Abstract
In a prospective study of 560 children treated for burns as in-patients over a period of four-and-a-half years in specialized hospitals responsible for the majority of burn cases in Kuwait, 388 patients (69%) had sustained scalds. The mean age of these 388 children, between 0 to 12 years, was 3.02 ± 2.08, and male to female ratio 1.5 to 1. They were categorized into three age groups, first, up to 1 year comprised 17.5% cases, who were solely dependent on parents or childminder; second, 2 to 5 years of age, who were inquisitive, independent, pre-school children, and constituted the majority of cases (73%), and third 6 to 12 years who were 9.5% school children. The pre-school children (2--5 yrs) thus formed a highly vulnerable group in the country. Accidents (99.4%) occurred at home and the kitchen being the commonest place. The hot water from pan and pots in the kitchen was the most common etiologic factor in 229 cases (59%), followed by tea/coffee 20.7%, soup 9.0%, hot oil 6.7%, and milk 4.6% patients. The most common circumstance was the child upsetting the pan of hot fluid in the kitchen. The mean total body surface areas of second and third degree burns were 14.21 ± 9.66 (range 1 to 60%). The average length of stay in the hospital was 16.90 ± 15.74 days, varying from one to 109 days. Thirty-nine children were ill prior to burn, and the commonest disease was respiratory tract infection. Three patients (0.8%) with 3rd degree burns were treated with primary excision and grafting, and 137 (35.3%) needed secondary skin grafting for residual burn wounds. Four patients (1%) died, one due to burn shock, two due to septicemia and one due to multiorgan failure. There is need for general awareness through public education, which may lead to the prevention of significant number of such accidents.
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References
Lyngdorf P. Epidemiology of scalds in small children. Burns 1986; 12: 250–253.
Bang RL, Mosbah KM. Epidemiology of burns in Kuwait. Burns 1988; 14: 194–200.
Van Rijn OJ, Bouter LM, Meertens RM. The aetiology of burns in developed countries: review of the literature. Burns 1989; 14: 17–21.
Cheung JC, Leung KS, Lam ZC, Leung PC. An analysis of 1704 burn injuries in Hong Kong children. Burns 1990; 16: 182–184.
Lindblad BE, Terkelsen CJ, Christensen H. Epidemiology of domestic burns related to products. Burns 1990; 16: 89–91.
Lari ARA, Bang RL, Ebrahim MKH, Dashti H. An analysis of childhood burns in Kuwait. Burns 1992; 18: 224–227.
Ryan CA, Shankowsky HA, Tredget EE. Profile of the paediatric burn patient in a Canadian Burn Centre. Burns 1992; 18: 267–272.
Iregbulem LM, Nnabuko BE. Epidemiology of childhood thermal injuries in Enuge, Nigeria. Burns 1993; 19: 223–226.
Smith RW, O'Neill TJ. An analysis into childhood burns. Burns 1984; 11: 117–124.
Parish RA, Novack AH, Heimbach DM, Engrav LH. Pediatric patients in a regional burn centre. Pediatr Emerg Care 1986; 2: 165–167.
Purdue GF, Hunt JL, Prescott PR. Child abuse by burning: Index of suspicion. J Trauma 1988; 28: 221–224.
Moir GC, Shakespeare V, Shakespear PG. Audit of thermally injured children under 5 years of age. Burns 1991; 17: 406–410.
Herdon DN, Rutan RL, Rutan TC. Management of the pediatric patient with burns. J Burn Care Rehabil 1993; 14: 3–8.
Lechleuthner A, Schmidt-Barbo A, Bouillon B, et al. Prehospital care of burns: an analysis of 3 years use of the emergency physician system (EPS) cologne. Burns 1993; 19: 153–157.
Ngim RC. Epidemiology of burns in Singapore children: An 11-year study of 2288 patients. Ann Acad Med Singapore 1992; 21: 667–671.
Zeitlin R, Somppi E, Jarnberg J. Paediatric burns in central Finland between the 1960s and the 1980s. Burns 1993; 19: 418–422.
Egan WC, Clark WR. The toxic shock syndrome in a burn victim. Burns 1988; 14: 135–138.
Blackency P, Herndon DN, Desai MH, et al. Longterm psychosocial adjustment following burn injury. J Burn Care Rehabil 1988; 9: 661–665.
Beard SA, Herndon DN, Desai M. Adaption of self image in burn disfigured children. J Burn Care Rehabil 1989; 10: 550–540.
Konigova R. The psychological problems of burned patients. The Ruddy Herman's lecture 1991. Burns 1992; 188: 189–199.
Le HQ, Zamboni W, Eriksson E, Baldwin J. Burns in patients under 2 and over 70 years of age. Ann Plast Surg 1986; 17: 39–44.
Stephen FR, Murray JP. The prevention of hot tap water burns: A study a electric immersion heater safety. Burns 1991; 17: 417–422.
Murry JP. A study of the prevention of hot tap water burns. Burns 1988; 14: 185–193.
Bradshaw C, Hawkins J, Leach M, et al. A study of childhood scalds. Burns 1988; 14: 21–24.
Schubert W, Ahrenholz DH, Solem LD. Burns from hot oil and grease: a public health hazard. J Burn Care Rehabil 1990; 11: 558–562.
Slater SJ, Slater H, Goldfarh IW. Burned children: a socio-economic profile for focused prevention programme. J Burn Care Rehabil 1987; 8: 566–567.
Yamamoto LG, Wiebe RA. Survey of childhood burns in Hawaii. Pediatr Emerg Care 1985; 1: 120–122.
Tennant WG, Davison PM. Bath scalds in children in the south-east of Scotland. JR Coll Surg Edinb 1991; 36: 319–322.
Adams LE, Purdue GF, Hunt JL. Tap water scald burns: Awareness is not the problem. J Burn Care Rehabil 1991; 12: 91–95.
Ebrahim MK, Bang RL, Lari AR. Scald accidents during water aerosol inhalation in infants. Burns 1990; 16: 291–329.
Sharma A, Sunderland R. Increasing medical burden of child abuse. Arch Dis Child 1988; 63: 172–175.
Maley MP. Children should be seen — not hurt. J Burn Care Rehabil 1987; 8: 135–136.
McLoughlin E, McGuire A. The causes, cost, and prevention of childhood burn injuries. Am J Dis Child 1990; 144: 77–83.
Meuli M, Lochbuhler H. Current concept in paediatric burn care: general management of severe burns. Eur J Pediatr Surg 1992; 2: 195–200.