Thermal Injury in Newborns and Infants within the First 6 Months of Life

Document Type: Original Article

Authors

1 Neonatal Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

2 Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Background: The skin of newborns is very thin and sensitive to burns. In this age group, the mortality rate is very high. Burns account for approximately 2 million injuries annually in the United States alone out of which 500,000 cases need medical treatment and 100,000 cases require hospitalization. This study aimed to determine the incidence and magnitude of the injury, mortality rate, and causative agent in newborns and neonates within the first 6 months of life admitted to a burn unit.
Methods: The documents of all burned infants admitted to Imam Reza hospital of Mashhad, Iran, were retrospectively analyzed within 2001-2011.
Results: A total of 447 burns were admitted to this ward for 10 years. Twenty-five (6%) cases were in the first 6 months of life. Three (12%) cases were newborns (within the first 28 days of life). In addition, 15 (60%) cases were female. The mean age on admission was 5.3±1.2 months (a minimum of 3 days and maximum of 6 months). The mean total body surface area of burns was 23±15 percentile. The duration of hospital stay was 14±18 days, and the mortality rate was 12%. The source of burns was hot water (e.g., tea) and fire with 80% and 16%, respectively. Moreover, one (4%) case was a newborn that burnt in lower extremities due to the malfunction of the incubator.
Conclusion: The results of this study were the same as the findings of the studies conducted around the world. Hot water and fire were the most frequent sources of burns. Furthermore, females were injured more frequently than males.

Keywords


1. Antoon AY. Burn injuries. Textbook of pediatrics. 21th ed. New York: WB Saunders; 2020. P. 2864-5.
2. Wollgarten-Hadamek I, Hohmeister J, Demirakça S, Zohsel K, Flor H, Hermann C. Do burn injuries during infancy affect pain and sensory sensitivity in later childhood? Pain. 2009; 141(1-2):165-72.
3. Xiao Bing F, Tian Min C, Yong Ping L. Epidemiological characteristics of some countries and areas in Asia. Chin J Burns. 2004; 22:142-3.
4. Akerlund E, Huss FRM, Sjoberg F. Burns in Sweden: an analysis of 24538 cases during the period 1987-2004. Burns. 2007; 33(1):31-6.
5. Chien WC, Pai L, Lin CC, Chen HC. Epidemiology of
hospitalized burns patients in Taiwan. Burns. 2003; 29(6):582-8.
6. Kai-Yang L, Zhao–Fan X, Luo-Man Z, Yi-Tao J, Tao T, Wei W. Epidemiology of pediatric burns requiring hospitalization in china: a literature review of retrospective studies. Pediatrics. 2008; 122(1): 132-42.
7. Jin WZ, Qi C, Chang X, Guang YS. Statistical analysis of epidemiology of 1382 children with burns in Hainan province. Hainan Med. 2006; 17:17-6.
8. Sakallioglu AE, Basaran O, Tarm A, Turk E, Kut A, Haberal M. Burns in Turkish children and adolescents: nine years of experience. Burns. 2007; 33(1):46-51.
9. Fukunishi K, Takahashi H, Kitagishi H, Matsushima T, Kanai T, Ohsawa H, et al. Epidemiology of childhood burns in the critical care medical center Kinki university hospital in Osaka, Japan. Burns. 2000; 26(5):465-9.
10. Elisottir R, Ludvigsson P, Einorsson O, Thorgrimsson S, Haraldson A. Pediatric burns in Iceland hospital admission. 1995, a population based study. Burns. 1999; 25(2):149-51.
11. Burd A, Yue C. A global study of hospitalized paediatric burn patients. Burns. 2005; 31(4):432-8.
12. Cox SG, Rode H, Darani AN, Fitzpatrick-Swallow VL. Thermal injury within the first 4 months of life. Burns. 2011; 37(5):828-34.
13. Rimdeika R, Bagdonas R. Major full thickness skin burn injuries in premature neonate twins. Burns. 2005; 31(1):76-84.
14. McMullin BT, Blumin JH, Merati AL. Thermal injury to the tongue from an operative laryngoscope. Otolaryngol Head Neck Surg. 2007; 137(5): 798-802.
15. Hai Jun W, Jie X, Jun Z, Feng T, Hui HG. Comparable results of epidemiology of children with burns among different decades in a burn unit in JinZhou China. Burns. 2011; 37(3):513-20.
16. Mcartor RD, Saunders BS. Latrogenic second-degree burn caused by a transilluminator. Pediatrics. 1979; 63(3):422-4.
17. Perman MJ, Kauls LS. Transilluminator burns in the neonatal intensive care unit: a mimicker of more serious disease. Pediatr Dermatol. 2007; 24(2): 168-71.
18. Sajben FP, Gibbs NF, Friedlander SF. Transillu-mination blisters in a neonate. J Am Acad Dermatol. 1999; 41(2):264-5.