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The toxic shock syndrome in burned children

J D Frame, M D Eve, M E Hackett

    Burns, Including Thermal Injury
    |April 1, 1985
    PubMed

    Insights

    Toxic Shock Syndrome (TSS) occurred in burned children, with a high mortality rate. Toxin-producing Staphylococcus aureus was implicated, even in cases with minimal burn surface area.

    Area of Science:

    • Pediatric Burn Care
    • Infectious Diseases
    • Toxicology

    Background:

    • Investigating presumed Toxic Shock Syndrome (TSS) in pediatric burn patients.
    • Assessing the incidence and severity of TSS in a regional burn unit.

    Observation:

    • Seven cases of presumed TSS were identified in burned children.
    • Four of the seven patients died, and three experienced severe complications.
    • Toxin-producing Staphylococcus aureus strains were identified in 30% of isolates.

    Findings:

    • A significant incidence of TSS was observed in pediatric burn patients.
    • TSS occurred even with burn surface areas less than 5%.
    • Staphylococcus aureus's role in TSS development in burn patients is highlighted.

    Implications:

    • Highlights the critical need for vigilance regarding TSS in pediatric burn management.
    • Suggests potential underdiagnosis of TSS in minor burns.
    • Recommends specific interventions and monitoring protocols for burned children to prevent TSS mortality.

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