[Neonatal accidental burn by isopropyl alcohol].
Antiseptic solutions are commonly used for skin care but are not always safe. In preterm infants, application of antiseptic solutions can lead to serious burns. We report the case of a premature newborn who developed severe burns at 35 weeks post-conceptional age, after his mother used disposable antiseptic towels containing isopropyl alcohol for his skin care. Burns outcome led to diffuse skin burn and death of the baby. Several cases of isopropyl alcohol poisoning through skin absorption have been reported in neonate and infants. Because of its neonatal toxicity, isopropyl alcohol has been excluded from composition of antiseptic solutions commonly used in neonatology. However, isopropyl alcohol is still available in many housecleaning and cosmetic products, while its toxic effects in children are not clearly mentioned. A specific mention "toxic for infants and children" should appear on mass consumption products containing isopropyl alcohol. Moreover, health workers may individually inform parents about possible hazards of poisoning through skin absorption.
Service de réanimation néonatale, CHD Félix-Guyon, Bellepierre, 97405 Saint-Denis de la Réunion cedex, France. brayerclaire@hotmail.com
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D019840:2-Propanol / Q000506:poisoning*; D000061:Accidents, Home; D016470:Bacteremia / Q000150:complications; D002057:Burns, Chemical / Q000209:etiology* / Q000628:therapy; D013293:Enterococcus faecalis; D017809:Fatal Outcome; D016908:Gram-Positive Bacterial Infections / Q000150:complications; D006801:Humans; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000139:chemically induced* / Q000382:microbiology / Q000628:therapy; D008297:Male; D009102:Multiple Organ Failure / Q000139:chemically induced / Q000382:microbiology; D010290:Parents / Q000193:education; D011356:Product Labeling; D011552:Pseudomonas Infections / Q000150:complications; D012869:Skin Absorption; D017592:Skin Care / Q000009:adverse effects / Q000295:instrumentation; D017192:Skin Diseases, Bacterial / Q000150:complications; D013203:Staphylococcal Infections / Q000150:complications; D013212:Staphylococcus epidermidis
D019840:2-Propanol