Management of Severe Burns in Children at the Intensive Care Unit of the Borgou Regional University Teaching Hospital (CHUD-B) in BeninAlexandre S Allode1, Blaise Adelin Tchaou2, Alphonse Noudamadjo3*, Childéric Affiémin Avossevou1, Elie Tamou1 and Gervais M Hounnou4
- *Corresponding Author:
- Alphonse Noudamadjo
Assistant Professor, Faculty of Medicine
University of Parakou, BP: 02 Parakou, Benin, France
E-mail: [email protected]
Received Date: July 20, 2016; Accepted Date: October 15, 2016; Published Date: October 17, 2016
Citation: Allode AS, Tchaou BA, Noudamadjo A, Avossevou CA, Tamou E, et al. (2016) Management of Severe Burns in Children at the Intensive Care Unit of the Borgou Regional University Teaching Hospital (CHUD-B) in Benin. J Trauma Treat 5:340. doi: 10.4172/2167-1222.1000340
Copyright: © 2016 Allode AS, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: Severe burns in children are common and their mortality is very high, particularly in developing countries. Objective: This study aims to investigate the epidemiological, clinical and therapeutic aspects of severe burns admitted to the CHUD-B intensive care unit. Patients and methods: It was a case-control study with descriptive and analytical purpose carried out in the CHUD-B from January 1st, 2010 to December 31, 2014. The study involved patients under 15 years of age with severe burns admitted to the intensive care unit. Findings: Among the 65 patients hospitalized for severe burn, 49 were children i.e. 75.3%. The mean age of burned children was 3.5 years (2 months and 12 years as extremes). Children under 5 years of age represented 71.4%. Males were predominant (57.1%). Average waiting time for admission after accident was 2 hours. Burn was accidental and most burns occurred at home (93.9%). The causative agent was thermal (100%); scalding represented 67.3%, and then flames 32.7%. Average body surface area burned (BSAB) was 30% and 2nd degree burns represented 95.9%. At the scene of the accident 46.5% of patients had received care. Treatment consisted of occlusive dressing with Biafine® and vascular filling. The administration of analgesic and antibiotics was systematic. No surgical treatment was provided. The average length of stay in the intensive care unit was 7 days. Complications were noted in 73.5% of the patients. Anemia (75.0%), hypovolemic shock (33.3%) and local infection (22.2%) were the main complications. Mortality rate was 40.8%. This high mortality was correlated to three major complications with P value less than 0.05. These complications were: hypovolemic shock, pneumonia and septicemia. Conclusion: Severe burn is life-threatening for the child. Primary prevention is the best way to combat against that condition.