Neonatal Burn Injuries Managed in a Neonatal Intensive Care Unit of a Tertiary Hospital in North-Central Nigeria.

Autor: Yiltok SJ; Department of Surgery, University of Jos/Jos University Teaching Hospital, Jos, Nigeria., Akintayo AJ; Department of Surgery, Jos University Teaching Hospital, Jos, Nigeria., Toma BO; Department of Paediatrics, University of Jos/Jos University Teaching Hospital, Jos, Nigeria., Diala UM; Department of Paediatrics, University of Jos/Jos University Teaching Hospital, Jos, Nigeria., Dafong AA; Department of Surgery, Jos University Teaching Hospital, Jos, Nigeria., Karago CY; Department of Plastic Surgery, Prince Mishari bin Saud Hospital, Baljurashi, Bahah Region, Kingdom of Saudi Arabia., Choji JD; Department of Surgery, Federal Medical Centre, Azare, Nigeria., Idrisu A; Department of Surgery, Dalhatu Araf Specialist Hospital, Lafia, Nigeria.
Jazyk: angličtina
Zdroj: Journal of the West African College of Surgeons [J West Afr Coll Surg] 2023 Jan-Mar; Vol. 13 (1), pp. 84-90. Date of Electronic Publication: 2023 Jan 18.
DOI: 10.4103/jwas.jwas_214_22
Abstrakt: Introduction: Neonatal burn injuries are rare in clinical practice. This explains the many case reports of such injuries. This is a report of our experience in the management of neonatal burn injuries in our centre.
Materials and Methods: This is a retrospective study of neonatal burn injuries that were managed over an eight year period (2014-2022). The information that was retrieved from the case notes included the socio-demographic data, birth weight, weight at admission, type of injury, total burn surface area (TBSA), depth of burn injury, type of treatment, length of hospital stay and outcome of care. The data were then entered into the SPSS version 25 (IBM Corp., United States) software and analysed.
Results: We managed 11 neonates, five males and six females with a male: female (M: F) ratio of 1:1.2. Their age ranged from zero to 25 days with a median (IQR) of 2 (1 -15) days. Eight (72.7%) of them were one to two days old and eight (72.7%) were admitted as out born. Majority (81.8%) of the mothers were primiparous women. Nine (81.8%) of the injuries were as a result of hot water bath. Most (66.6%) of these baths were done by the grandmothers or mothers of the babies. The total burn surface area (TBSA) ranged from 1% to 62%, with a median (IQR) of 11 (7.5 - 19.0). None of the babies had skin grafting. The length of stay (LOS) ranged from six days to 25 days with a median (IQR) of 11.0 (7.0 - 16.0) days. Only one baby died giving a hospital mortality rate of 9.1%.
Conclusions: The commonest cause of neonatal burn injury in this series is scald injuries from hot water bath. Providing education about safe bathing to caregivers should be included in routine antenatal and postnatal instructions in order to prevent burns.
Competing Interests: There are no conflicts of interest.
(Copyright: © 2023 Journal of West African College of Surgeons.)
Databáze: MEDLINE