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[Filamentous fungal infection in burned patients: retrospective study.]

Florencia Spesso1, Susana Aiassa, Alicia Garutti

  • 1Hospital Córdoba. florenciaspesso@yahoo.com.ar.

Revista De La Facultad De Ciencias Medicas (Cordoba, Argentina)
|October 2, 2018
PubMed
Abstract

Insights

Filamentous fungal infections affected 17% of burn patients, with dematiaceous molds being most common. Fusarium species were linked to 50% of deaths in this burn intensive care unit (BICU) study.

Area of Science:

  • Medical Mycology
  • Infectious Diseases
  • Burn Care

Background:

  • Infections are a major complication for burn patients.
  • Data on filamentous fungal infections (IHF) in burn survivors is limited.
  • Understanding IHF prevalence and characteristics is crucial for patient outcomes.

Purpose of the Study:

  • To determine the prevalence of IHF in burn intensive care unit (BICU) patients.
  • To analyze the clinical, epidemiological, and microbiological features of IHF.
  • To identify the frequency and distribution of isolated fungi.

Main Methods:

  • Retrospective and descriptive study design.
  • Inclusion of patients admitted to the BICU from 2012-2015.
  • Analysis of positive cultures for filamentous fungi from skin biopsies and bedsores.

Main Results:

  • 17% (29/168) of BICU patients developed IHF.
  • Aspergillus spp. (24%), Fusarium sp. (14%), and black fungus genera (58%) were predominant.
  • Mortality rate for IHF patients was 24%, with Fusarium implicated in 50% of deaths.

Conclusions:

  • Filamentous fungal infections occur in 17% of burn patients.
  • Dematiaceous molds are the primary isolates.
  • Fusarium species are associated with a significant proportion of mortality.
Keywords:
fungiburn unitsmycoses

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