Osteomyelitis in burn children: Ten years of experience.

Abstract:

INTRODUCTION:Osteomyelitis is uncommon among burn patients. OBJECTIVE:To describe the clinical, microbiological, and evolutionary characteristics of burn children with osteomyelitis hospitalized in a tertiary care facility. METHODS:Retrospective and descriptive study conducted between January 2007 and January 2017. RESULTS:Out of 600 burn children, 12 developed osteomyelitis (incidence: 2%). Eleven patients had a burn caused by direct fire. Patients' median age was 42.5 months (interquartile range [IQR]: 27-118 months), and their median burned surface area was 33.5% (IQR: 18.5-58%). Osteomyelitis was diagnosed at a median period of 30 days following the burn injury. The most common locations were the upper limbs and the cranial vault. Fever was the most frequent clinical manifestation. The most common microorganisms isolated in bone tissue were fungi in 9 patients. All showed compatible anatomopathological findings. The treatment lasted a median of 44.5 days (IQR: 34.5-65.5 days). Six patients had motor sequelae and 1 died. CONCLUSION:Fungal osteomyelitis was the most commonly observed etiology. Half of patients had functional sequelae and only 1 patient died. INTODUCCIÓN:La osteomielitis en pacientes quemados es infrecuente. OBJETIVO:Describir las características clínicas, microbiológicas y de evolución de niños quemados con osteomielitis internados en un hospital de alta complejidad. OBJETIVO:Describir las características clínicas, microbiológicas y evolutivas de niños con diagnóstico de osteomielitis internados en una Unidad de Quemados Pediátrica de alta complejidad. MÉTODOS:Estudio retrospectivo y descriptivo realizado durante el período de enero de 2007 a enero de 2017. RESULTADOS:Sobre un total de 600 niños quemados, 12 presentaron osteomielitis (incidencia del 2%). Once pacientes presentaron quemadura por fuego directo. La mediana de edad fue 42,5 meses (rango intercuartílico -RIC- 27-118 meses) y de superficie quemada fue 33,5% (RIC 18,5-58%). La osteomielitis se diagnosticó con una mediana de 30 días posquemadura. Las localizaciones más frecuentes fueron las extremidades superiores y la calota. La fiebre fue la manifestación clínica más común. Los microorganismos más frecuentemente aislados en el tejido óseo fueron hongos en 9 pacientes. Todos presentaron anatomía patológica compatible. La mediana de tratamiento fue 44,5 días (RIC 34,5-65,5 días). Seis pacientes presentaron secuelas motoras y 1 paciente falleció. CONCLUSIÓN:La etiología fúngica fue la más frecuente. La mitad de los pacientes presentó secuelas funcionales y solo un paciente falleció.

journal_name

Arch Argent Pediatr

authors

Rosanova MT,Voto C,Carnovale S,Tramonti N,Lema J,Pinheiro JL,Isasmendi A,Alvarez V,Villasboas RM,Laborde S,Basílico H

doi

10.5546/aap.2018.eng.59

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

59-61

issue

1

eissn

0325-0075

issn

1668-3501

journal_volume

116

pub_type

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