• Eva E van Zoonen, Inti C van Eck, van BaarMargriet EMEAssociation of Dutch Burn Centres (ADBC), Burn Centre, Maasstad Hospital, Rotterdam, the Netherlands; Department of Public Health, Erasmus MC, Rotterdam, the Netherlands., Annebeth Meij-de Vries, Carine H M van Schie, and Cornelis H van der Vlies.
• Dutch Burns Foundation, Beverwijk, the Netherlands. Electronic address: evanzoonen@burns.nl.
• Burns. 2024 Apr 1; 50 (3): 733741733-741.

BackgroundSince insight into the motivation of behaviour in bioethanol related burn accidents is lacking, this study aimed to qualitatively examine influencing factors in bioethanol related burn accidents. In order to identify target points for effective burn prevention.MethodsPatients previously admitted with bioethanol related acute non-intentional burn injury to the three Dutch burn centres were eligible. One interviewer conducted fourteen semi-structured interviews. Interviews were transcribed and coded by two independent researchers. Conclusions were drawn based on generalised statements on the concerned topics.ResultsFour overall themes in influencing factors were found, namely 1) motivation; including non-designated use and impaired judgement, 2) knowledge and education; including unknown product and properties and information overload, 3) risk perception; including poor recognisability of risks and preferred trial and error and 4) thresholds; including easy availability and unclear liability.ConclusionTrust in consumers may be over-estimated, as proper use cannot be expected. To prevent future bioethanol related burn incidents, thresholds for obtaining and using bioethanol should be increased, safe alternatives to ignite open fires and wood stoves should be provided and knowledge and warnings should be improved.Copyright © 2024 Elsevier Ltd and International Society of Burns Injuries. All rights reserved.

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