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作者信息

Niyonzima F, Kamosi H Mboma, Soro J, Ntihabose O, Hehadji D, Briskin E

机构信息

Médecins Sans Frontières (MSF), Bujumbura, Burundi.

Ministère de la Santé publique et de la Lutte contre le Sida, Bujumbura, Burundi.

出版信息

Public Health Action. 2023 Aug 1;13(2 Suppl 1):25-29. doi: 10.5588/pha.23.0007.

Abstract

BACKGROUND

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.

OBJECTIVE

To study the factors associated with an unfavourable outcome (death, referrals and discharges against medical advice) in burn patients hospitalised at this centre.

METHOD

This is a retrospective descriptive and analytical study of hospitalised burn patients.

RESULTS

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.

CONCLUSION

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.

摘要

背景

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。

目的

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。

方法

这是一项对住院烧伤患者的回顾性描述性和分析性研究。

结果

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。

结论

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeae/10380414/bfa3a65bad91/i2220-8372-13-2s1-25-f01.jpg

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