Niyonzima F, Kamosi H Mboma, Soro J, Ntihabose O, Hehadji D, Briskin E
Médecins Sans Frontières (MSF), Bujumbura, Burundi.
Ministère de la Santé publique et de la Lutte contre le Sida, Bujumbura, Burundi.
Public Health Action. 2023 Aug 1;13(2 Suppl 1):25-29. doi: 10.5588/pha.23.0007.
In 2015, Médecins Sans Frontières opened the Arche Kigobe Trauma Centre in Bujumbura, Burundi, to treat victims of violence, and in 2016 extended the admission criteria to burns, without a specialised unit to treat these.
To study the factors associated with an unfavourable outcome (death, referrals and discharges against medical advice) in burn patients hospitalised at this centre.
This is a retrospective descriptive and analytical study of hospitalised burn patients.
From 2016 to 2020, 477 patients were hospitalised at the Centre for burns, of whom 301 (63%) were less than 5 years old, 169 (35%) were female, and 48 (10%) had an unfavourable outcome. Anaemia (OR 11, 95% CI 2.7-48), infection (OR 11, 95% CI 5.7-22), and smoke inhalation (OR 28, 95% CI 7-111) were among the main factors associated with an unfavourable outcome.
To minimise adverse outcomes related to inhalation and infection in burn patients, a septic isolation circuit, training, a bacteriology service and continuous positive airway pressure could be implemented even in resource-limited settings.
2015年，无国界医生组织在布隆迪布琼布拉开设了阿奇·基戈贝创伤中心，以治疗暴力受害者，并于2016年将收治标准扩大至烧伤患者，但该中心没有专门治疗烧伤的科室。
研究在该中心住院的烧伤患者中与不良结局（死亡、转院和自动出院）相关的因素。
这是一项对住院烧伤患者的回顾性描述性和分析性研究。
2016年至2020年期间，有477名患者在该中心接受烧伤治疗，其中301名（63%）年龄小于5岁，169名（35%）为女性，48名（10%）出现不良结局。贫血（比值比11，95%置信区间2.7 - 48）、感染（比值比11，95%置信区间5.7 - 22）和吸入烟雾（比值比28，95%置信区间7 - 111）是与不良结局相关的主要因素。
为尽量减少烧伤患者因吸入烟雾和感染导致的不良后果，即使在资源有限的环境中，也可实施脓毒症隔离流程、培训、细菌学检测服务和持续气道正压通气。
