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[Chickenpox, burns and grafts].

J Rojas Zegers, L Fidel Avendaño

    Boletin Medico Del Hospital Infantil De Mexico
    |July 1, 1979
    PubMed
    Summary

    Chickenpox (varicella) in burned children undergoing surgery did not worsen outcomes. Graft repair surgery typically proceeded uneventfully during varicella infection stages.

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    Area of Science:

    • Pediatric Surgery
    • Infectious Diseases
    • Dermatology

    Context:

    • An outbreak of chickenpox (varicella) occurred in a specialized pediatric Burns Repair Surgery Unit.
    • The study involved 27 pediatric patients with burns requiring surgical repair.
    • The timeframe for the outbreak was June to November 1975.

    Purpose:

    • To analyze the correlation between varicella infection stages, burn trauma, and surgical repair outcomes.
    • To determine if varicella exacerbates burn healing or surgical repair.
    • To assess the safety and outcome of graft repair surgery in varicella patients.

    Summary:

    • Burns and their surgical repair did not appear to aggravate chickenpox (varicella) in pediatric patients.
    • Graft repair surgery generally had an uneventful outcome, even when performed during varicella's incubation, acme, or convalescence.
    • The study confirmed that peak secondary viremia in varicella precedes the onset of the exanthem, occurring during the late incubation period.

    Impact:

    • Provides evidence that pediatric burn patients with varicella can undergo necessary surgical repairs without increased risk.
    • Informs clinical decision-making regarding the timing of reconstructive surgery in children with concurrent varicella infections.
    • Contributes to understanding the natural history and viral kinetics of varicella in immunocompromised or recovering patient populations.

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