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Genital burns in the United States: Disproportionate prevalence in the pediatric population
Anas Tresh1, Nima Baradaran1, Thomas W Gaither1
1Department of Urology, University of California-San Francisco, San Francisco, CA, United States.
Insights
Genital burns are common in young children, often caused by preventable scalds from hot water. Public health initiatives should focus on caregiver education and safer product design to reduce these injuries.
Area of Science:
- Public Health
- Epidemiology
- Injury Prevention
Background:
- Genital burns represent a significant public health concern, particularly among pediatric populations.
- Understanding the epidemiology and etiology of these injuries is crucial for developing effective prevention strategies.
Purpose of the Study:
- To describe the epidemiology of genital burns in the U.S. from 2000 to 2016.
- To investigate the underlying causes and identify predictors of hospitalization for genital burn injuries.
Main Methods:
- Utilized the National Electronic Injury Surveillance System (NEISS) database.
- Analyzed data on demographics, injury diagnosis, disposition, and causative agents.
- Performed multivariate analysis to identify predictors of hospitalization.
Main Results:
- An estimated 17,026 emergency department cases of genital burns occurred nationally.
- Scalding (57.9%) was the most common mechanism, with hot water (35.7%) as the leading agent.
- Children aged 0-12 accounted for 37.1% of cases, with younger children experiencing burns primarily from bathroom hot water and older children from cooking-related incidents.
Conclusions:
- Children experience genital burns at a higher rate than adults, with many injuries being preventable.
- Recommendations include improved safety in product design and enhanced caregiver education on hazardous situations.
Introduction And Objectives:
To describe the epidemiology of genital burns in the U.S. and investigate the underlying etiology.
Methods:
The National Electronic Injury Surveillance System database was queried for individuals who sustained genital burns from 2000 to 2016. We collected data on age, gender, injury diagnosis, disposition, and causative agents. Multivariate analysis was performed to determine predictors of hospitalization.
Results:
We estimate 17,026 (95% CI 16,649-17,404) cases of genital burns presented to emergency departments nationally. Genital burns occurred more in males than females (12,295 vs 4,731). Scalding (57.9%) was the most common mechanism of injury and hot water (35.7%) the most common causative agent. Significant predictors of hospitalization on multivariate analysis were multi-surface (OR 4.4), scalding (OR 11.5) and thermal burns (OR 27.9). Children ages 0-2 had the highest prevalence of genital burns, and children ages 0-12 comprised 37.1% of the study. For children <5years of age, majority of the burns were caused by hot water in the bathroom. In age group 6-12, the most common causes of genital burns were cooking-related scalds due to hot foods and water.
Conclusions:
Children sustain genital burns at a higher rate than adults and many appear to have a preventable mechanism. Improved product design for safety and educating caregivers about potential hazardous situations are needed.
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