[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

Abstract

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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