The effects of the use of Diphoterine® solution on chemical burns in the Tarapur industrial complex, India
Aim: Tarapur is the biggest industrial complex in India. Chemical burns are relatively frequent due to the use of corrosive agents within these industries. Diphoterine®, a polyvalent hypertonic amphoteric first-aid solution has been adopted by some of the companies but not others. We decided to comp...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2018-04-01
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| Series: | Burns Open |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468912218300129 |
| _version_ | 1818933448867315712 |
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| author | Parag Kulkarni Steven Jeffery |
| author_facet | Parag Kulkarni Steven Jeffery |
| author_sort | Parag Kulkarni |
| collection | DOAJ |
| description | Aim: Tarapur is the biggest industrial complex in India. Chemical burns are relatively frequent due to the use of corrosive agents within these industries. Diphoterine®, a polyvalent hypertonic amphoteric first-aid solution has been adopted by some of the companies but not others. We decided to compare the cases of chemical injury which had been treated with Diphoterine® solution with those who had not. Methods: A prospective study of all chemical skin injuries attending the Ashirwad Clinic Boisar between 16/9/15 and 21/11/16 (14 months). The mechanism of injury, delay in treatment, first aid treatment performed, pain improvement, site of injury, size of burn, time off work and time to healing were recorded. The costs of all treatments were also recorded. Results: There were 65 chemical skin burns during the time of the study. 56 were treated with water as the only first aid method. Nine cases also had Diphoterine® applied. The average delay in applying Diphoterine® was 27 min. The water only group took an average of 13.65 days to heal, compared to 4 days in the Diphoterine® group (p < 0.01). The water only group required an average of 17 days off work compared to 5 in the Diphoterine® group (p = 0. 14). The water only group treatment costs were 13,223 INR (205 USD) compared with 7150 INR (111 USD) in the Diphoterine® group (p = 0.50). The Diphoterine® group also experienced a significant improvement in pain (p < 0.001). Conclusions: The use of Diphoterine®solution in treating chemical burns results in less pain, less time off work and less overall treatment costs. Keywords: Chemical burns, Diphoterine®, Water, Decontamination, Emergency care, Rinsing |
| first_indexed | 2024-12-20T04:48:33Z |
| format | Article |
| id | doaj.art-3b2c76970cbe4dfe8c150dae841aca86 |
| institution | Directory Open Access Journal |
| issn | 2468-9122 |
| language | English |
| last_indexed | 2024-12-20T04:48:33Z |
| publishDate | 2018-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Burns Open |
| spelling | doaj.art-3b2c76970cbe4dfe8c150dae841aca862022-12-21T19:52:55ZengElsevierBurns Open2468-91222018-04-0122104107The effects of the use of Diphoterine® solution on chemical burns in the Tarapur industrial complex, IndiaParag Kulkarni0Steven Jeffery1Ashirwad Clinic Boisar, 401501 Tarapur, IndiaCorresponding author at: The Queen Elizabeth Hospital, Mindelsohn Way, Edgbaston, Birmingham, UK. Birmingham City University, UK.; Ashirwad Clinic Boisar, 401501 Tarapur, IndiaAim: Tarapur is the biggest industrial complex in India. Chemical burns are relatively frequent due to the use of corrosive agents within these industries. Diphoterine®, a polyvalent hypertonic amphoteric first-aid solution has been adopted by some of the companies but not others. We decided to compare the cases of chemical injury which had been treated with Diphoterine® solution with those who had not. Methods: A prospective study of all chemical skin injuries attending the Ashirwad Clinic Boisar between 16/9/15 and 21/11/16 (14 months). The mechanism of injury, delay in treatment, first aid treatment performed, pain improvement, site of injury, size of burn, time off work and time to healing were recorded. The costs of all treatments were also recorded. Results: There were 65 chemical skin burns during the time of the study. 56 were treated with water as the only first aid method. Nine cases also had Diphoterine® applied. The average delay in applying Diphoterine® was 27 min. The water only group took an average of 13.65 days to heal, compared to 4 days in the Diphoterine® group (p < 0.01). The water only group required an average of 17 days off work compared to 5 in the Diphoterine® group (p = 0. 14). The water only group treatment costs were 13,223 INR (205 USD) compared with 7150 INR (111 USD) in the Diphoterine® group (p = 0.50). The Diphoterine® group also experienced a significant improvement in pain (p < 0.001). Conclusions: The use of Diphoterine®solution in treating chemical burns results in less pain, less time off work and less overall treatment costs. Keywords: Chemical burns, Diphoterine®, Water, Decontamination, Emergency care, Rinsinghttp://www.sciencedirect.com/science/article/pii/S2468912218300129 |
| spellingShingle | Parag Kulkarni Steven Jeffery The effects of the use of Diphoterine® solution on chemical burns in the Tarapur industrial complex, India Burns Open |
| title | The effects of the use of Diphoterine® solution on chemical burns in the Tarapur industrial complex, India |
| title_full | The effects of the use of Diphoterine® solution on chemical burns in the Tarapur industrial complex, India |
| title_fullStr | The effects of the use of Diphoterine® solution on chemical burns in the Tarapur industrial complex, India |
| title_full_unstemmed | The effects of the use of Diphoterine® solution on chemical burns in the Tarapur industrial complex, India |
| title_short | The effects of the use of Diphoterine® solution on chemical burns in the Tarapur industrial complex, India |
| title_sort | effects of the use of diphoterine r solution on chemical burns in the tarapur industrial complex india |
| url | http://www.sciencedirect.com/science/article/pii/S2468912218300129 |
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