the aim of this study for burned children requiring intensive care.

• MeSH
• délka pobytu MeSH
• dítě MeSH
• jednotky intenzivní péče pediatrické statistika a číselné údaje   MeSH
• kojenec MeSH
• lidé MeSH
• mladiství MeSH
• popálení epidemiologie   etiologie   MeSH
• popáleninové jednotky statistika a číselné údaje   MeSH
• předškolní dítě MeSH
• rizikové faktory MeSH
• rozložení podle pohlaví MeSH
• úrazy v domácnosti statistika a číselné údaje   MeSH
• věkové rozložení MeSH
• Check Tag
• dítě MeSH
• kojenec MeSH
• lidé MeSH
• mladiství MeSH
• mužské pohlaví MeSH
• předškolní dítě MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Česká republika epidemiologie   MeSH

OBJECTIVE: This study examined a cohort of pediatric patients treated for suspected corrosive injury of the oesophagus in the ENT department between 1994 and 2003. METHODS: During the study period we examined 337 patients. All patients were treated according to an individual diagnostico-therapeutic protocol that included: foremost, early rigid oesophagoscopy; intensive medical therapy; nasogastric tube placement; and/or surgical intervention. RESULTS: Our proposed system of grading on a scale from 0 to 4 was used to classify the findings upon oesophagoscopy. One hundred eighty eight patients (55.7%) had a negative exam; 1st degree corrosive injury was present in 58 patients (17.4%); 2nd and 3rd degree injury in 81 patients (24%); and 4th degree was found in 10 patients (3%). CONCLUSIONS: Because the endoscopic findings were positive in 44% of patients with suspected corrosive injury, early rigid oesophagoscopy is indicated in all patients suspected of having corrosive injury even in the absence of clinical symptoms.

• MeSH
• antibakteriální látky terapeutické užití   MeSH
• chemické popálení klasifikace   etiologie   terapie   MeSH
• ezofágoskopie MeSH
• ezofágus zranění   MeSH
• gastrointestinální intubace MeSH
• glukokortikoidy terapeutické užití   MeSH
• hospitalizace MeSH
• inhibitory enzymů terapeutické užití   MeSH
• inhibitory protonové pumpy MeSH
• katetrizace MeSH
• kaustika toxicita   MeSH
• kohortové studie MeSH
• kojenec MeSH
• lidé MeSH
• péče o pacienty v kritickém stavu MeSH
• předškolní dítě MeSH
• retrospektivní studie MeSH
• skóre závažnosti úrazu MeSH
• stenóza jícnu chemicky indukované   chirurgie   MeSH
• Check Tag
• kojenec MeSH
• lidé MeSH
• předškolní dítě MeSH
• Publikační typ
• časopisecké články MeSH
• Názvy látek
• antibakteriální látky MeSH
• glukokortikoidy MeSH
• inhibitory enzymů MeSH
• inhibitory protonové pumpy MeSH
• kaustika MeSH