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Öğe Longitudinal Evaluation of Hospitalized Burn Patients in Sivas City Center for Six Months and Comparison with a Previously Held Community-based Survey(MEDKNOW PUBLICATIONS & MEDIA PVT LTD, 2016) Erin, Omer Faruk; Yilmaz, Sarper; Gumus, NazimObjective: This study was designed to longitudinally demonstrate the rate and epidemiology of hospitalized burn patients in Sivas city center within 6 months. The second aim was to compare the results of the current study with those of a previously held community-based survey in the same region. Material and Methods: Patients who were hospitalized due to burn injuries in Sivas city for six months were longitudinally evaluated. Epidemiological data of these patients were analyzed. Results: During the course of the study, 87 patients (49 males and 38 females) were hospitalized. The ratio of burn patients to the total number of hospitalized patients was 0.38%. The most common etiologic factor was scalds (70.1%). Burns generally took place in the kitchen (41.4%) and living room (31.4%), and majority of the patients received cold water as first-aid treatment at the time of injury. The vast majority of patients were discharged from the hospital without the need of surgical intervention (83.9%), and the duration of treatment was between 1 and 14 days for 73.6% of the patients. Sixty patients (68.9%) had a total burn surface area under 10%. The total cost of the hospitalization period of these patients was 137.225 Turkish Lira (83.308-92.908$), and the average cost per patient was 1.577 Turkish Lira (957-1067$). Conclusion: Our study revealed a considerable inconsistency when compared with the results of the community-based survey, which had been previously conducted in the same region. We concluded that hospital-based studies are far from reflecting the actual burn trauma potential of a given district in the absence of a reliable, standard, nation-wide record system. Population-based surveys should be encouraged to make an accurate assessment of burn rates in countries lacking reliable record systems.Öğe A Population-Based Survey on the Incidence of Burn Injuries in Sivas-Turkey(ORTADOGU AD PRES & PUBL CO, 2010) Yilmaz, Sarper; Sezer, R. Erol; Karagoz, Naim; Ercocen, Ali Riza; Sezer, Hafize; Erkan, Muhammet; Erin, Omer Faruk; Cepni, Mursel; Celik, Ugur Recep; Odemis, Yusuf; Bitgen, MuratObjective: A nation-wide or provincei wide Population-based survey for the determination of the burn incidence has not yet been performed in Turkey. The aim of this study was to determine the burn incidence, to describe and analyze the features of the burn trauma and burn victims. Material and Methods: Cluster sampling technique was used. The sample consisted of 8107 people in 34 clusters (24 urban, 10 rural), each having 53 households. Face to face interviews with the selected households were performed by the senior residents from the Plastic Surgery Department of Cumhuriyet University Hospital during the spring, summer and fall months in 2008. A detailed form was filled for the subjects who had a burn history. Information was sought on any burn injury deeper than first degree that had a surface area of at least 2 x 2 cm, and lasted more than one week to heal. Results: The annual burn incidence in Sivas province was found to be 3.70 per 1000 people (%95 CI: 2.35-5.05 per 1000). Burn incidence rate was higher among those aged <= 7 years than the others (p<0.001). Two thirds of burn injuries that occurred in the previous year, and 80% of the burns in the year before were caused by hot water or a hot liquid, mostly from a tea pot. Among the burn injuries 2.37% had a surface area of >= 20%. Conclusion: This study appears to be the first one that estimated the burn injury incidence and described some of its epidemiological characteristics for the whole population of a province in Turkey.Öğe TRAUMATIC HAIR BEARING SKIN WOUND COMBINED WITH KERION CELSI: A RARE CASE(Medknow Publications & Media Pvt Ltd, 2011) Yilmaz, Sarper; Gumus, Nazim; Erin, Omer Faruk; Celik, Ugur Recep; Ercocen, Ali Rizantroduction: Kerion celsi is a hypersensitivity reaction to a dermatophytic infection in hair bearing skin which is caused by dermatophyte species such as T mentagrophytes, T verrucosum, T rosaceum (T megninii), T tonsurans, T violaceum, and T soudanense in children who have hypersensitivity againist the components of dermatophytes. Differential diagnosis is very difficult when a scalp wound is associated with the history of traumatic scalp injury. Presented here was a rare case of kerion celsi who had traumatic scalp wound. Material and Methods: A 7-year-old boy presented to our clinic, complaining of a head wound which caused from hitting it to a heater 15 days ago. On the examination, a 5x5 cm wound on the vertex of the scalp was diagnosed with painful draining scalp abscesses, purulent discharge, itchy plaques, hair loss, pruritus and scaling. It seemed to be an infected and traumatic wound of hair bearing skin. For the treatment, wound care and a parenteral antibiotic were initiated, and then a surgical debridement was performed to take out necrotic tissues and drain abscess formations. However, any evident for healing didn't appear. Results: After considering kerion celsi, by using fungal cultures, examination of scalp brush samples under microscope and histopathologic investigation of the debridement materials, diagnosis was achieved. Systemic and topical antifungal treatment healed the wound completely. Conclusions: Although association of a traumatic scalp wound with a dermatophytic infection is a rare instance, if there is a scalp wound with crusting, serious ooze, pus, and keratin debris in childhood, and especially if there is a resistant againist usual treatment modalities, kerion celsi should be considered in differential diagnosis.Öğe Traumatic hair bearing skin wound combined with kerion celsi: A rare case(2011) Yilmaz, Sarper; Gümüş, Nazim; Erin, Omer Faruk; Çelik, U?ur Recep; Erçöçen, Ali RizaTraumatic hair bearing skin wound combined with kerion celsi: a rare case Introduction: Kerion celsi is a hypersensitivity reaction to a dermatophytic infection in hair bearing skin which is caused by dermatophyte species such as T mentagrophytes, T verrucosum, T rosaceum (T megninii), T tonsurans, T violaceum, and T soudanense in children who have hypersensitivity againist the components of dermatophytes. Differential diagnosis is very difficult when a scalp wound is associated with the history of traumatic scalp injury. Presented here was a rare case of kerion celsi who had traumatic scalp wound. Material and Methods: A 7-year-old boy presented to our clinic, complaining of a head wound which caused from hitting it to a heater 15 days ago. On the examination, a 5 × 5 cm wound on the vertex of the scalp was diagnosed with painful draining scalp abscesses, purulent discharge, itchy plaques, hair loss, pruritus and scaling. It seemed to be an infected and traumatic wound of hair bearing skin. For the treatment, wound care and a parenteral antibiotic were initiated, and then a surgical debridement was performed to take out necrotic tissues and drain abscess formations. However, any evident for healing didn't appear. Results: After considering kerion celsi, by using fungal cultures, examination of scalp brush samples under microscope and histopathologic investigation of the debridement materials, diagnosis was achieved. Systemic and topical antifungal treatment healed the wound completely. Conclusions: Although association of a traumatic scalp wound with a dermatophytic infection is a rare instance, if there is a scalp wound with crusting, serious ooze, pus, and keratin debris in childhood, and especially if there is a resistant againist usual treatment modalities, kerion celsi should be considered in differential diagnosis.
