Back ground: Burn injuries are a global public health problem, accounting for an estimated 195 000 deaths annually. The majority of these occur in low- and middle-income countries and the rate of child deaths from burns is currently over seven times higher in low- and middle-income countries than in high-income countries. Burn injuries are largely considered as being preventable. However, one needs to know the patterns, causes and outcomes of burn injuries if intervention measures are to be effective.. Objective: the aim of this study was to determine the magnitude, clinical presentation and outcome of pediatric burn patients seen in Yekatit 12 hospital from January 2012 – January 2014. Methodology: This study was conducted at Yekatit 12 hospital from December- June 2014 by implementing a retrospective cross sectional study design. A total of 422 burn patients were recruited by simple random sampling method. Data was collected from patients’ medical record cards retrospectively. SPSS version 20 for widows was used for data entry and analysis. Descriptive statistics and logistic regression were used to analyze the data. Result: Burn accounted for 6.4% of patients who had visited the pediatric department of Yekatit 12 hospital during the study period. Children less than 3 years of age had the highest proportion of patients (53.3%) and the median total body surface area (TBSA) burned was 11% with a range of 1-95% . The most frequent burn injuries were scalds, followed by flame burns, electrical burns , contact burns with hot solid object and chemical burns with 60%,32.9%, 3.8%, 2.4% and 0.9% respectively. Most of the burns ( 49%) healed with no or minor sequelae and 7.85% of patients died in the study period. Cause of burn has statistically significant association with death (P= 0.027). Conclusion and recommendation: The leading causes of burn are scalds which are preventable. Children should not be allowed in the kitchen and they should be kept in their beds or in their room while their mothers are doing housework chores. The most effective way to prevent burns is public education. Key words/phrases: pediatric burn injuries, scald, partial thickness burn, full thickness burn, TBSA