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South Durham
Healthcare NHS Trust, Archer Street Health Clinic, Archer Street,
Darlington DL3 6LT, UK
Correspondence to: Dr Carpenter.
Accepted 15 December 1998
AIM
To obtain a
prevalence rate and determine the distribution of accidental bruising
in babies.
METHODS177 babies
aged 6-12 months were examined naked to look for bruises. They were
seen in health visitor hearing test clinics and child health
surveillance clinics. The site, size, shape, and colour of bruises were
recorded on a skin map, and the parent's explanation noted. Any other
injury was recorded. Data collection included the baby's age, mobility
and weight, demographic details, and health visitor concerns.
RESULTSTwenty two
babies had bruises, giving a prevalence rate of 12%. There was a total
of 32 bruises, 15 babies had one bruise. All bruises were found on the
front of the body and were located over bony prominences. Twenty five
of the bruises were on the face and head, and seven were on the shin.
The babies with bruises on the shin were mobile. There was a highly
significant increase in bruises with increase in mobility.
CONCLUSIONSThe study
has produced a prevalence and distribution of bruising in babies and
sets a baseline from which to work when assessing bruises. It also
tested out the methodology, which could be used in further research,
particularly of younger babies. Clinicians need to assess a baby's
level of development when considering whether a bruise is accidental.
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S Maguire, M K Mann, J Sibert, and A Kemp Are there patterns of bruising in childhood which are diagnostic or suggestive of abuse? A systematic review Arch. Dis. Child., February 1, 2005; 90(2): 182 - 186. [Abstract] [Full Text] [PDF]
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 J. Labbe and G. Caouette Recent Skin Injuries in Normal Children Pediatrics, August 1, 2001; 108(2): 271 - 276. [Abstract] [Full Text] [PDF]
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S A Warrington, C M Wright, and A. S. Team Accidents and resulting injuries in premobile infants: data from the ALSPAC study Arch. Dis. Child., August 1, 2001; 85(2): 104 - 107. [Abstract] [Full Text] [PDF]
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 M A Barber and J R Sibert Diagnosing physical child abuse: the way forward Postgrad. Med. J., December 1, 2000; 76(902): 743 - 749. [Full Text]
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A. L LUX Prevalence of bruising in babies Arch. Dis. Child., March 1, 2000; 82(3): 266f - 266. [Full Text]
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