Neonatal burns in Lagos,South-Western Nigeria: Epidemiology and outcome of management |
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Authors: | Andrew Omotayo Ugburo Idowu Olusegun Fadeyibi Bolaji Oyawoye Mofikoya Olanrewaju Nurudeen Akanmu Edamisan Olusoji Temiye Okezie Obasi Kanu Muna Kenneth Chira Dennis Emonena Egbikuadje Adetinuwe Majekodunmi |
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Affiliation: | 1. College of Medicine, University of Lagos/Lagos University Teaching Hospital, Lagos, Nigeria;2. College of Medicine, Lagos State University/Lagos State University Teaching Hospital, Lagos Nigeria;3. National Orthopaedic Hospital Igbobi, Lagos, Nigeria;4. Federal Medical Center, Ebute-Meta, Lagos, Nigeria |
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Abstract: | BackgroundBurns in the neonate are rare and result mostly from iatrogenic sources in developed countries. The socioeconomic settings of developing countries are different from those in the developed countries. A review of the epidemiology and management of burns in the neonates in Lagos, Nigeria is presented.MethodsThe case notes of burns in patients less than 29 days-old from 2004 to 2008 in 4 tertiary health institutions in Lagos were retrieved from the Medical Records Department; necessary data were extracted and analyzed.ResultsThere were 21 neonates with burns within the study period. The incidence of neonatal burns ranged between 0.5 and 2.5%/year. The mean age was 16.38 ± 1.84 days and the mean BSA of 26.00 ± 5.53%. The etiology of burns was thermal in 19(90.5%) and chemical in 2(9.5%). Hypokalemia was common at early stages of their treatment. Burns were sustained at home in 90.5% of the cases. The mortality rate was 43.5%. Inhalation and thermal injuries were associated with most of the deaths.ConclusionDomestic incidents from flames are the commonest causes of neonatal burns in the study environment. These are associated with prolonged morbidity and high mortality rate. Health education, highlighting methods of prevention should be undertaken in the community. Well equipped burn centers should be established to treat burns in all age groups. |
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Keywords: | Neonatal Burns Burn epidemiology |
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