Burns : journal of the International Society for Burn Injuries
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In recent years, the frequent occurrence of bus fire accidents has caused public concern in China, impacting the safe operation of urban transportation seriously. A cross-sectional survey was conducted to evaluate the safety & security (S&S) level of attitude and knowledge in relation to bus fires among residents in Fuzhou city, Fujian Province. 200 passengers from 6 bus terminals and 10 bus stations were selected as study subject. The results show that the S&S attitude and knowledge differ by gender, age, education background, occupation, and the frequency of taking a bus. ⋯ Many passengers pay not much attention to the safety instructions when taking a bus. Some suggestions are given to improve S&S situation of bus transportation. The research results can lay the foundation for local governments, bus transport operators, and relevant safety organizations to establish a series of safety policies or regulations with respect to bus fires.
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Burn injuries create physiologic, physical, and emotional effects acutely and long-lasting. Recovery is extensive and requires long-term care. Impaired function related to pain, deconditioning, weakness, and contracture formation are common. We sought to determine factors that impact quality of life (QOL) post recovery. Specifically, to assess whether Health Related QOL (HRQOL) decreases with increasing percent total body surface area (TBSA) and length of stay (LOS). We also explored QOL as a function of burn mechanism. ⋯ QOL is greatly impacted by TBSA and LOS.More attention to body image and returning to work should be given, regardless of the type of burn mechanism.
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Infection is the leading cause of mortality in severe burn patients, benefitting from periodic monitoring of changes in bacterial prevalence and antibiotic resistance trends. This single facility retrospective study evaluated blood culture results for patients hospitalized in the burn intensive care unit (BICU) from January 2012 to December 2017. A total of 969 samples from 420 patients were reviewed. ⋯ Overall, the rate of multidrug-resistant (MDR) bacteremia found in burn patients was substantially higher than that in other patients and appeared from the earliest phase of hospitalization. Therefore, early use of antibiotics targeting MDR Gram-negative bacteria in burn patients admitted to the BICU might be warranted. Further, since CRE infections increase in abundance over time, significant effort should be made to manage the initial CRE infections of burn patients before they can multiply into a life-threatening situation.