Sowemimo G O
Department of Surgery, College of Medicine, University of Lagos, Nigeria.
J Burn Care Rehabil. 1993 Nov-Dec;14(6):589-94. doi: 10.1097/00004630-199311000-00002.
Burn care in Africa is hampered by inadequate facilities, inadequate infrastructure, and inadequately trained staff. Burn units with burn teams are few. Burn injuries carry a high mortality rate with delayed healing and high complication rates among survivors. Most burns occur in the home from flame and scalding, and children are more affected than adults. Burn sepsis is mostly from staphylococci and pseudomonas. Various studies on epidemiology, sepsis, protein metabolism, and repigmentation indicate methods of prevention and improved care, including greater resort by surgeons to skin grafting, which speeds healing and both prevents and treats scarring, contractures, and depigmentation. Governments, industries, and entrepreneurs are exhorted to promote burn prevention, research, improved care, and rehabilitation, particularly through the establishment of burn units with burn teams, to reduce the misery and suffering caused by the high mortality and morbidity from burns in Africa.
非洲的烧伤护理受到设施不足、基础设施不完善以及工作人员培训不足的阻碍。配备烧伤治疗团队的烧伤科很少。烧伤损伤死亡率高，幸存者愈合延迟且并发症发生率高。大多数烧伤发生在家中，由火焰和烫伤引起，儿童比成人受影响更大。烧伤脓毒症主要由葡萄球菌和假单胞菌引起。关于流行病学、脓毒症、蛋白质代谢和色素沉着恢复的各种研究表明了预防和改善护理的方法，包括外科医生更多地采用皮肤移植，这可以加快愈合速度，并预防和治疗疤痕、挛缩和色素脱失。敦促政府、企业和企业家促进烧伤预防、研究、改善护理和康复，特别是通过建立配备烧伤治疗团队的烧伤科，以减少非洲因烧伤导致的高死亡率和高发病率所带来的痛苦。
