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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
biochemistry, genetics and molecular biology
The epidemiology, management, outcomes and areas for improvement of burn care in Central Malawi: An observational study
Journal of International Medical Research, Volume 39, No. 3, Year 2011
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Description
This report describes the epidemiology of burn injuries and quantifies the appropriateness of use of available interventions at Kamuzu Central Hospital, Malawi, between July 2008 and June 2009 (370 burn patients). Burns accounted for 4.4% of all injuries and 25.9% of all burns presenting to the hospital were admitted. Most patients (67.6%) were < 15 years old and 56.2% were male. The most frequent cause was scalding (51.4%). Burns occurred most frequently in the cool, dry season and in the evening. The mean burn surface area (second/third degree) was 14.1% and most burns (74%) presented within 8 h. The commonest procedure was debridement and/or amputation. The mean hospital stay was 21.1 days, in-hospital mortality was 27% and wound infection rate was 31%. Available interventions (intravenous fluids, nutrition therapy, physiotherapy) were misapplied in 59% of cases. It is concluded that primary prevention should address paediatric and scald burns, and secondary prevention should train providers to use available interventions appropriately.© 2011 field House Publishing LLP.
Authors & Co-Authors
Samuel, Jonathan C.
Malawi, Lilongwe
Kamuzu Central Hospital
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Campbell, Emilia L.P.
Malawi, Lilongwe
Unc Project-malawi
Mjuweni, Stephen N.
Malawi, Lilongwe
Kamuzu Central Hospital
Muyco, Arturo P.
Malawi, Lilongwe
Kamuzu Central Hospital
Cairns, Bruce A.
Malawi, Lilongwe
Kamuzu Central Hospital
Charles, Anthony G.
Malawi, Lilongwe
Kamuzu Central Hospital
Statistics
Citations: 48
Authors: 6
Affiliations: 3
Identifiers
Doi:
10.1177/147323001103900321
ISSN:
03000605
Research Areas
Food Security
Health System And Policy
Violence And Injury
Study Locations
Malawi
Participants Gender
Male