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对尼日利亚儿童烧伤的流行病学模式及拟采取的干预措施的系统评价。

A systematic review of epidemiological patterns and proposed interventions to address pediatric burns in Nigeria.

作者信息

Banerjee Srikanta, Shumba Constance

机构信息

Walden University School of Health Sciences, 100 S Washington Ave #900, Minneapolis, MN 55401.

Aga Khan University Department of Population Health and School of Nursing and Midwifery airobi, Kenya.

出版信息

Afr Health Sci. 2020 Jun;20(2):991-999. doi: 10.4314/ahs.v20i2.56.

DOI:10.4314/ahs.v20i2.56
PMID:33163068
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7609082/
Abstract

BACKGROUND

Unintentional injuries from burns comprise a significant proportion of public health morbidity in Nigeria. In order to understand the type and impact of burns on youth in Low-and-Middle-Income countries, the epidemiology of burns must be adequately assessed.

METHODS

This review describes the epidemiological patterns of burn occurrences in the pediatric populations and proposes interventions using the Haddon Matrix to address injuries in specific populations in Nigeria. A literature search was conducted using the Proquest, CINAHL, and PubMed databases at the Johns Hopkins University library (January 1, 1990 to August 14, 2018), on burns or thermal injury among pediatric populations in Nigeria. The review focused on the forms of injury, risk factors and potential interventions.

RESULTS

Ten studies were identified and the main risk factors for burns were socioeconomic status, overcrowding, and involving young girls in traditional cooking roles. The main types of injuries include scald injuries (50%) and fire burns (45%) affecting mainly children aged 14 and below with significant regional epidemiological variations. We created a novel intervention to develop countermeasures and reduce the number of pediatric burns based on biological, physical and sociocultural environment..

CONCLUSION

Interventions such as improved supervision of children, improved emergency infrastructure and culturally sensitive first aid education and treatment can help ensure a reduction in morbidity and mortality resulting from burns. Epidemiological studies can provide an accurate depiction of the burden of burn injuries in different regions of Nigeria.

摘要

背景

烧伤导致的意外伤害在尼日利亚公共卫生发病率中占很大比例。为了解低收入和中等收入国家烧伤对青少年的类型及影响,必须对烧伤流行病学进行充分评估。

方法

本综述描述了儿科人群烧伤发生的流行病学模式,并提出使用哈顿矩阵进行干预,以解决尼日利亚特定人群的伤害问题。在约翰·霍普金斯大学图书馆(1990年1月1日至2018年8月14日)使用Proquest、CINAHL和PubMed数据库,对尼日利亚儿科人群中的烧伤或热损伤进行了文献检索。该综述重点关注损伤形式、危险因素和潜在干预措施。

结果

共识别出10项研究,烧伤的主要危险因素包括社会经济地位、过度拥挤以及让年轻女孩承担传统烹饪任务。主要损伤类型包括烫伤(50%)和火烧伤(45%),主要影响14岁及以下儿童,且存在显著的地区流行病学差异。我们基于生物、物理和社会文化环境创建了一种新颖的干预措施,以制定对策并减少儿科烧伤的数量。

结论

诸如加强对儿童的监管、改善应急基础设施以及开展具有文化敏感性的急救教育和治疗等干预措施,有助于确保降低烧伤导致的发病率和死亡率。流行病学研究能够准确描述尼日利亚不同地区烧伤损伤的负担情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72fb/7609082/2f46387fe5ce/AFHS2002-0991Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72fb/7609082/77e877516d89/AFHS2002-0991Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72fb/7609082/2f46387fe5ce/AFHS2002-0991Fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72fb/7609082/77e877516d89/AFHS2002-0991Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72fb/7609082/2f46387fe5ce/AFHS2002-0991Fig2.jpg

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本文引用的文献

1
The multicenter benchmarking study of burn injury: A content analysis of the outcome measures using the international classification of functioning, disability and health.烧伤的多中心基准研究:使用国际功能、残疾与健康分类对结局指标进行的内容分析
Burns. 2016 Nov;42(7):1396-1403. doi: 10.1016/j.burns.2016.07.023. Epub 2016 Aug 11.
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The design and evaluation of a system for improved surveillance and prevention programmes in resource-limited settings using a hospital-based burn injury questionnaire.使用基于医院的烧伤损伤调查问卷,对资源有限环境下改进监测和预防计划的系统进行设计与评估。
Inj Prev. 2016 Apr;22 Suppl 1(Suppl 1):i56-62. doi: 10.1136/injuryprev-2015-041815.
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Correcting a prevalent misunderstanding of burns.
纠正对烧伤的一种普遍误解。
Burns. 2016 Jun;42(4):715-6. doi: 10.1016/j.burns.2016.01.003. Epub 2016 Jan 23.
4
Features identification for automatic burn classification.用于自动烧伤分类的特征识别
Burns. 2015 Dec;41(8):1883-1890. doi: 10.1016/j.burns.2015.05.011. Epub 2015 Jul 15.
5
Burns in sub-Saharan Africa: A review.撒哈拉以南非洲地区的烧伤:综述
Burns. 2016 Mar;42(2):258-66. doi: 10.1016/j.burns.2015.04.006. Epub 2015 May 14.
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Practice of first aid in burn related injuries in a developing country.发展中国家烧伤相关损伤的急救实践
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Psychological consequences of pediatric burns from a child and family perspective: a review of the empirical literature.儿科烧伤的心理后果:从儿童和家庭角度的文献综述。
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A systematic review of the epidemiology of unintentional burn injuries in South Asia.南亚非故意伤害性烧伤流行病学的系统评价。
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Pediatric burn injuries.小儿烧伤
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Neonatal burns in Lagos, South-Western Nigeria: Epidemiology and outcome of management.尼日利亚拉各斯的新生儿烧伤:流行病学和治疗结果。
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