Epidemiological and Clinical Profile of Pediatric Burns in the COVID-19 Era: The Experience of a Reference Center

Area of Science:

• Pediatric Burn Care
• Public Health
• Wound Management

Background:

• Pediatric burns are a significant public health concern requiring effective prevention and treatment strategies.
• Understanding the specific characteristics of pediatric burns is crucial for improving patient outcomes.

Purpose of the Study:

• To analyze the epidemiological and clinical characteristics of pediatric burn injuries.
• To identify key factors influencing burn severity and treatment duration.
• To inform the development of enhanced prevention and care strategies for pediatric burn patients.

Main Methods:

• Retrospective analysis of pediatric burn patients admitted between January 2020 and June 2022.
• Evaluation of patient demographics, burn etiology, total burn surface area (TBSA), burn degree, length of hospital stay (LOS), and microbial colonization.
• Assessment of outcomes in patients with concomitant SARS-CoV-2 infection.

Main Results:

• Eighty-three percent of burns occurred in children aged 0-4 years, with hot liquids being the most common cause (79%).
• Mean TBSA was 14 ± 11%, with 79% being second-degree burns and 21% third-degree.
• Mean LOS was 17 days; SARS-CoV-2 infection did not increase infection risks or sequelae. Fifteen bacterial species and C. parapsilosis were isolated, with no anaerobic microorganisms detected.

Conclusions:

• Hot liquid scalds are the predominant cause of burns in young children, highlighting the need for targeted prevention.
• A multidisciplinary and proactive management approach is essential for optimal care of pediatric burn patients.
• Effective strategies should focus on early identification, appropriate treatment, and infection control, considering factors like microbial colonization.