Burns Caused by Bioethanol Fireplaces: A Prospective Epidemiological Analysis in a Referral Burn Unit in Bogotá, Colombia (2020-2025)
PDF (English)
HTML Full Text (English)
XML Full Text (English)

Keywords

Burns
Bioethanol
Accident Prevention
Colombia

How to Cite

Burns Caused by Bioethanol Fireplaces: A Prospective Epidemiological Analysis in a Referral Burn Unit in Bogotá, Colombia (2020-2025). (2025). Universitas Medica, 66. https://doi.org/10.11144/Javeriana.umed66.bcbf
Almetrics
 
Dimensions
 

Google Scholar
 
Search GoogleScholar

Abstract

Introduction: Bioethanol fireplace burns represent an emerging public health issue associated with decorative devices using volatile fuels, posing severe injury risks. Objective: To describe clinical, demographic, and contextual characteristics of patients with bioethanol fireplace burns treated at a specialized burn unit in Bogotá. Methodology: Prospective, observational, and analytical study of all cases (n=24) between January/2020 and June/2025. Clinical, sociodemographic, and contextual variables were analyzed. Descriptive statistics, survival analysis, and quadratic regression were applied. Results: Median age was 40 years (IQR: 25–42); 66.7 % were men. Surgery was required in 50 %, mechanical ventilation in 25 %. The mortality rate was 16.7 %. Infections were present in 41.7 %. Most injuries occurred during ignition (75 %) and one-third had delayed hospital admission. Frequent ICD-10 codes: T311, T312, T315, T270, Y260, X040. Conclusion: Bioethanol burns are severe and increasing. Regulatory action, public education, and safer product designs are needed.

PDF (English)
HTML Full Text (English)
XML Full Text (English)

1. Boyd E. The growth of the surface area of the human body. Minnesota (MN): University of Minnesota Press; 1935.

2. Chen Z, Zhang M, Xie S, Zhang X, Tang S, Zhang C, et al. Global burden of thermal burns, 1990-2017: unbalanced distributions and temporal trends. Burns. 2022;48(4):915-25. https://doi.org/10.1016/j.burns.2021.08.002

3. Yakupu A, Zhang J, Dong W, Song F, Dong J, Lu S. The epidemiological characteristic and trends of burns globally. BMC Public Health. 2022;22(1):1596. https://doi.org/10.1186/s12889-022-13887-2

4. Wallace AB. The exposure treatment of burns. Lancet. 1951;257:501-4. https://doi.org/10.1016/S0140-6736(51)91975-7

5. Tobiasen J, Hiebert JM, Edlich RF. The abbreviated burn severity index. Ann Emerg Med. 1982;11(5):260-2. https://doi.org/10.1016/S0196-0644(82)80096-6

6. Neubrech F, Kiefer J, Schmidt VJ, Bigdeli AK, Hernekamp JF, Kremer T, et al. Domestic bioethanol-fireplaces—a new source of severe burn accidents. Burns. 2016;42(1):209-14. https://doi.org/10.1016/j.burns.2015.10.004

7. Tapking C, Willkomm L, Stolle A, Harhaus L, Hundeshagen G, Bliesener B, et al. Health-related quality of life after burn injury due to bioethanol-fueled fireplaces. Burns. 2024;50(3):685-90. https://doi.org/10.1016/j.burns.2023.11.001

8. Kraemer R, Knobloch K, Lorenzen J, Breuing KH, Koennecker S, Rennekampff H-O, et al. Severe burn injuries caused by bioethanol fireplaces. J Burn Care Res. 2011;32(2):173-7. https://doi.org/10.1097/BCR.0b013e31820aade7

9. Peck M, Pressman MA. The correlation between burn mortality rates from fire and flame and economic status of countries. Burns. 2013;39(6):1054-9. https://doi.org/10.1016/j.burns.2013.04.010

10. Drago DA. Gasoline-related injuries and fatalities in the United States, 1995-2014. Int J Inj Contr Saf Promot. 2018;25(4):393-400. https://doi.org/10.1080/17457300.2018.1431947

11. Barillo DJ, Stetz CK, Zak AL, Shirani KZ, Goodwin CW. Preventable burns associated with misuse of gasoline. Burns. 1998;24(5):439-43. https://doi.org/10.1016/S0305-4179(98)00035-7

12. Wibbenmeyer LA, Amelon MA, Loret de Mola RM, Lewis R 2nd, Kealey GP. Trash and brush burning: an underappreciated mechanism of thermal injury. J Burn Care Rehabil. 2003;24(2):85-9. https://doi.org/10.1097/01.BCR.0000054174.74803.7F

13. Sreedharan S, Menezes H, Cleland H, Goldie SJ. Petrol-related burn injuries in Victoria. Australas J Plast Surg. 2019;2(2):81-6. https://doi.org/10.34239/ajops.v2n2.153

14. Rainey S, Cruse CW, Smith JS, Smith KR, Jones D, Cobb S. Occurrence and seasonal variation of accelerant-related burn injuries. J Burn Care Res. 2007;28(5):675-80. https://doi.org/10.1097/BCR.0b013E318148C86E

15. Savage N, Doherty Z, Singer Y, Menezes H, Cleland H, Goldie SJ. A review of petrol burns in Australia and New Zealand. J Burn Care Res. 2023;44(5):1162-8. https://doi.org/10.1093/jbcr/irad008

16. Van Zoonen EE, van Eck IC, van Baar ME, Meij-de Vries A, van Schie CHM, van der Vlies C. Aetiology of bioethanol-related burn accidents. Burns. 2024;50(3):733-41. https://doi.org/10.1016/j.burns.2023.12.007

17. Van Zoonen E, van Eck I, van Baar M. The cause of burn accidents by the use of bio-ethanol. Injury Prev. 2016;22(Suppl 2):A152. https://doi.org/10.1136/injuryprev-2016-042156.416

18. Tapking C, Willkomm L, Stolle A, Harhaus L, Hundeshagen G, Bliesener B, et al. HRQoL after burn injury due to bioethanol fireplaces. Burns. 2023;50(3):685-90. https://doi.org/10.1016/j.burns.2023.11.001

19. Jaehn T, Müller L-K, Hauer N, Blank B, Kaiser M, Reichert B. Sekundär-plastisch-rekonstruktive Maßnahmen... Unfallchirurg. 2017;120(2):167-70 (in German). https://doi.org/10.1007/s00113-016-0258-1

Creative Commons License

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

Copyright (c) 2025 Albert Alejandro Ávila Álvarez, Jenny Carolina Páez-Figueroa, Luis Fernando Méndez Guarnizo, Aníbal A. Teherán, Norberto Navarrete Aldana, Federico Fernández Bernal