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Updated: May 28, 2026

An Ex vivo Assay to Study Candida albicans Hyphal Morphogenesis in the Gastrointestinal Tract
Published on: July 1, 2020
[Fungal infections in a pediatric burn care]
María Teresa Rosanova1, Hugo Basilico, Mabel Villasboas
1Hospital Nacional de Pediatría Prof. Dr. Juan P. Garrahan, Buenos Aires, Argentina. margris2@yahoo.com.ar
Objective:
Retrospective description of fungal infections in a specialized intensive care burn unit.
Results:
A total of 41 (21%) of 195 patients admitted from January 2002 to March 2006 developed fungal infections at any site. The median age of patients was 48 months (interquartile range: 18-84), and the affected burn surface was 40% (interquartile range 30 and 65% The median time lapse between admission and fungal infections was 13 days (interquartile range 8-20 d) The most frequent site of isolation was burnt wound in 38 patients (93%) and in blood cultures in 3 patients (7%). In 93% of patients bacterial infections were also found. The predominant fungus recovered was Candida spp in 20 patients (49%); followed by Aspergillus sp in 6 patients (15%), Anphotericin B was the drug of choice. The median time of complete treatment was 23 days (interquartile range: 15-30). One patient died (2%) from causes related to fungal infection.
Conclusion:
A total of 41 (21%) of 195 patients admitted from January 2002 to March 2006 developed fungal infections. Candida sp was the most frequently found. Mortality was low.
Insights
Fungal infections affected 21% of burn intensive care unit patients, with Candida species being most common. Prompt treatment with Amphotericin B led to low mortality.
Area of Science:
- Medical Mycology
- Infectious Diseases
- Burn Care
Context:
- Fungal infections pose a significant threat to patients in specialized intensive care burn units.
- Burn wounds create a vulnerable environment for opportunistic fungal pathogen colonization.
Purpose:
- To describe the epidemiology and clinical characteristics of fungal infections in pediatric burn patients.
- To identify common fungal species, infection sites, and treatment outcomes in this population.
Summary:
- A retrospective study of 195 burn intensive care unit patients (January 2002-March 2006) found 41 (21%) developed fungal infections.
- Candida species were the most frequent isolates (49%), primarily in burn wounds (93%). Co-infection with bacteria was common (93%).
- Amphotericin B was the primary treatment, with a median treatment duration of 23 days and a low mortality rate of 2%.
Impact:
- Highlights the prevalence of fungal infections in burn patients, emphasizing the need for vigilant monitoring.
- Informs clinical practice regarding the choice of antifungal agents and management strategies for burn wound infections.
- Contributes to understanding the burden of fungal infections in critical care settings, potentially improving patient outcomes.
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