Yiltok Simon J, Akintayo Akintunde J, Toma Bose Ozoiza, Diala Udochukwu Michael, Dafong Atarang A, Karago Christopher Y, Choji Joshua D, Idrisu Abdulquadri
Department of Surgery, University of Jos/Jos University Teaching Hospital, Jos, Nigeria.
Department of Surgery, Jos University Teaching Hospital, Jos, Nigeria.
J West Afr Coll Surg. 2023 Jan-Mar;13(1):84-90. doi: 10.4103/jwas.jwas_214_22. Epub 2023 Jan 18.
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.
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.
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%.
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.
新生儿烧伤在临床实践中较为罕见。这就解释了为何有许多此类损伤的病例报告。本文报告了我们中心处理新生儿烧伤的经验。
这是一项对2014年至2022年八年间处理的新生儿烧伤病例的回顾性研究。从病历中检索到的信息包括社会人口统计学数据、出生体重、入院时体重、损伤类型、烧伤总面积（TBSA）、烧伤深度、治疗类型、住院时间和护理结果。然后将数据录入SPSS 25版（美国IBM公司）软件并进行分析。
我们共处理了11例新生儿，其中5例为男性，6例为女性，男女比例为1:1.2。他们的年龄从0天至25天不等，中位数（四分位间距）为2（1 - 15）天。其中8例（72.7%）年龄为1至2天，8例（72.7%）为外院转入。大多数母亲（81.8%）为初产妇。9例（81.8%）损伤是由于热水浴所致。这些洗浴大多（66.6%）由婴儿的祖母或母亲进行。烧伤总面积（TBSA）范围为1%至62%，中位数（四分位间距）为11（7.5 - 19.0）。所有婴儿均未进行皮肤移植。住院时间（LOS）范围为6天至25天，中位数（四分位间距）为11.0（7.0 - 16.0）天。仅1例婴儿死亡，医院死亡率为9.1%。
本系列中新生儿烧伤最常见的原因是热水浴烫伤。应将向护理人员提供安全洗浴教育纳入常规产前和产后指导，以预防烧伤。
