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Abstract
La brûlure est un problème de santé publique important. La plupart des patients sont confrontés à des handicaps, des difformités, des complications somatiques et psychologiques, ainsi que des problèmes économiques. Le but de cette étude était de déterminer l'épidémiologie des brûlures en conteste Africain, la prise en charge des patients non admis dans une unité de réanimation. Nous avons colligé 177 cas, sur une période de 44 mois. La population d’étude était âgé de 03 mois à 85 ans, avec une moyenne de 21 ans .nous avons reçus 88H/89F. Nous avons 75% des patients sans revenus. Nous avons 78% de patient qui se sont présentés le jour de la brulure .les accidents domestiques représentait 90%, le type de brulure thermique était de 91% .la présentation globale des brulures était en timbre-poste soit 83%. Le second degré de profond était retrouvé dans 83% des cas. La surface corporelle retrouvée a été de (31-50)% soit 21% des cas. Nous avons reçu 80% dont la prise en charge s’est faite en ambulatoire. Le traitement chirurgical était de 12% des cas, pour le reste les pansements ont été suffisants, 91% des cas ont cicatrisé à moins d’un mois. Le chalenge de la prise en charge des patients moyennement ou légèrement mérite une attention à type de soins locaux et de chirurgie secondaire le cas échéant, afin de leur éviter des suites somatiques et psychologiques redoutables.
ABSTRACT
Burn is a major public health issue. Most patients face disabilities, deformities, somatic and psychological complications, as well as economic problems. The purpose of this study was to determine the epidemiology of African burns in dispute, the management of patients not admitted to a resuscitation unit. We collected 177 cases over a 44-month period. The study population was aged 03 months to 85 years, with an average of 21 years. we received 88H/89F. We have 75% of patients without income. We have 78% of patients who presented on the day of the burn . Domestic accidents accounted for 90%, the type of heat burn was 91%. the overall presentation of the burns was in postage stamp or 83%. The second degree of depth was found in 83% of cases. The body surface area recovered was (31-50)% or 21% of cases. We received 80% whose management was done on an outpatient basis. Surgical treatment was 12% of cases, for the rest the dressings were sufficient, 91% of cases healed within a month. The heat of the management of patients moderately or slightly deserves attention to type of local care and secondary surgery if necessary, in order to avoid them dreadful somatic and psychological consequences.
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References
- JFA L. It’s not just a burn: physical and psychological problems after burns. PhD dissertation. Uppsala : Acta Universitatis Upsaliensis; 2007. p. 69
- Mohammadi-Barzelighi H, Alaghehbandan R, Motevallian A, Alinejad F, Soleimanzadeh-Moghadam S, Sattari M, et al. Epidemiology of severe burn injuries in a Tertiary Burn Centre in Tehran, Iran. Ann Burns Fire Disasters 2011 ;24 :59–62
- Taghavi M, Rasouli MR, Boddouhi N, Zarei MR, Khaji A, Abdollahi M. Epidemiology of outpatient burns in Tehran: an analysis of 4813 cases. Burns 2010 ;36 :109–13. [CrossRef ]
- Kumar S, Ali W, Verma AK, Pandey A, Rathore S. Epidemiology and mortality of burns in the Lucknow Region, India--a 5 year study. Burns 2013 ;39 :1599–605. [CrossRef]
- Stokes MA, Johnson WD. Burns in the third world : An unmet need. Ann Burns Fire Disasters.2017 ;30(4):243-6. PMid :29983673)
- Wardhana A, Basuki A, Prameswara AD, Rizkita DN, AndarieAA, Canintika AF. The epidemiology of burns in Indonesia’s national referral burn center from 2013 to 2015. Burns Open.2017;1:2.https://doi.org/10.1016/j.burnso.2017.08.002
- Hidayat TS, Noer MS, Saputro ID. Five years retrospective study of burns in Dr Soetomo general hospital Surabaya. Folia Med Indones. 2014 ;50 :2.
- Bramardipa AA, Sukrama ID, Budayanti NN. Bacterial pattern and its susceptibility toward antibiotic on burn infection in Burn Unit Sanglah general hospital. Bali Med J. 2019 ;8 :1. https://doi. org/10.15562/bmj.v8i1.1456).
- Akther JM, Nerker NE, Reddy PS, Khan MI, Chauhan MK, Shahapurkar VV. Epidemiology of burned patients admitted in burn unit of a rural tertiary teaching hospital. Pravara Med Rev. 2010 ;2(4):11-7.
- Deshpande JD, Baviskar PK, Phalke BD Epidemiological study of hospitalized burn patients in rural area. IJBAR. 2012 ;3(4) :263-7
- Forjuoh SN, Guyer B, Smith GS. Childhood burns in Ghana : Epidemiological characteristics and home-based treatment. Burns. 1995 ;21 :24-8.
- El-Sonbaty MA, El-Oteify M. Epidemiology of burns in Assiut province during the last two years. Assiut Med J. 1990 ;14 :106-9.
- Arslan H, Kul B, Derebasinlioglu H, Cetinkale O. Epidemiology of pediatric burn injuries in Istanbul, Turkey. Ulus Travma Acil Cerrahi Derg 2013 ;19 :123–6.
- Al B, Yildirim C, Coban S, Aldemir M, Guloglu C. [Mortality factors
- in flame and scalds burns: our experience en 816 patients]. Ulus Travma Acil Cerrahi Derg 2009 ;15 :599–606.
- Reis E, Yasti AC, Kerimoglu RS, Dolapci M, Doganay M, Kama NA.
- The effects of habitual negligence among families with respect to pediatric burns. Ulus Travma Acil Cerrahi Derg 2009 ;15 :607–10
- Han TH, Kim JH, Yang MS, Han KW, Han SH, Jung JA, et al. A retrospective analysis of 19,157 burns patients : 18-year experience from Hallym Burn Center in Seoul, Korea. Burns 2005 ;31 :465–70.
- Mohammadi-Barzelighi H, Alaghehbandan R, Motevallian A, Alinejad F, Soleimanzadeh-Moghadam S, Sattari M, et al. Epidemiology of severe burn injuries in a Tertiary Burn Centre in Tehran, Iran. Ann Burns Fire Disasters 2011 ;24 :59–62.
- Taghavi M, Rasouli MR, Boddouhi N, Zarei MR, Khaji A, Abdollahi M. Epidemiology of outpatient burns in Tehran: an analysis of 4813 cases. Burns 2010 ;36 :109–13
References
JFA L. It’s not just a burn: physical and psychological problems after burns. PhD dissertation. Uppsala : Acta Universitatis Upsaliensis; 2007. p. 69
Mohammadi-Barzelighi H, Alaghehbandan R, Motevallian A, Alinejad F, Soleimanzadeh-Moghadam S, Sattari M, et al. Epidemiology of severe burn injuries in a Tertiary Burn Centre in Tehran, Iran. Ann Burns Fire Disasters 2011 ;24 :59–62
Taghavi M, Rasouli MR, Boddouhi N, Zarei MR, Khaji A, Abdollahi M. Epidemiology of outpatient burns in Tehran: an analysis of 4813 cases. Burns 2010 ;36 :109–13. [CrossRef ]
Kumar S, Ali W, Verma AK, Pandey A, Rathore S. Epidemiology and mortality of burns in the Lucknow Region, India--a 5 year study. Burns 2013 ;39 :1599–605. [CrossRef]
Stokes MA, Johnson WD. Burns in the third world : An unmet need. Ann Burns Fire Disasters.2017 ;30(4):243-6. PMid :29983673)
Wardhana A, Basuki A, Prameswara AD, Rizkita DN, AndarieAA, Canintika AF. The epidemiology of burns in Indonesia’s national referral burn center from 2013 to 2015. Burns Open.2017;1:2.https://doi.org/10.1016/j.burnso.2017.08.002
Hidayat TS, Noer MS, Saputro ID. Five years retrospective study of burns in Dr Soetomo general hospital Surabaya. Folia Med Indones. 2014 ;50 :2.
Bramardipa AA, Sukrama ID, Budayanti NN. Bacterial pattern and its susceptibility toward antibiotic on burn infection in Burn Unit Sanglah general hospital. Bali Med J. 2019 ;8 :1. https://doi. org/10.15562/bmj.v8i1.1456).
Akther JM, Nerker NE, Reddy PS, Khan MI, Chauhan MK, Shahapurkar VV. Epidemiology of burned patients admitted in burn unit of a rural tertiary teaching hospital. Pravara Med Rev. 2010 ;2(4):11-7.
Deshpande JD, Baviskar PK, Phalke BD Epidemiological study of hospitalized burn patients in rural area. IJBAR. 2012 ;3(4) :263-7
Forjuoh SN, Guyer B, Smith GS. Childhood burns in Ghana : Epidemiological characteristics and home-based treatment. Burns. 1995 ;21 :24-8.
El-Sonbaty MA, El-Oteify M. Epidemiology of burns in Assiut province during the last two years. Assiut Med J. 1990 ;14 :106-9.
Arslan H, Kul B, Derebasinlioglu H, Cetinkale O. Epidemiology of pediatric burn injuries in Istanbul, Turkey. Ulus Travma Acil Cerrahi Derg 2013 ;19 :123–6.
Al B, Yildirim C, Coban S, Aldemir M, Guloglu C. [Mortality factors
in flame and scalds burns: our experience en 816 patients]. Ulus Travma Acil Cerrahi Derg 2009 ;15 :599–606.
Reis E, Yasti AC, Kerimoglu RS, Dolapci M, Doganay M, Kama NA.
The effects of habitual negligence among families with respect to pediatric burns. Ulus Travma Acil Cerrahi Derg 2009 ;15 :607–10
Han TH, Kim JH, Yang MS, Han KW, Han SH, Jung JA, et al. A retrospective analysis of 19,157 burns patients : 18-year experience from Hallym Burn Center in Seoul, Korea. Burns 2005 ;31 :465–70.
Mohammadi-Barzelighi H, Alaghehbandan R, Motevallian A, Alinejad F, Soleimanzadeh-Moghadam S, Sattari M, et al. Epidemiology of severe burn injuries in a Tertiary Burn Centre in Tehran, Iran. Ann Burns Fire Disasters 2011 ;24 :59–62.
Taghavi M, Rasouli MR, Boddouhi N, Zarei MR, Khaji A, Abdollahi M. Epidemiology of outpatient burns in Tehran: an analysis of 4813 cases. Burns 2010 ;36 :109–13