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F Niyonzima¹, H Mboma Kamosi¹, J Soro¹

¹Médecins Sans Frontières (MSF), Bujumbura, Burundi.

Public Health Action

|August 2, 2023

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In burn patients treated in Burundi, factors like anemia, infection, and smoke inhalation significantly increased the risk of unfavorable outcomes. Implementing infection control and respiratory support can improve patient survival in resource-limited settings.

Area of Science:

Trauma care
Burn injury management
Public health in low-resource settings

Context:

Médecins Sans Frontières established a trauma center in Burundi in 2015.
In 2016, burn patients were admitted without a specialized unit.
The center aimed to treat victims of violence and later expanded to include burn care.

Purpose:

To investigate factors linked to adverse outcomes in hospitalized burn patients.
To identify predictors of death, referral, or discharge against medical advice.
To inform improved burn care strategies in resource-limited environments.

Summary:

A retrospective study analyzed 477 burn patients from 2016-2020.
Key risk factors for unfavorable outcomes included anemia, infection, and smoke inhalation.

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Children under 5 represented the majority of burn admissions.

Impact:

Findings highlight critical areas for intervention in burn care.
Recommendations include implementing septic isolation, training, bacteriology services, and respiratory support.
These measures can mitigate adverse outcomes, even in settings with limited resources.