Epidemiology and treatment of paediatric burns in a large children’s hospital in Morocco: Analysis of 394 cases

Droussi, H.; Benchamkha, Yassine; Ouahbi, S.; Dlimi, Meriem; Elatiqi, Oumkeltoum; Boukind, S.; Elamrani, D.; Bisanzo, Mark; Ettalbi, S.

doi:10.1016/j.afjem.2013.04.002

Cited by 10 publications

(9 citation statements)

References 12 publications

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“…Many of studies around the world have similar results 36,43,44,46,47 Equipment and products were more responsible for flame burn diverse, but the most important of them were home equipment's used for cooking or heating. Another factor contributing to the risk of these cylinders usually places it near the cooker equipment's inside the kitchen, especially in old buildings.…”

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confidence: 53%

Characteristics of Burn Injury and Factors in Relation to Infection among Pediatric Patients

Babakir‐Mina¹

2017

MOJGG

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Burn injury is one of the most common and devastating forms of trauma and a major health problem of pediatric morbidity and mortality worldwide. The risk of infection in pediatric burns is well-known. An observational checklist was used by the researcher to assess the patients' characteristics and factors related to burn injury and infection from 1037 pediatric patients. The observational data collection showed that 56.5% of patients were males. The highest risk groups for burn injury are preschool stages. The most frequent places for burns were home 97.5%. The mechanism of burn includes scalds 72.5%, flame 22.8%, contact 2.1%, electrical 1.8%, chemical 0.8% and friction 0.2%. The prevalence of infection was 23.4%. Patients from flame burns more likely get infections 39.1% (p=0.001). Other factors associated with infection such as degree of burns, extent of body burn surface and length of hospital stay. Regarding etiology of scald burn injury, hot water is a predominant cause of burn injury 78.99%. There was a significant relation between Total Body Surface Area (TBSA) and mortality p<0.001. Patients with >40% of TBSA has a high proportion rate for death 55.7%. The majority of died patients caused by flame 65.6% and statistically highly significant P<0.001. Infection and inhalation injury are the main factors related to death 37.7% vs. 58.0%. From 748 positive samples, the most common found organism was MethicillinResistant Staphylococcus aureus (MRSA) 34.2%, followed by Pseudomonas aerogenosa and Acienetobacter baumannii 16.7%, 16.4% respectively. Patients with greater mean TBSA and prolonged hospital stay more likely to get Gram-negative bacterial and fungal infections and highly statistically significant p<0.001. Many other studies are need to determine the epidemiology and factors related to microbiological infection among pediatric burn patients. Keywords: pediatric, burn patient, nosocomial infection, tbsa & mrsa MOJ Gerontology & Geriatrics Research ArticleOpen Access Source of organisms are found in the patient's own endogenous, from exogenous in the environment, and from healthcare personal or parents. The most common type of Nosocomial infections in burned children's is bloodstream infections, pneumonia, UTI, skin and surgical site infections. Organisms such as gram-negative bacteria, gram-positive bacteria, viral and yeast/fungal are the main causes of burn nosocomial infections. 16,17 Burn centers and burn hospitals should routinely determine and observe the specific pattern of burn microbial infection, time-related changes in the predominant microbial flora of the burn patient, the antimicrobial susceptibility profiles of microorganisms implicated in burn wound infections in a given time period, and trends in the nosocomial spread of these agents. Characteristics of burn injury and factors in relation to infection among pediatric patients 18,19 Methods Study design and settingThe study was conducted at Sulaimani Burn and Plastic Surgery Hospital, Kurdistan Region, Iraq. The data collection w...

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confidence: 53%

Characteristics of Burn Injury and Factors in Relation to Infection among Pediatric Patients

Babakir‐Mina¹

2017

MOJGG

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“…Wet heat appears to remain first, as shown in a 1996 burn injury study in France with 64.1% and 16.95% for volatile fluids [ 24 ]. Similar results were found in studies conducted in Peru in 2002, with wet heat accounting for 74% of the cases [ 25 ], Bradford in 2007 (52%) [ 26 ], Morocco in 2013 (83.5%) [ 22 ], and India in 2017 (48.8%), followed by dry heat (43.4%) [ 21 ].…”

Section: Discussionsupporting

confidence: 84%

“…Eighty-eight percent (n = 22) of the current study cases had multiple burned areas, as opposed to 12% (n = 3), where burn injury occurred on only one part of their body. A study in Morocco found that the proportion of children burned in more than one area was 69.03% [ 22 ].…”

Section: Discussionmentioning

confidence: 99%

“…The mean burned area in this study was 16.9%. In studies abroad, there was a rating of 5% in a Saudi Arabian study [ 8 ], 5.5% in a Moroccan study [ 22 ], 19.73 ± 15% in an Iraqi study [ 23 ], and 37 ± 24% in an Indian study [ 21 ]. The three main areas of the body that suffered burn injuries, in a descending order of incidence, are the trunk’s anterior surface with 64%, the neck with 56%, and the head with 44%.…”

Section: Discussionmentioning

confidence: 99%

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Investigating the Six-Month Incidence Rate of Burn Disease in Children in Greece

Tsiampouris¹,

Charcharidou²,

Dousis³

et al. 2020

Cureus

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Introduction Burns in children are painful, can be fatal, and involve a significant risk of complications, along with physical and psychological consequences. This study aimed to investigate the incidence of burns in children, for six months, and the most common causative factors, along with the existing correlations between demographic data and the characteristics of burn injuries. Methods The study was descriptive and prospective, and the sample consisted of minors up to 14 years old with burns in any areas of the body. The research was carried out in the Attica pediatric hospitals' selected departments for six months (from July to December 2018). Sources for completing the created database were the patients, their guardians, and their medical-nursing documentation and records. Results The cumulative six-month incidence rate of childhood burn disease was 4.9%. The most affected age group appeared to be younger than two years (60%), while liquid heat appeared to be the primary form of the burn factor (76%). The average duration of hospitalization for children with a deep partial-thickness to a totalthickness burn degree was 16.5 days. The correlations that emerged related to the extent of the burn were directly related to the accident's site, and patients with an increased likelihood of future additional surgeries had an increased mean total body surface area that was burned. Conclusion Continuous surveillance and removal of hazardous materials from the home environment is of utmost need. Early education/understanding of correct behaviors and proper attention to outdoor activities or excursions can significantly reduce burns. Training courses on burn prevention for parents are needed, as the best form of treatment is prevention.

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“…Various observations had reported that scald was the most common cause of burn injuries; a study from Israel showed that scald was the most common type of burn in children (67.4%) [18]. Similar studies done in Morocco reported that scald was the main cause of burn injury (83.5%) [23], a study from Ghana showed 73% of burn was caused by scald [24], another study from Tanzania showed 67.4% of burn was caused by scald burn [25]. Similarly, in this study, the most frequent cause of burn injuries was scald (69.4%).…”

Section: Discussionmentioning

confidence: 82%

Management Outcome of Burn Injury and Associated Factors among Hospitalized Children at Ayder Referral Hospital, Tigray, Ethiopia

Alemayehu

Afera

Kidanu

et al. 2020

International Journal of Pediatrics

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Background. Burn injuries are a global public health problem, accounting for an estimated 265,000 deaths. Globally, over half of the disability-adjusted life years lost from fire-related burns which occurred between the ages of 0 and 14 years. The rate of child deaths from burns is currently over 7 times higher in low- and middle-income countries than in high-income countries. In Ethiopia, burn was the second leading cause of death among children from the unintentional injuries. So far, no research had been conducted in terms of assessing the outcome of burn injury in children in Ethiopia and particularly in Tigray region. The aim of this study was to assess the outcome of burn injury and associated factors among hospitalized children of under 18 years at Ayder Referral Hospital in Mekelle, Ethiopia. Method. A retrospective document review was used to assess the outcome of burn injury and associated factors in Ayder Referral Hospital. A total of 382 hospitalized children’s chart from 2011 to 2015 were reviewed using a structured check list. To select the patients’ chart, a simple random sampling technique was used and a sampling frame was prepared based on a registration book. Data was entered, cleaned, and analyzed using SPSS version 20. Result. Almost 70% of the burns were caused by scald, and 45.3% of the burns were confined to the upper extremities. Eighty-two percent of the patients were discharged without complication. Lack of fluid resuscitation within 24 hours (AOR=2.767; 95% CI (1.276-5.999)) and a burn patient with malnutrition (AOR=0.252; 95% CI (0.069-0.923)) were statically significant with the outcome of burn injury. Conclusion. Majority of the pediatric burn patients were discharged without complication. The most causative agent of these accidents was scald; upper extremities also were the most affected area. The factors associated with the outcome of burn injury according to this study were lack of fluid resuscitation and malnourishment of burn patients.

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Epidemiology and treatment of paediatric burns in a large children’s hospital in Morocco: Analysis of 394 cases

Cited by 10 publications

References 12 publications

Characteristics of Burn Injury and Factors in Relation to Infection among Pediatric Patients

Characteristics of Burn Injury and Factors in Relation to Infection among Pediatric Patients

Investigating the Six-Month Incidence Rate of Burn Disease in Children in Greece

Management Outcome of Burn Injury and Associated Factors among Hospitalized Children at Ayder Referral Hospital, Tigray, Ethiopia

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