Acta chirurgiae plasticae
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Acta chirurgiae plasticae · Jan 1999
Time trends in incidence of hypertrophic scarring in children treated for burns.
Control of burn-scar hypertrophy remains a priority program in the care of burned children. We analysed data from 779 clinical notes of children aged from 0 to 15 years who were hospitalised at the Burn Centre in Brno between 1991 and 1996. ⋯ The incidence of scar hypertrophy was at least 32% in both periods. However, the occurrence of hypertrophic scarring in these two periods did not appear to have been influenced by changes in clinical practice.
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Infection still remains one of the major problems in burn treatment. The authors investigated the occurrence of burn wound pathogens in burn wound biopsies and/or semiquantitative wound surface off-prints. ⋯ One of the explanations can be the increasing rate of early surgical treatment methods of deep burns. The results were in accordance with similar studies from other burn centres.
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Acta chirurgiae plasticae · Jan 1999
A modified staining method for connective tissue in semi-thin histological sections of peripheral and cranial nerves.
A simple staining method for collagen in semi-thin sections of nerves is described. This technique consists of applying basic fuchsin (0.05%) solution for 2 min. to +/- 1.25 microns plastic resin-embedded sections after routine toluidine blue staining. This staining method clearly demonstrates the amount and orientation of collagenous connective tissue in the nerve, both in transverse and longitudinal sections.
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The microbiological aspect of the prevention of nosocomial infections at the Burn Center consists primarily in the surveillance of bacterial flora and its antibiotical resistance. The Prague Burn Center is regularly monitoring the microbial flora. Patients are examined not only by the conventional methods of taking swabs of burned sites, but also by printing method, which allows a semiquantitative assessment of the colonization of burned areas. ⋯ The most frequent isolate is S. aureus and the prevalence of MRSA is relatively high. Among gramnegative rods the strains of P. aeruginosa, K. pneumoniae and E. cloacae are most often isolated. Various typing methods revealed endemic spread of particular strains of rarely isolated species (E. agglomerans, S. marcescens, A. baumannii, etc.).
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Acta chirurgiae plasticae · Jan 1998
Our experience with the use of cerium sulphadiazine in the treatment of extensive burns.
The development of the burn disease with infection as the most important complication represents still a major problem in burn patients. With the introduction of the method of early surgical excision of the Af1p4r with immediate grafting in major burns, improved survival has been achieved, particularly in children. However, especially in adults, early massive excisions did not prove to be of much benefit for survival. ⋯ We report our experience with the treatment of 20 patients with deep burns exceeding 20% of the BSA with cerium nitrate-silver sulphadiazine cream compared with a similar group of burn patients treated by silver sulphadiazine cream alone. CSD proved to be safe and effective in the treatment of deep and extensive burns. Its advantages include easy and painless application and removal, turning the necrotic skin to yellow, and a leathery crust with good resistance to infection, thus enabling later, or staged, sequential excisions in cases where early massive excisions are not possible.