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Neonatal burn injuries: an agony for the newborn as well as the burn care team
1Department of Plastic Surgery and Burn Care Centre, Pakistan Institute of Medical Sciences (PIMS), Islamabad, Pakistan.
Insights
Neonatal burn injuries, primarily from room heaters in winter, affected 11 infants. Most burns were on the face/head and neck, with a high mortality rate despite surgical intervention.
Area of Science:
- Plastic Surgery
- Neonatal Care
- Burn Injury Research
Background:
- Neonatal burn injuries pose significant challenges in patient management.
- Understanding the epidemiology and causes of these injuries is crucial for prevention and treatment.
Purpose of the Study:
- To analyze the characteristics and outcomes of neonatal burn injuries.
- To identify common causes, affected areas, and treatment modalities for burns in neonates.
Main Methods:
- Retrospective analysis of 11 neonates managed for burn injuries.
- Data collected included age, gender, cause of burn, total body surface area (TBSA) burnt, affected areas, and treatment received.
Main Results:
- The majority of neonates were male (72.7%) and presented in winter.
- Accidental direct contact with room heaters was the most common cause (36.3%).
- Face/head and neck (10 neonates) were the most frequently affected areas, with a mean TBSA burnt of 18.72% and a 27.2% in-hospital mortality rate.
Conclusions:
- Neonatal burns, particularly in winter, require prompt and specialized care.
- Early wound excision and grafting are common surgical interventions.
- The high mortality rate underscores the severity of neonatal burn injuries and the need for preventative strategies.
Abstract:
This retrospective analysis of neonatal burn injuries was carried out at the Department of Plastic Surgery and Burn Care Centre, Pakistan Institute of Medical Sciences (PIMS), Islamabad, Pakistan. A total of 11 neonates who were aged less than 29 days were managed during the 2 year study period. Out of these, 72.7% (8) were male and 27.3% (3) were female. The mean age was 11.18±9.67days. The commonest underlying cause of burn insult was accidental direct contact with room heaters in 4 (36.3%) neonates. The TBSA burnt ranged from 3%-55%, with a mean of 18.72±17.13%. All the neonates (100%) presented during winter season. Among the body areas affected, the most common was face/head and neck (10). The commonest operative procedure undertaken among the neonates included early wound excision followed by resurfacing with split thickness autografts (5). There were three in-hospital mortalities (27.2%) in our series.
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