From the FDA Drug Label
Directions adults and children 2 years of age and older: clean the affected area apply a small amount of this product (an amount equal to the surface area of the tip of a finger) on the area 1 to 3 times daily may be covered with a sterile bandage children under 2 years of age: ask a doctor
For a 5-month-old child, the recommended application is not directly stated in the label. However, since the child is under 2 years of age, the label advises to ask a doctor.
- The label does not provide a specific amount for children under 2 years of age.
- It is recommended to consult a doctor for guidance on applying bacitracin to a 5-month-old child with 2nd degree burns. 1
From the Research
For a 5-month-old with second-degree burns on the right knee, apply a thin layer of bacitracin ointment to the burn area 2-3 times daily during dressing changes, as recommended by the most recent and highest quality study available 2. Change the bandages at least once daily, or more frequently if the dressing becomes wet, soiled, or if drainage is significant. When applying bacitracin, use just enough to cover the burn with a thin film—approximately a pea-sized amount for a knee-sized burn. Clean the area gently with warm water before each application, pat dry with sterile gauze, then apply the ointment and cover with sterile gauze secured with non-adhesive wrap. However, second-degree burns in an infant this young require immediate medical attention, as they can be serious and prone to infection, as noted in a study on the treatment of pediatric patients with burns 3. A healthcare provider should evaluate the burn to determine appropriate treatment, as the child may need specialized wound care, pain management, or even hospitalization depending on the burn's size and severity. Infants have thinner skin than adults, making burns potentially more serious, and they're at higher risk for complications like dehydration and infection. Some studies have compared the effectiveness of different topical treatments for burns, including silver sulfadiazine and Aloe vera 4, as well as Boswellia carteri and silver sulfadiazine 5, but the most recent and relevant study for this case is the one on silver sulfadiazine therapy for the management of burns 2. Key considerations for burn care include:
- Frequent dressing changes to prevent infection
- Gentle cleaning and drying of the burn area
- Application of a thin layer of topical antimicrobial agent, such as bacitracin
- Monitoring for signs of infection or other complications
- Immediate medical attention for infants with second-degree burns, due to their high risk of serious complications.