Incidence of thermal burns in pediatric patients at the Erasmo Meoz University Hospital June 2023 – February 2025
DOI:
https://doi.org/10.24054/cbs.v3i3.4131Keywords:
Thermal burn, scald, pediatrics, incidenceAbstract
Introduction: Thermal burns in the pediatric population are one of the leading causes of childhood trauma worldwide, with serious physical and emotional consequences. The World Health Organization (WHO) identifies children as a highly vulnerable group, with the majority of cases being preventable. In Colombia, the National Institute of Health reports an increase in cases, especially in Norte de Santander. However, gaps in local knowledge about this problem persist. This study seeks to determine the incidence and characteristics of pediatric burns in Cúcuta to understand the epidemiological profile and guide preventive actions. Objective: To establish the incidence of thermal burns requiring surgical management and their eventual prognosis in the pediatric population. Methodology: A descriptive, observational, and retrospective study was conducted at the Erasmo Meoz University Hospital in San José de Cúcuta, Norte de Santander, Colombia, from June 2023 to February 2025. Medical records were selected from the database submitted by the IT department, based on inclusion and exclusion criteria, and data entry was performed using an-Excel spreadsheet. Results: Predominance in older male infants, scalds by hot liquids (75.3%) as the predominant causative agent, most injuries were second degree (85.7%) and mild (49.4%), percentage of surgical interventions (83.1%) with predominance of debridement and favorable prognosis with 100% survival. Conclusion: Pediatric thermal burns represent an important cause of morbidity in Cúcuta, with predominance of scalds in older infants, second-degree injuries, and surgical management. These findings, together with the high childhood vulnerability and risk conditions in the home environment, confirm the urgency of focused preventive strategies.
Downloads
References
Delgado-Panchana M, Santamaría-Proaño C, Oliveros-Rivero J, Soria-Tipse A, Rivadeneira-Maldonado A, Velasco-Espinoza J, et al. Tratamiento de niños gran quemados: Experiencia de 6 años en Guayaquil, Ecuador. Arch Med (Manizales) [Internet]. 2022;22(1). Disponible en: https://www.redalyc.org/articulo.oa?id=273872198003
Barczykowska E, Cyran M, Zreda-Pikies A, Kowalczyk M, Slusarz R, Kurylak A. Evaluation of the frequency of childhood hospitalization due to thermal injuries in the Provincial Polyclinical Hospital in Torun, Poland, 2007-2011. Ann Agric Environ Med [Internet]. 2018;25(1):26–30. Disponible en: http://dx.doi.org/10.5604/12321966.1233563
Loos M-LHJ, Almekinders CAM, Heymans MW, de Vries A, Bakx R. Incidence and characteristics of non-accidental burns in children: A systematic review. Burns [Internet]. 2020;46(6):1243–53. Disponible en: http://dx.doi.org/10.1016/j.burns.2020.01.008
Sánchez Zúñiga M de J, Estrada Victoria M, Garnica Escamilla MA, Tamez Coyotzin EA, Juárez Guzmán U. Perfil microbiológico en pacientes quemados graves. Medicina Crítica [Internet]. 2023 [citado el 7 de mayo de 2025];37(5):388–92. Disponible en: https://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S2448-89092023000500388&lng=es&nrm=iso
Jorge Luis Gaviria Castellanos M, Natalia Santamaría M, Carol Adriana Velandia Patiño M, Cristhian Balanta Popo M, Alexander Quintero Hernández M. Georreferenciación de las quemaduras en Bogotá, Colombia. Cirugia plastica y Reconstructiva. 2019;98:61–71. Disponible en: https://revistaciplastica.com/files/7_GEORREFERENCIACION-1.pdf
Gómez GM, Carreño AP, Pérez S. Quemaduras de la mano en niños: experiencia de 5 años en una unidad de quemados pediátrica en Bogotá -(Hand burns in children: a 5 year experience in a pediatric burn unit in Bogotá). Revista Colombiana de Cirugía Plástica y Reconstructiva [Internet]. 2021 [citado el 7 de mayo de 2025];27(1). Disponible en: https://www.ciplastica.com/ojs/index.php/rccp/article/view/164
Rodríguez Liévano AP, Veloza Vega MC, Vega Vega MR, Salgado García D. Caracterización de quemaduras en pacientes pediátricos del Hospital Universitario de Neiva, Colombia, entre 2015 y 2019. Arch Med (Manizales) [Internet]. 2023 [citado el 7 de mayo de 2025];23(1). Disponible en: https://revistasum.umanizales.edu.co/ojs/index.php/archivosmedicina/article/view/4557
Lozano Lozano AR, Arango Gaviria LM, Villada Ochoa OA. Características epidemiológicas, clínicas y funcionales de niños quemados atendidos en un hospital de alta complejidad de Medellín, Colombia. Revista Médica Colombiana de Medicina Fisica y Rehabilitacion [Internet]. Disponible en: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1578392
López Martínez, Eliana Lorena Guardiola Riveros, Julián Camilo Ortíz López, Laura Melissa Villalba Matamoros, Angélica. Factores clínicos y sociodemográficos asociados a infección de herida por quemaduras en adultos, una revisión de alcance. 2024; Disponible en: https://repository.urosario.edu.co/items/c48ef42b-4baa-43fc-ac5b-144f9e248802
Rachel Warby y Christopher V. Maani (2023). Burn Classification. Sep 26. (National Library of Medicine). https://www.ncbi.nlm.nih.gov/books/NBK539773/
World Health Organization: WHO. (2023, 13 octubre). Quemaduras. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/burns
Bresler, R. M., Barksdale, E., & Hansen, E. N. (2022). Pediatric Burn Care. Disponible en: https://pubmed.ncbi.nlm.nih.gov/35172326/
Park, F., Ruiz, A., Pang, J., Young, K., Roth, B., Smith, E., & Chin, T. L.(2024). 571 The Trauma Burden of Pediatric Burns in Low- and MiddleIncome Countries: A Systematic Review. Journal Of Burn Care & Research, 45(Supplement_1), 161-162. https://doi.org/10.1093/jbcr/irae036.205
Update, P. M. 2018. Advanced burn life support course. Ameriburn.org.Disponible en: https://ameriburn.org/wpcontent/uploads/2019/08/2018-abls-providermanual.pdf
Saavedra PAE, De Oliveira Leal JV, Areda CA, Galato D. The costs of burn victim hospital care around the world: A systematic review. Iran J Public Health [Internet]. 2021;50(5):866–78. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC8223566/
Wojciech Zwiereo, Krzysztof Piorun, Marta Skórka-Majewicz, Agnieszka Maruszewska, Jacek Antoniewski y Izabela Gutowska. (2023). Burns: Classification, Pathophysiology, and Treatment: A Review. Int. J. Mol. Sci. 2023, 24, 3749. Disponible en: https://pmc.ncbi.nlm.nih.gov/articles/PMC9959609/pdf/ijms-24-03749.pdf
Fernández Santervás Y MCM. Quemaduras, Protoc diagn ter pediatr. SEUP [Internet]. 2020; Disponible en: https://www.aeped.es/sites/default/files/documentos/21_quemaduras.pdf
Abril Beltrán RE. Quemaduras en pediatría. Enferm Investiga Investig Vincul Docencia Gest [Internet]. 2018;3(1 Sup):53–8. Disponible en: http://dx.doi.org/10.29033/ei.v3sup1.2018.09
Mehta M, Tudor GJ. Parkland formula. En: StatPearls. Treasure Island (FL): StatPearls Publishing; 2023. Disponible en: https://www.ncbi.nlm.nih.gov/books/NBK537190/
Wormald JC, Wade RG, Dunne JA, Collins DP, Jain A. Hydrosurgical debridement versus conventional surgical debridement for acute partial-thickness burns. Cochrane Database Syst Rev [Internet]. 2020;9(9):CD012826. Disponible en: http://dx.doi.org/10.1002/14651858.CD012826.pub2
Anyanwu JA, Cindass R. Burn debridement, grafting, and reconstruction. En: StatPearls. Treasure Island (FL): StatPearls Publishing;2023 https://www.ncbi.nlm.nih.gov/books/NBK551717/
onsDe Decker I, De Graeve L, Hoeksema H, Monstrey S, Verbelen J, De Coninck P, et al. Enzymatic debridement: past, present, and future. Acta Chir Belg [Internet]. 2022;122(4):279–95. Disponible en: http://dx.doi.org/10.1080/00015458.2022.2068746
Blatière V. Injertos cutáneos: injertos de piel de grosor variable y total. EMC - Dermatol [Internet]. 2021;55(1):1–17. Disponible en: http://dx.doi.org/10.1016/s1761-2896(21)44711-4
Wong L, Rajandram R, Allorto N. Systematic review of excision and grafting in burns: Comparing outcomes of early and late surgery in low and high-income countries. Burns [Internet]. 2021;47(8):1705–13. Disponible en: http://dx.doi.org/10.1016/j.burns.2021.07.001
Como tratar quemaduras II. Hospital Universitario de Getafe [Internet]. Disponible en: https://www.comunidad.madrid/hospital/getafe/profesionales/tratar-quemaduras-ii
Zonas de coagulación, éstasis e hiperemia de una quemadura. Estasis Hospital Universitario de Getafe [Internet]. Disponible en: https://www.comunidad.madrid/hospital/getafe/profesionales/tratar-quemaduras-ii
Velasco Zúñiga R. Triángulo de Evaluación Pediátrica [Internet]. Disponible en: https://www.pediatriaintegral.es/publicacion-2014-06/triangulo-de-evaluacion-pediatrica/
Familiar B. CODIGO DE INFANCIA ADOLESCENCIA LEY 1098 DE 2006. Disponible en: https://www.icbf.gov.co/sites/default/files/codigoinfancialey1098.pdf
Ley 100 de 1993 - Gestor Normativo [Internet]. Gov.co. [citado el 8 de mayo de 2025]. Disponible en: https://www.funcionpublica.gov.co/eva/gestornormativo/norma.php?i=5248
Sistema Nacional de Juventud [Internet]. Gov.co. [citado el 8 de mayo de 2025]. Disponible en: https://www.dnp.gov.co/LaEntidad_/subdireccion-general-prospectiva-desarrollo-nacional/direccion-desarrollo-social/Paginas/sistema-nacional-de-politicas-publicas-de-juventud.aspx
Repubila de Colombia , MIisterio de Minas y Energia. Reso N°180540. 229 pags. Disponible en: https://www.minenergia.gov.co/documents/3902/RES180540_2010.pdf
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Basic Health sciencies journal

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.