The Usage of Sage Oil (Bitter Apple Oil) in Infants in Denizli Province

Introduction: Sage oil (SO), derived from Salvia officinalis, also known as bitter apple oil, presents potential risks for infants. These risks include tonic-clonic seizures triggered by oral ingestion and chemical pneumonitis from inhalation. Limited data exist on dermal effects. This study investigates the usage of SO in infants and children in Denizli. Materials and methods: Demographic data, details of SO usage, advice sources, and convulsion history were collected through face-to-face interviews with mothers of children aged zero to four years. Results: Among the 388 participating mothers, 15.7% (n=61) reported using SO in their infants and children. The initial use occurred primarily on the day of birth (10.5%), with a mean of 73.5 days and a maximum of 18 months. Application areas included the abdomen (n=29), soles of the feet (n=26), chest (n=3), and other regions (n=4). None of the mothers reported oral administration. More than half of the mothers started using SO based on a family member’s recommendation. No significant differences in the frequency of SO use were found concerning family structure, mothers' education level, age at first birth, duration of marriage, or mode of delivery (normal/cesarean). Conclusion: According to the literature, the use of SO can lead to side effects. In our study, no instances of oral administration and related side effects were reported. Parents and caregivers should be made aware of this substance during childcare education.