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Shaban F, Stewart K, Kalima P. Does mixing acute medical admissions with burn patients increase infective complications from paediatric thermal injuries?. JRSM Short Rep. 2010;1(1):1doi: 10.1258/shorts.2009.090026.
Shaban, F., Stewart, K., & Kalima, P. (2010). Does mixing acute medical admissions with burn patients increase infective complications from paediatric thermal injuries?. JRSM short reports, 1(1), 1. https://doi.org/10.1258/shorts.2009.090026
Shaban, Fadlo, et al. "Does mixing acute medical admissions with burn patients increase infective complications from paediatric thermal injuries?." JRSM short reports vol. 1,1 (2010): 1. doi: https://doi.org/10.1258/shorts.2009.090026
Shaban F, Stewart K, Kalima P. Does mixing acute medical admissions with burn patients increase infective complications from paediatric thermal injuries?. JRSM Short Rep. 2010 Jun 30;1(1):1. doi: 10.1258/shorts.2009.090026. PMID: 21103093; PMCID: PMC2984341.
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JRSM Short Rep. 2010 Jun 30;1(1):1. doi: 10.1258/shorts.2009.090026.

Does mixing acute medical admissions with burn patients increase infective complications from paediatric thermal injuries?.

JRSM short reports

Fadlo Shaban, Ken Stewart, Pota Kalima

Affiliations

  1. Plastic and Reconstructive Surgery , Royal Hospital for Sick Children , 9 Sciennes Road, Edinburgh EH9 1LF , UK.

PMID: 21103093 PMCID: PMC2984341 DOI: 10.1258/shorts.2009.090026

Abstract

In the winter of 2005-2006, the management at our children's hospital elected to admit 'overspill' acute medical admissions to the ward used for plastic surgery and burns for logistical reasons. This study was conducted to assess the effects of that change on the incidence of infective complications in thermally-injured patients. Seventy-three patients were studied, 23 in the sample winter and 50 in the two preceding control winters. The data gathered included days on IV fluids and antibiotics, transfer to the Paediatric Intensive Care Unit (PICU), microbiology and a 'septic signs score' - based on pyrexia, irritability, diarrhoea/vomiting, wound colonization, bacteraemia. The outcomes studied were: the maximum 'septic signs score'; patients with a score ≥3; wound colonization; PICU admission; days on antibiotics and IV fluids. A statistically significant increase in patients with septic episodes was demonstrated by an increase in the mean septic signs score (0.66-1.48, P = 0.044) and the number of patients with a score ≥3 (4-22%, P = 0.017). Other analysed variables did not reach statistical significance although the raw data suggested a trend. It was concluded that there is an association between mixing acute medical admissions with thermally-injured patients and an increase in the incidence of infective complications in the latter group.

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