• Burns · Aug 2018

    Genital burns in the United States: Disproportionate prevalence in the pediatric population.

    • Anas Tresh, Nima Baradaran, Thomas W Gaither, Kirkpatrick B Fergus, Aron Liaw, Ashwin Balakrishnan, Lindsay A Hampson, and Benjamin N Breyer.
    • Department of Urology, University of California-San Francisco, San Francisco, CA, United States.
    • Burns. 2018 Aug 1; 44 (5): 1366-1371.

    Introduction And ObjectivesTo describe the epidemiology of genital burns in the U.S. and investigate the underlying etiology.MethodsThe National Electronic Injury Surveillance System database was queried for individuals who sustained genital burns from 2000 to 2016. We collected data on age, gender, injury diagnosis, disposition, and causative agents. Multivariate analysis was performed to determine predictors of hospitalization.ResultsWe estimate 17,026 (95% CI 16,649-17,404) cases of genital burns presented to emergency departments nationally. Genital burns occurred more in males than females (12,295 vs 4,731). Scalding (57.9%) was the most common mechanism of injury and hot water (35.7%) the most common causative agent. Significant predictors of hospitalization on multivariate analysis were multi-surface (OR 4.4), scalding (OR 11.5) and thermal burns (OR 27.9). Children ages 0-2 had the highest prevalence of genital burns, and children ages 0-12 comprised 37.1% of the study. For children <5years of age, majority of the burns were caused by hot water in the bathroom. In age group 6-12, the most common causes of genital burns were cooking-related scalds due to hot foods and water.ConclusionsChildren sustain genital burns at a higher rate than adults and many appear to have a preventable mechanism. Improved product design for safety and educating caregivers about potential hazardous situations are needed.Copyright © 2018 Elsevier Ltd and ISBI. All rights reserved.

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