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Infants under 1 year of age have a significant risk of burn injury
Dai Q A Nguyen1, Sean Tobin, William A Dickson
1The Welsh Centre for Burns and Plastic Surgery, Morriston, Swansea, United Kingdom. dainguyen@doctors.org.uk
Insights
Infants under one year old experienced 104 burn admissions, primarily scalds from hot drinks and contact burns from household items. This highlights a critical need for targeted burn prevention strategies for this vulnerable age group.
Area of Science:
- Pediatric burn epidemiology
- Infant injury prevention
- Public health
Background:
- Limited data exists on burn epidemiology specifically in infants under one year old.
- This age group is developing mobility, increasing potential for home accidents.
- Understanding infant burn causes is crucial for effective prevention.
Purpose of the Study:
- To analyze the epidemiology of burns in infants under one year of age.
- To identify common burn types, sources, and demographic patterns.
- To inform targeted burn prevention strategies for this population.
Main Methods:
- Retrospective study of burn admissions in infants (<1 year) at The Welsh Centre for Burns (Jan 2003 - Jan 2006).
- Analysis of 104 identified burn cases, representing 11.8% of pediatric admissions.
- Categorization of burn types (scalds, contact), sources, and total body surface area (TBSA) affected.
Main Results:
- Burns increased with age, predominantly occurring in the home environment.
- Scalds were the most common burn type (65%), followed by contact burns (30%).
- Common scald sources included hot drinks (39%); contact burns involved radiators/hot water pipes (30%). Mean TBSA was 2.3%.
Conclusions:
- The high frequency of burns in infants underscores the need for focused prevention efforts.
- Specific attention to scalds from hot drinks and bottle warming, and contact burns from household heating elements is required.
- Developing tailored prevention advice for caregivers of infants is essential.
Abstract:
A wealth of data exists concerning paediatric burn epidemiology in general, but very little exists specifically in infants under 1 year of age, a special group in which mobility begins to develop. A retrospective study of all burn admissions of infants under 1 year old to The Welsh Centre for Burns from January 2003 to January 2006 was performed. During the 3-year period there were 104 new burns cases identified which represents 11.8% of all paediatric admissions. 63.5% (66) were treated as inpatients and 36.5% (38) treated as out-patients. Burns increased in frequency with increasing age and occurred mainly in the home. Scalds were the commonest type of burn in 65% (68) whilst the second most common was contact burns which accounted for 30% (31). The most common source of scald was from cups containing hot drinks (39%) and the most common source of contact burn was radiators/hot water pipes (30%). The mean TBSA was 2.3%, (range 0.5-38%). The frequency of burns in the under 1 year old population highlights a need for emphasis of burn prevention directed to this group. Special attention is needed to look at the specific aetiology of these burns. Starting points for prevention should address the number of burns surrounding hot drinks and bottle warming practices in the case of scalds and the dangers of household radiators and hot water pipes in the case of contact burns.
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