Abstract

STUDY ON PHARMACOLOGICAL MANAGEMENT OF BURN PATIENTS IN KIRTIPUR HOSPITAL

Triras Manandhar*, Phr Sujana Shakya, Phr Prity Dongol, Dr. Sabyata Gautam

ABSTRACT

Background: Burn wounds and injuries are often devastating. They can have severe long-term consequences for the victims and they continue to be a major problem affecting communities worldwide. The treatment of these patients is often protracted, and large amounts of resources are often needed to achieve the medical and psychological healing that needs to occur. Burns are a leading cause of morbidity and mortality in Nepal. Objective: To study the pharmacological management of burn patient in Kirtipur hospital. Methodology: A hospital based cross sectional, prospective and observational study was conducted at In-patient department (plastic ward) of Kirtipur Hospital for a period of 2 months from March to May 2022. A total of 50 cases were studied. Burned patients management depending on various factors were studied. Results: The majority of patients that suffered a burn injury were of the age group 0-10 years. The majority of patients were male 56% who sustained burn injury mostly during work. Majority of burn injuries occurred inside the home 76% and about 90% were unintentional burn mostly affecting multiple body parts. In case of pediatric population most of the children’s suffered minor burn 16%, in adults most of them suffered major burn 26%. Majority of patients suffered 2 degree mixed burn (superficial, deep). Majority of patients were referred from other hospital 76% and average hospital stay was 15 days with mortality rate of 4%.Majority of patients were prescribed NSAIDS (49.16% paracetamol), Antibiotics (13.74% Vancomycin), Immune supplements (60% Vitamin C + Zinc), Anesthesia (36% Ketamine). Conclusion: Thus, Flame burn causes majority of burn fatalities, pediatric populations is found to be vulnerable to scald burn, women’s are found to be victims of intentional homicidal burn and males often suffers from electrical burn during work. Analgesics, antipyretics, corticosteroids, antibiotics, immune supplements, I.V fluids and antimicrobial ointments are often prescribed.

Keywords: Burn, Pharmacological management, TBSA, 2nd degree burn.