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Children at risk for accidental burns from hot tap water
B E Pichoff1, M Schydlower, S R Stephenson
1Department of Pediatrics, William Beaumont Army Medical Center, El Paso, Tex.
Insights
Young children face significant risks from hot tap water (HTW) burns. Most homes tested had unsafe HTW temperatures, and parents lacked awareness of the dangers, necessitating increased education on safety limits.
Area of Science:
- Pediatrics
- Public Health
- Environmental Health
Background:
- Young children are at high risk for accidental hot tap water (HTW) burns.
- The American Academy of Pediatrics recommends HTW temperatures not exceed 49°C (120°F).
- Temperatures of 52°C (125°F) and 54°C (130°F) can cause severe burns rapidly.
Purpose of the Study:
- To assess the risk of HTW injury at a military installation.
- To evaluate parental knowledge of safe HTW temperature limits.
- To determine the prevalence of unsafe HTW temperatures in family housing units.
Main Methods:
- Randomly selected 60 family housing units for HTW temperature measurement.
- Utilized both electronic and mechanical thermometers for accurate readings.
- Surveyed parents of children under 6 regarding their awareness of HTW burn risks.
Main Results:
- 88.3% and 73.3% of units exceeded 52°C (125°F) and 54°C (130°F), respectively.
- Unsafe HTW temperatures were detected across all tested heater settings.
- 51% of parents with young children were unaware of the specific dangers of HTW to their children.
Conclusions:
- Children on the military post are at high risk for severe accidental HTW burns.
- Current temperature settings are unreliable indicators of safety.
- Health providers should educate parents on HTW burn dangers and recommend the 49°C (120°F) safety limit.
Abstract:
The American Academy of Pediatrics identifies young children at risk for accidental hot tap water (HTW) burns and recommends that HTW temperatures be set no higher than 49 degrees C (120 degrees F). Studies show that a temperature of 52 degrees C (125 degrees F) can cause a full-thickness skin burn in 2 minutes and a temperature of 54 degrees C (130 degrees F) can result in a full-thickness skin burn in 30 seconds. We sought to identify the risk for HTW injury and the knowledge about safety limits at our military installation. Sixty family housing units were selected at random for measurement of HTW temperature by both an electronic thermometer and a mechanical thermometer. Fifty-three (88.3%) and 44 (73.3%) units had temperatures greater than 52 degrees C (125 degrees F) and 54 degrees C (130 degrees F), respectively. We found temperatures that were unsafe at all heater settings. Most parents with children younger than 6 years (51%) were unaware of the danger of HTW to their children. We concluded that children living on our military post were at high risk for serious accidental HTW burns. Moreover, existing qualitative settings are not reliable indicators of safe temperatures. We recommend that health-care providers inform parents about the dangers of HTW burns to children and advise setting maximum HTW temperatures to the 49 degrees C (120 degrees F) recommended by the American Academy of Pediatrics.
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