Iberoamerican Journal of Medicine
https://app.periodikos.com.br/journal/iberoamericanjm/article/doi/10.5281/zenodo.3701827
Iberoamerican Journal of Medicine
Original article

Childhood burns in Shisong, Northwestern Cameroon

Bamidele Johnson Alegbeleye

Downloads: 0
Views: 1199

Abstract

Objective: The study aimed to highlight the pattern and treatment outcome of childhood burn injuries in northwestern Cameroon. Such reports are expected to provide preventive and improvement guidelines in our settings in the long run.
Methods: Forty-two consecutive patients under fifteen with burns injuries managed at our facility were prospectively enrolled in the study.
Results: The study population was 42 patients, which consisted of 23 (54%) male and 19 (46%) female, with the median 2.40±3.05 years, interquartile range of 1-14 years. The most frequent timing of burns was about mid-day (median 11:50 am). The majority of injuries were right at the patient's homes (70% cases). Interestingly, 4%, 15%, and 20% applied raw-egg, ice, and nothing as the first intervention for their children burns, respectively. Scald burns were the leading category of wounds (p<0.012). The majority of the cases were minor burns injuries with TBSA of 1-12% (p=0.002), with a mortality rate of 4%.
Conclusion: Burns is still a significant health problem among children in northwestern Cameroon. Considering the application of raw egg and others like local herbs, therefore pre-hospital interventions may be harmful in our settings. Early and prompt response may be desirable, with strong advocacy for aggressive and urgent public health enlightenment campaigns on the prevention of childhood.

Keywords

Burns; Childrens; Injuries; Awareness; Etiology; Cameroon

References

1. Iqbal T, Saaiq M. The Burnt Child: An Epidemiological Profile and Outcome. J Coll Physicians Surg Pak. 2011;21(11):691-4. doi: 11.2011/JCPSP.691694.
2. World Health Organization; International Society for Burn Injuries. Facts about injuries: burns. Geneva: World Health Organization; 2004. Available at: www.who.int/violence_injury_prevention/publications/other_injury/en/burns_factsheet.pdf
3. Vyrostek SB, Annest JL, Ryan GW. Surveillance for fatal and non-fatal injuries- United States 2001. MMWR Surveill Summ. 2004;53:1-57.
4. Kypri K, Chalmers DJ, Langley JD, Wright CS. Child injury morbidity in New Zealand, 1987-1996. J Paediatr Child Health. 2001;37:227-34. doi: 10.1046/j.1440-1754.2001.00668.x.
5. Schubert W, Arhenholz DH, Solem LD. Burns from hot oil and grease: a public health hazard. J Burn Care Rehabil. 1990;11:558-62. doi: 10.1097/00004630-199011000-00014.
6. Harmel RP, Vane DW, King DR. Burn care in children: special considerations. Clin Plast Surg. 1986;13:95-105.
7. Ryan CA, Shankowsky HA, Tredget EE. Profile of the pediatric burn patient in a Canadian burn center. Burns. 1992;18:267-72. doi: 10.1016/0305- 4179(92)90146-l.
8. World Health Organization. Global Health Estimates 2000–2015. 2015a. http://www.who.int/healthinfo/global_burden_disease/en/. Accessed 22 Sept 2017.
9. Dissanaike S, Rahimi M. Epidemiology of burn injuries: highlighting cultural and socio-demographic aspects. Int Rev Psychiatry. 2009;21(6):505-11. doi: 10.3109/09540260903340865.
10. Alden NE, Rabbitts A, Yurt RW. Contact burns: is further prevention necessary? J Burn Care Res. 2006;27:472-5. doi: 10.1097/01.BCR.0000226102.43343.0A.
11. Kenardy JA, Spence SH, Macleod AC. Screening for posttraumatic stress disorder in children after accidental injury. Pediatrics. 2006;118:1002-9. doi: 10.1542/peds.2006-0406.
12. El-Maaytah KA, Albdour MN, Aldabbas MA, El-Sayegh OM, Alshdowh HQ, Khataybeh MS. Patterns and Sequelae of burn injury at the Jordanian Royal Medical Services rehabilitation center in 2005-2017: a cross-sectional study. Electron Physician. 2019;11(2):7552-7.
13. Bang R, Ghoneim I. Epidemiology and mortality of 162 major burns in Kuwait. Burns. 1996;22:433-8. doi: 10.1016/0305-4179(96)00015-0.
14. Bang R, Sharma P, Gang R, Ghoneim I, Ebrahim M. Burn mortality during 1982 to 1997 in Kuwait. Eur J Epidemiol. 2000;16(8):731-9. doi: 10.1023/a:1026702201874.
15. Fazeli S, Karami-Matin R, Kakaei N, Pourghorban S, Safari-Faramani R, Safari-Faramani B. Predictive Factors of Mortality in Burn Patients. Trauma Mon. 2014; 19(1):e14480. doi: 10.5812/traumamon.14480.
16. Muller M, Pegg S, Rule M. Determinants of death following burn injury. Br J Surg. 2001;88(4):583-7. doi: 10.1046/j.1365-2168.2001.01726.x.
17. Okoro PE, Igwe PO, Ukachukwu AK. Childhood Burns in South Eastern Nigeria. Afr J Pediatric Surg. 2009;6(1):24-7. doi: 10.4103/0189-6725.48571.
18. Othman N, Kendrick D. Epidemiology of burn injuries in the East  Mediterranean Region: a systematic review. BMC Public Health. 2010;10:83. doi: 10.1186/1471-2458-10-83.
19. Archibong AE, Antia UE, Udosen J. Childhood burns in South Eastern Nigeria. East Afr Med J. 1997;74:382-4.
20. Herndon DN, Rutan RL, Rutan TC. Management of the pediatric patient with burns. J Burn Care Rehabil. 1993;14:3-8. doi: 10.1097/00004630- 199301000-00002.
21. Al-Shehri M. The pattern of pediatric burn injuries in Southwestern, Saudi Arabia. West Afr J Med. 2004;23:294-9.
22. Kai-Yang L, Zhao-Fan X, Luo-Man Z, Yi-Tao J, Tao T, Wei W, et al. Epidemiology of pediatric burns requiring hospitalization in China: a literature review of retrospective studies. Pediatrics. 2008;122:132-42. doi: 10.1542/peds.2007-1567.
23. Huyer DW, Corkum SH. Reducing the incidence of tap-water scalds: strategies for physicians. CMAJ. 1997;156:841-4.
24. Ameh EA. Perineal burns in children. Afr J Pediatric Surg. 2004;1:33-5.
25. Adesunkanmi K, Oyelami OA. The pattern and outcome of burns injuries at the Wesley Guild Hospital, Ilesha Nigeria: A review of 156 cases. J Trop Med Hyg. 1994;97:108-12.
26. Uba AF, Edino ST, Yakubu AA. Pediatric burns: Management problems in a teaching hospital in north western Nigeria. Trop Doct. 2007;37(2):114-5. doi: 10.1177/004947550703700223.
27. Kalayi GD. Mortality from burns in Zaria: An experience in a developing economy. East Afr Med J. 2006;83:461-4. doi: 10.4314/eamj.v83i8.9459.
28. Dongo AE, Irekpita EE, Oseghali LO, Ogbebor CE, Iyamu CE, Onuminya JE. A five-year review of burn injuries in Irrua. BMC Health Serv Res. 2007;7:171. doi: 10.1186/1472-6963-7-171.
29. Datubo-Brown DD, Kejeh BM. Burns injuries in Port Harcourt, Nigeria. Burns. 1989;15:152-4. doi: 10.1016/0305-4179(89)90170-8.
30. Thombs BD. Patient and injury characteristics, mortality risk, and length of stay related to child abuse by burning: Evidence from a national sample of 15,802 pediatric admissions. Ann Surg. 2008;247:519-23. doi: 10.1097/SLA.0b013e31815b4480.
31. Alegbeleye BJ. Traditional bonesetting practices in the Northwest Region of Cameroon. East Cent Afr J Surg. 2019; 24(1):47-60. doi: https://dx.doi.org/10.4314/ecajs.v24i1.8.
32. Alegbeleye BJ. Traditional Medical Practice: An Appraisal of the Experience in Cameroon. IJHS. 2020;7(2):49-62.
33. Sözen I, Güldoğan CE, Yastı AC. Etiology of childhood burns and parental awareness in Turkey. Ulus Cerrahi Derg. 2016;32:168-72. doi: 10.5152/UCD.2016.3285.
34. Purdue GF, Layton TR, Copeland CA. Cold injury complicating burn therapy. J Trauma. 1985;25:167-8. doi: 10.1097/00005373-198502000-00017.
35. Yasti AC, Tumer AR, Atli M, Tutuncu T, Derinoz A, Kama NA. A clinical forensic scientist in the burns unit: necessity or not? A prospective clinical study. Burns. 2006;32:77-82. doi: 10.1016/j.burns.2005.07.006.
36. Fomukong NH, Chichom-Mefire A, Beyiha G, Mbuagbaw L, Edgar MML, Nkfusai NC, et al. Predictors of mortality of pediatric burn injury in the Douala General Hospital, Cameroon. Pan Afr Med J. 2019; 33:189. doi: 10.11604/pamj.2019.33.189.18498.
37. Forbinake NA, Dongmo G, Ohandza CS, Chichom-Mefire A, Fokam P, Beyiha G. Epidemiologic and clinical profile of burns in a tertiary hospital in Sub-Saharan Africa. Burns Open. 2020;4(1):22-7. doi: https://doi.org/10.1016/j.burnso.2019.10.001.


Submitted date:
02/25/2020

Reviewed date:
03/09/2020

Accepted date:
03/09/2020

Publication date:
03/09/2020

5e66afe10e882577406705af iberoamericanjm Articles
Links & Downloads

Iberoam J Med

Share this page
Page Sections