Efficacy of a burn prevention educational program to diminish the incidence of burn injuries in the pediatric population

IF 3.2 3区 医学 Q2 CRITICAL CARE MEDICINE Burns Pub Date : 2024-10-04 DOI:10.1016/j.burns.2024.09.018
Hilarión Castañeda-Rodríguez , Elizabeth López-Segura , Rocío Muñoz-Sandoval , Oscar Fabian Gutiérrez-Tenorio , Juan Manuel Marquez-Romero
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Abstract

Background

Pediatric burn injuries are a significant public health issue in low- and middle-income countries, leading to substantial morbidity and mortality. This study aimed to evaluate the efficacy of the No+Quema2 educational program, implemented in Aguascalientes, Mexico, in preventing burn injuries among children under nine years old.

Methods

The No+Quema2 program, initiated in 2014, included educational courses for children, training for health workers, and specialized care for children with burn sequelae. Epidemiological data on burn injuries from 2014 to 2022 were retrieved from the National System of Epidemiological Surveillance of the Health Ministry of Mexico. Monthly incidence rates per 100,000 inhabitants were analyzed using the Mann-Kendall trend test and segmentation analysis to detect trends and changes.

Results

The program trained over 25,000 scholars from 1750 elementary schools and distributed medical kits for immediate burn care. Additionally, 200 children with burn sequelae received scheduled treatment. The analysis showed a significant decrease in the state incidence rate of burn injuries compared to the national mean post-implementation. The estimated number of burn injuries prevented during the study period was approximately 3839, or 604 per year.

Conclusion

The No+Quema2 program has made a significant impact on burn prevention among children in Aguascalientes, Mexico. Despite the limitations of relying on government-reported data, the correlation between the program's activities and the observed decrease in burn injuries is promising. These findings underscore the critical importance of the No+Quema2 program's activities in achieving sustained, targeted educational interventions and long-term reductions in burn injury incidence. They also highlight the need for more robust study designs to validate these outcomes, emphasizing the importance of evidence-based strategies in future burn prevention efforts.
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烧伤预防教育计划对降低儿童烧伤发病率的效果。
背景:在中低收入国家,小儿烧伤是一个重要的公共卫生问题,会导致严重的发病率和死亡率。本研究旨在评估在墨西哥阿瓜斯卡连特斯实施的 "No+Quema2 "教育计划在预防九岁以下儿童烧伤方面的效果:No+Quema2计划于2014年启动,包括儿童教育课程、卫生工作者培训以及烧伤后遗症儿童的专业护理。从墨西哥卫生部的国家流行病学监测系统中获取了2014年至2022年的烧伤流行病学数据。使用 Mann-Kendall 趋势测试和分段分析法对每 10 万居民的月发病率进行了分析,以检测趋势和变化:该计划培训了来自 1750 所小学的 25000 多名学生,并分发了用于烧伤即时护理的医疗包。此外,200 名患有烧伤后遗症的儿童接受了定期治疗。分析表明,与全国平均水平相比,该州在计划实施后的烧伤发病率大幅下降。在研究期间,估计预防的烧伤人数约为 3839 人,即每年 604 人:No+Quema2计划对墨西哥阿瓜斯卡连特斯的儿童烧伤预防工作产生了重大影响。尽管依赖政府报告的数据有其局限性,但该计划的活动与观察到的烧伤减少之间的相关性还是很有希望的。这些发现强调了 "No+Quema2 "计划活动在实现持续、有针对性的教育干预和长期降低烧伤发生率方面的重要性。这些研究结果还强调了需要更有力的研究设计来验证这些结果,并强调了循证策略在未来烧伤预防工作中的重要性。
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来源期刊
Burns
Burns 医学-皮肤病学
CiteScore
4.50
自引率
18.50%
发文量
304
审稿时长
72 days
期刊介绍: Burns aims to foster the exchange of information among all engaged in preventing and treating the effects of burns. The journal focuses on clinical, scientific and social aspects of these injuries and covers the prevention of the injury, the epidemiology of such injuries and all aspects of treatment including development of new techniques and technologies and verification of existing ones. Regular features include clinical and scientific papers, state of the art reviews and descriptions of burn-care in practice. Topics covered by Burns include: the effects of smoke on man and animals, their tissues and cells; the responses to and treatment of patients and animals with chemical injuries to the skin; the biological and clinical effects of cold injuries; surgical techniques which are, or may be relevant to the treatment of burned patients during the acute or reconstructive phase following injury; well controlled laboratory studies of the effectiveness of anti-microbial agents on infection and new materials on scarring and healing; inflammatory responses to injury, effectiveness of related agents and other compounds used to modify the physiological and cellular responses to the injury; experimental studies of burns and the outcome of burn wound healing; regenerative medicine concerning the skin.
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