{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T09:28:52Z","timestamp":1789032532509,"version":"build-2803163510"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T00:00:00Z","timestamp":1758240000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Burn injuries among migrants crossing the Mediterranean increasingly represent a serious health issue, particularly in southern Europe. We retrospectively reviewed 91 migrant patients admitted to the Burn Center of ARNAS Civico Hospital in Palermo between 2015 and 2025: 65 (71.4%) had chemical burns from seawater\u2013fuel mixtures, 25 (27.5%) had flame burns due to vessel explosions or torture, and 1 (1.1%) had a burn injury of other etiology. Mean age was 25\u2009\u00b1\u20099.84\u00a0years, and mean TBSA was 16.09%\u2009\u00b1\u200911.06%. Chemical burns healed faster than flame burns (P = .0043). Split-thickness grafting was required in 40.0% of flame burns versus 3.07% of chemical burns (P = .000026). Inhalation pneumonia occurred in 20% of flame burns versus 3.07% of chemical burns (P = .0164), and sepsis developed in 28.0% of flame burns versus 0% of chemical burns (P = .000064). Among the 7 septic patients, mean burn surface area was 32.14%\u2009\u00b1\u200916.54% TBSA, and 2 patients (28.57%) died. Predominant isolates included Acinetobacter baumannii and Klebsiella pneumoniae. These findings highlight the elevated risk of surgical, pulmonary, and infectious complications following flame burns in resource-limited maritime settings. Optimized burn care protocols, rapid microbiological diagnostics, and improved postrescue coordination are critical to reducing morbidity and mortality in this high-risk group.<\/jats:p>","DOI":"10.1093\/jbcr\/iraf179","type":"journal-article","created":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T12:06:07Z","timestamp":1758283567000},"page":"363-369","source":"Crossref","is-referenced-by-count":3,"title":["Burn Injuries Among Migrants Crossing the Mediterranean Sea: A 10-Year Experience From a Single Center"],"prefix":"10.1093","volume":"47","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8057-8237","authenticated-orcid":false,"given":"Walter Raffaele","family":"Milia","sequence":"first","affiliation":[{"name":"Burn Center, Emergency Department, ARNAS Hospital Civico Di Cristina Benfratelli , P.zza Leotta Nicola 4, Palermo, PA 90127 ,","place":["Italy"]},{"name":"Plastic and Reconstructive Surgery, Department of Precision Medicine in Medical, Surgical and Critical Care (Me.Pre.C.C.), University of Palermo , Palermo, PA 90127 ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuele","family":"Gervasi","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery, Department of Precision Medicine in Medical, Surgical and Critical Care (Me.Pre.C.C.), University of Palermo , Palermo, PA 90127 ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giovanni","family":"Alessandro","sequence":"additional","affiliation":[{"name":"Burn Center, Emergency Department, ARNAS Hospital Civico Di Cristina Benfratelli , P.zza Leotta Nicola 4, Palermo, PA 90127 ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monica","family":"Rizzo","sequence":"additional","affiliation":[{"name":"Research Office, Mediterranean Institute for Transplants and Highly Specialized Therapies (IRCCS ISMETT) , Via Ernesto Tricomi 5, Palermo, PA 90127 ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Pirrello","sequence":"additional","affiliation":[{"name":"Burn Center, Emergency Department, ARNAS Hospital Civico Di Cristina Benfratelli , P.zza Leotta Nicola 4, Palermo, PA 90127 ,","place":["Italy"]},{"name":"Plastic and Reconstructive Surgery, Department of Precision Medicine in Medical, Surgical and Critical Care (Me.Pre.C.C.), University of Palermo , Palermo, PA 90127 ,","place":["Italy"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,9,19]]},"reference":[{"key":"2026010605130162900_ref1","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1186\/s13031-020-00275-z","article-title":"Health status of rescued people by the NGO Open Arms in response to the refugee crisis in the Mediterranean Sea","volume":"14","author":"Ca\u00f1ardo","year":"2020","journal-title":"Confl Health"},{"issue":"1","key":"2026010605130162900_ref2","doi-asserted-by":"publisher","first-page":"taae104","DOI":"10.1093\/jtm\/taae104","article-title":"Histopathological analysis of fuel burns in deceased migrants","volume":"32","author":"Marrone","year":"2025","journal-title":"J Travel Med"},{"key":"2026010605130162900_ref3","doi-asserted-by":"publisher","first-page":"439","DOI":"10.1016\/S0305-4179(98)00035-7","article-title":"Preventable burns associated with the misuse of gasoline","volume":"24","author":"Barillo","year":"1998","journal-title":"Burns"},{"issue":"Supplement_5","key":"2026010605130162900_ref4","doi-asserted-by":"publisher","first-page":"v1","DOI":"10.1093\/eurpub\/ckaa165","article-title":"Migration and health in Europe: where are we now?","volume":"30","author":"Kunst","year":"2020","journal-title":"Eur J Pub Health"},{"issue":"9","key":"2026010605130162900_ref5","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0223063","article-title":"Systemic antibiotic prophylaxis does not affect infectious complications in pediatric burn injury: a meta-analysis","volume":"14","author":"Csenkey","year":"2019","journal-title":"PLoS One"},{"issue":"1","key":"2026010605130162900_ref6","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1111\/iwj.12588","article-title":"What should be the antibiotic prescription protocol for burn patients admitted in the department of burns, plastic and reconstructive surgery","volume":"14","author":"Mir","year":"2017","journal-title":"Int Wound J"}],"container-title":["Journal of Burn Care &amp; 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