Citation

Ridel P, Lemesle M, Vabres N, Lancien U, Perrot P. Ann. Chir. Plast. Esthet. 2019; ePub(ePub): ePub.

Vernacular Title

Brûlures par immersion chez l’enfant et maltraitance.

Affiliation

Service de chirurgie plastique et reconstructrice, centre des brûlés, CHU de Nantes, hôpital Hôtel Dieu, 44093 Nantes cedex 01, France. Electronic address: pierre.perrot@chu-nantes.fr.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.anplas.2019.07.022

PMID

31421924

Abstract

AIM OF THE STUDY: Ten percent of childhood burns could arise from maltreatment. While describing 6 severe cases of inflicted scalds by immersion in children, we expose our systematic diagnostic approach of abuse and confirm the serious nature of burn when they are inflicted. PATIENTS AND METHOD: The retrospective study concerned children hospitalized for scalds by immersion between 2013 and 2016 and for whom child abuse has been confirmed. Sex, age, burns description, needs of surgery, length of stay at hospital and protection plan set up were collected.

RESULTS: Six cases of burns by immersion due to maltreatment were identified (5 boys, 1 girl) with a median age of 12 months. The average total burn surface area was 19%. Burns were of deep second and third degree and always symmetric. Every child underwent surgery at least once. Concern information was transferred for all of them.

CONCLUSION: Teams taking care of children with burns must be trained to the difficult diagnostic of abuse or neglect so that early social interventions can be set up in case of maltreatment.

Copyright © 2019 Elsevier Masson SAS. All rights reserved.

Language: fr

Keywords

Abuse; Brûlure; Burn; Child; Diagnosis; Diagnostic; Enfant; Maltraitance; Maltreatment