Clinical audit on management of post-burn sepsis in pediatric intensive care unit

Abstract

The aim of this study: Is to assess how much the adopted protocol of management of post. burn sepsis in pediatrics is applied in intensive care unit in AUCH and to detect outcomes of these admitted cases. Objectives: To review the specific infections common in pediatric burns, including their categorization, diagnosis, and treatment. Background: Burn injury in children continues to be a major epidemiologic problem around the globe. Nearly a fourth of all burn injuries occur in children under the age of 16, the majority are under the age of five (1) . Children account for almost half of the population with severe burn injury and children below five years of age account for 50–80% of all childhood burns . Most childhood burns occur in the home; scalds are the most common burn type (accounting for 60–70% of all hospitalized burn patients, followed by flame and contact burns (2). .Burn sepsis is defined as life-threatening organ dysfunction due to a dysregulated host response to infection. (3). Methods: The target population were all pediatrics patient who referred to PICU in AUCH after 24 hours post burn for management of septic shock along the peroid of one year from August 2015 to July 2016. Data is collected by reviewing medical records of burned patients admitted to PICU during the study duration. Result: The study included 50 cases with post burn sepsis diagnosed according to criteria in the recommended guideline. Their ages ranged from 1-18 years, 30 cases were males and 20 cases were females. Scald burn represented 76% of the studied cases. Conclusion: Among hospitalized pediatric burn patients , the majority were below 6 years and commonest cause of burn was scald.. Mortality was 44% among the studied cases .Sepsis is common in the pediatric burn patient and can markedly increase morbidity and mortality.