Childhood burns in south eastern Nigeria

Okoro, Philemon E; Igwe, P.O.; Ukachukwu, Alvan

doi:10.4103/0189-6725.48571

Cited by 31 publications

(39 citation statements)

References 5 publications

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“…In agreement with other studies [5-7,16,17], the majority of patients in this study were aged 2 years and below. High incidence of burn injuries in children reflects lack of coordination and unawareness of dangerous substances in this age group.…”

Section: Discussionsupporting

confidence: 94%

“…In our study, males were slightly more affected than females with a male to female ratio of 1.4:1 which is in agreement with other studies [6,7,18]. The reasons for the male preponderance in our study may be attributed to the overactive nature of male babies as compared to the females.…”

Section: Discussionsupporting

confidence: 92%

“…The problem is even more conspicuous in a developing country like Tanzania where few specialized burn centres and trained burn professionals exist [5,6]. Burn injuries have been ranked as second most common cause of accidental death in children younger than 5 years and the most common cause accidental death in the home [1,7]. In Bugando Medical Centre, burn injuries in children are a common indication for paediatric surgical admission and contribute significantly to high morbidity and mortality.…”

Section: Introductionmentioning

confidence: 99%

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Pattern of childhood burn injuries and their management outcome at Bugando Medical Centre in Northwestern Tanzania

et al. 2011

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BackgroundBurn injuries constitute a major public health problem and are the leading cause of childhood morbidity and mortality worldwide. There is paucity of published data on childhood burn injuries in Tanzania, particularly the study area. This study was conducted to describe the pattern of childhood burn injuries in our local setting and to evaluate their management outcome.Methods A cross sectional study was conducted at Bugando Medical Centre (in Northwestern Tanzania) over a 3-year period from January 2008 to December 2010. Data was collected using a pre-tested coded questionnaire and statistical analyses performed using SPSS software version 15.0.ResultsA total of 342 burned children were studied. Males were mainly affected. Children aged = 2 were the majority accounting for 45.9% of cases. Intentional burn injuries due to child abuse were reported in 2.9% of cases. Scald was the most common type of burns (56.1%). The trunk was the most commonly involved body region (57.3%). Majority of patients (48.0%) sustained superficial burns. Eight (2.3%) patients were HIV positive. Most patients (89.8%) presented to the hospital later than 24 h. The rate of burn wound infection on admission and on 10th day were 32.4% and 39.8% respectively.Staphylococcus aureus were more common on admission wound swabs, with Pseudomonas aeruginosa becoming more evident after 10th day. MRSA was detected in 19.2% of Staphylococcus aureus. Conservative treatment was performed in 87.1% of cases. Surgical treatment mainly skin grafting (65.9%) was performed in 44 (12.9%) of patients. The overall average of the length of hospital stay (LOS) was 22.12 ± 16.62 days. Mortality rate was 11.7%. Using multivariate logistic regression analysis; age of the patient, type of burn, delayed presentation, clothing ignition, %TBSA and severity of burn were found to be significantly associated with LOS (P < 0.001), whereas mortality rate was found to be independently and significantly related to the age of the patient, type of burn, HIV positive with stigmata of AIDS, CD4 count, inhalation injury, %TBSA and severity of burn (P < 0.001).ConclusionChildhood burn injuries still remain a menace in our environment with virtually unacceptable high morbidity and mortality. There is need for critical appraisal of the preventive measures and management principles currently being practiced.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

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Pattern of childhood burn injuries and their management outcome at Bugando Medical Centre in Northwestern Tanzania

et al. 2011

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“…[14] In the current study hot water was responsible for most of the burns injury as widely reported in other studies. [13][14][15][16] Regarding the anatomic region of injury, extremities were the most commonly injured parts followed by head region [ Table 2]. This is similar to report by Karbakhsh et al, [8] Adesunkanmi et al .…”

Section: Discussionsupporting

confidence: 88%

Childhood injuries in a tertiary institution in north east Nigeria

Esin¹,

Alabi²,

Lawal³

2013

Afr J Paediatr Surg

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“…; (Ekenze et al, 2009;Ifesanya et al, 2009;Melliez et al, 2007;Okafor et al, 2009;Okoro et al, 2009). Many other studies that are not hospital-based, but population-based failed to consider the influence of contextual situation where children are raised on their survival chances.…”

Section: Introductionmentioning

confidence: 99%