Infections and treatment of wounds in survivors of the 2004 Tsunami in Thailand.

On 26 December 2004, a tsunami devastated the west coast of Thailand and caused 8457 injuries and 5395 deaths. Data were collected from 26 December 2004 to 31 January 2005 at four public hospitals to describe the character and treatment of wounds of 523 persons who were injured during tsunami and sought medical treatment. Wounds were contaminated with mud, sand, debris and sea water and had an infection rate of 66.5% (674/1013). Most wounds (45%) had poly-microbial infection with gram-negative rods such as Escherichia coli, Klebsiella pneumoniae, Proteus and Pseudomonas species. The risk of wound infection increased with size of the wound and presence of an open fracture. Infections occurred more frequently on the lower than upper trunk of the body. Early treatment with antibiotics was protective against wound infection. Many patients asked to have their wounds sutured so that they could return to their village to look for their families and to repair damage. This report suggests that wounds should be aggressively debrided and suturing postponed if possible. Patients should be given broad spectrum antibiotics to assist with wound healing.

Hyperbaric oxygen therapy in Thai autistic children.

BACKGROUND: Autism is a developmental and behavioral pattern, the triad of impairments, 1. social interaction, 2. social communication, 3. imagination. Their memories are seemingly in picture or photo records. Difficulties in the treatment, management, and handling of autistic children are the main problems. Hyperbaric oxygen therapy (HBOT) is a modern treatment in Thailand for nitrogen imbalance (Decompression sickness syndrome or Caisson disease). HBOT can increase plasma oxygen to the tissues including the brain. OBJECTIVE: To determine whether Hyperbaric Oxygen Therapy is safe to use in children with autism, and has a statistically significant effect on autistic symptoms. This is the first study in Thailand. MATERIAL AND METHOD: Thai Autistic children (n = 7) received HBOT (1.3 atm., 10 sessions) treatment. Assessment was done before and after treatment in five domains: Social development, Fine motor and Eye-hand coordination, Language development, Gross motor development, Self-help skills. RESULTS: Improvement was shown in five domains with a significant level. Seventy-five percent of children shown improvement while 25% did not seem to respond to the treatment. CONCLUSION: HBOT is a new treatment for Thai autistic children. Many scientific studies recently have shown that HBOT could be an effective treatment for autistic children. It could improve the major autistic symptoms.

Respiratory complication of tsunami diaster victims in Vachira Phuket Hospital.

There were 958 patients who suffered from the tsunami diaster on 26 December 2004, and came to Vachira Phuket Hospital. 326 cases were admitted with severe respiratory complications. 42 cases had sputum culture, and 20 of them grew gram negative microorganism. The authors present 3 cases.