Pediatric genitourinary injuries in the United States from 2002 to 2010

Gregory E Tasian1, Herman S Bagga, Patrick B Fisher

  • 1Division of Urology, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

The Journal of Urology
|November 24, 2012
PubMed

Insights

Pediatric genitourinary injuries affect an estimated 252,392 children, with sporting equipment and furniture posing the greatest risks. Promoting protective gear and safer product choices can reduce these childhood injuries.

Area of Science:

  • Pediatric Urology
  • Injury Epidemiology
  • Public Health

Background:

  • Genitourinary injuries in children represent a significant public health concern.
  • Understanding the epidemiology of these injuries is crucial for prevention strategies.

Purpose of the Study:

  • To describe the epidemiological features of pediatric genitourinary injuries.
  • To identify products and events associated with an increased risk of these injuries in children.

Main Methods:

  • Utilized the National Electronic Injury Surveillance System (NEISS) database.
  • Analyzed data from children aged 18 years or younger treated for genitourinary injuries in US emergency departments (2002-2010).
  • Performed weighted analyses to generate national estimates with 95% confidence intervals.

Main Results:

  • An estimated 252,392 children sustained genitourinary injuries between 2002 and 2010.
  • Children aged 4-7 years were most affected (36.8%), with girls comprising 55% of injuries.
  • Commonly injured sites included female external genitalia (37.7%), penises (21.6%), and testicles (12%), often linked to sporting equipment (35.7%) and furniture (15.5%).

Conclusions:

  • Pediatric genitourinary injuries lead to approximately 28,000 emergency department visits annually.
  • Recommendations include promoting protective gear and safer product selection to mitigate injury risks.
  • Targeted prevention efforts are needed for high-risk age groups and scenarios.
Abstract

Related Concept Videos

Nursing Assessment of the Genitourinary System I: Health History01:21

Nursing Assessment of the Genitourinary System I: Health History

The genitourinary system is critical to maintaining fluid balance, waste elimination, and reproductive function. Nurses play a vital role in assessing this system, beginning with a thorough health history. This process involves gathering patient information, identifying risk factors, and recognizing symptoms of genitourinary disorders. Early detection is vital for timely interventions and management.1. Gathering Patient InformationA complete health history includes the patient’s personal,...
Pharmacokinetics in Pediatric Patients: Drug Excretion01:26

Pharmacokinetics in Pediatric Patients: Drug Excretion

In pediatric medicine, understanding the renal function and drug elimination nuances is crucial for administering safe and effective treatments. Newborns, in particular, display markedly slower renal functions than adults, profoundly affecting how drugs are cleared from their bodies. This slower drug clearance requires clinicians to extend the dosing intervals for many medications to prevent drug accumulation and toxicity while ensuring therapeutic efficacy.One key area where these adjustments...
Acute Pyelonephritis I: Introduction01:27

Acute Pyelonephritis I: Introduction

Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such as Proteus,...
Acute Kidney Injury II: Pathophysiology01:29

Acute Kidney Injury II: Pathophysiology

Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
Acute Kidney Injury IV: Diagnostic Studies and Prevention01:30

Acute Kidney Injury IV: Diagnostic Studies and Prevention

Accurate diagnosis and effective prevention are critical in managing Acute Kidney Injury (AKI), which is linked to high mortality rates ranging from 10% to 80%. Timely recognition of at-risk patients and careful monitoring can significantly reduce the likelihood of kidney damage.Diagnostic Assessments:The diagnostic process starts with a comprehensive medical history to identify prerenal, intrarenal, and postrenal causes.Prerenal causes, such as dehydration, hypotension, or blood loss, should...
Urinary Tract Infection II: Pathophysiology01:25

Urinary Tract Infection II: Pathophysiology

The pathophysiology of urinary tract infections (UTIs) encompasses several progressive stages, beginning with bacterial colonization and culminating in potential systemic complications if untreated. UTIs are primarily initiated by bacteria, such as Escherichia coli, which often originate from the gastrointestinal tract and migrate to the urinary system through the periurethral area. This migration can occur via several routes, including improper hygiene practices, sexual activity, or...