PP203 Topic: AS19–Other: Ethics/Endocrine/Metabolism/Burns/Genetics/Rheumatology/Other: EPIDEMIOLOGICAL, CLINICAL, AND SHORT-TERM OUTCOME STUDY OF SEVERE BURNS IN CHILDREN: A REPORT ON 152 CASES

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Aims & Objectives: Burns represent a global public health problem affecting both adults and children. Each year, approximately 11 million people suffer from burns, with a higher prevalence among children, especially those under 5 years of age. Aim: To describe the epidemiological and clinical features, as well as the complications, of severe burns in children in the short term. Methods: It is a retrospective cross-sectional analytical study conducted on children with severe burns who were hospitalized in the Pediatrics Department of Sahloul Hospital in Sousse over a twenty-year period from January 2000 to December 2022. Results: We enrolled 152 children with a median age of 19 months [1 month - 13 years old]. The mean total body surface area burned was 12% [0.5% - 49%]. Deep burns were identified in 69.1% of cases. Upon admission, 0.6% of patients had unstable hemodynamics. Ventilatory support was required in 9.2% of cases, with inotropes administered to 10.5% of patients. Local treatment consisted of dressing changes and wound care in the operating room in 86.6% of cases, fasciotomy in 11.18% of cases, and skin grafting in 12.5% of cases. The most commonly observed complications were infectious complications (sepsis in 44.1% of cases). Factors associated with sepsis included hypoalbuminemia, second-degree superficial or deep burns, trunk burns, a burned body surface area >10%, and anemia. The mortality rate was 3.9%. Conclusions: The overall course of our patients was generally favorable, characterized by a low mortality rate. Sepsis remains the most feared short-term complication. Early and multidisciplinary management can reduce the morbi-mortality in these patients. Keywords: Children, Sepsis, Burns

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