Prevalence, clinical presentation and outcome of paediatric patients with burns managed and admitted at Kiryandongo District hospitaL Uganda
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Date
2018-05
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Publisher
Kampala International University. School of Health Sciences Western Campus
Abstract
Burn injuries are a global public health problem, accounting for an estimated 195 000 deaths annually. The majority of these occur in low- and middle-income countries and the rate of child deaths from burns is currently over seven times higher in low- and middle-income countries than in high-income countries. Burn injuries are largely considered as being preventable. However, one needs to know the patterns, causes and outcomes of burn injuries if intervention measures are to be effective.
Objective: the aim of this study was to determine the prevalence, clinical presentation and outcome of pediatric patients with burns managed and admitted at kiryandongo district hospital Uganda from January 2018 – March 2018.
Methodology: This study was conducted at kiryandongo district hospital from January- March 2018 by implementing a retrospective cross sectional study design. A total of 199 burn patients were recruited by simple random sampling method. Data was collected from patients’ medical record cards retrospectively. SPSS version 20 for widows was used for data entry and analysis. Descriptive statistics and logistic regression were used to analyze the data.Burn accounted for 13.07% of patients who had visited KDH during the study period. Children less than 3 years of age had the highest proportion of patients (53.3%) and the median total body surface area (TBSA) burned was 11% with a range of 1-95%. The most frequent burn injuries were scalds, followed by flame burns, contact burns with hot solid object and chemical burns with 59.8%, 33.17%, 3% and 1% respectively. Most of the burns (53.77%) healed with no or minor sequel and 3.52% of patients died in the study period. Cause of burn has statistically significant association with death (P= 0.027). The leading causes of burn are scalds which are preventable. Children should not be allowed in the kitchen and they should be kept in open safe paly areas or in their room with someone while their mothers are doing housework chores. The most effective way to prevent burns is public education.Key words/phrases: pediatric burn injuries, scald, partial thickness burn, full thickness burn, TBS
Description
A research dissertation submitted to the faculty of clinical medicine and dentistry in partial fulfillment of the requirements for the award of degree of bachelor of medicine and surgery of Kampala International University
Keywords
Paediatric patients, Burns, Kiryandongo District hospital