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Revista de salud publica del Paraguay

Print version ISSN 2224-6193On-line version ISSN 2307-3349


BRUNO, Balmelli; JOSE, Sandoval  and  GABRIELA, Canata. Infections in burned children admitted to the National Center for Burns and Reconstructive Surgery (CENQUER) Paraguay from January 2017 to January 2018. Rev. salud publica Parag. [online]. 2018, vol.8, n.2, pp.45-51. ISSN 2307-3349.


Infections play an important role in the morbidity and mortality associated with burns. Experience in pediatric patients is scarce.


To evaluate clinical and microbiological aspects of nosocomial infection in children burned in the National Center for Burns and Reconstructive Surgeries.

Material and Methods:

A descriptive, observational, retrospective and cross-sectional study. All burned children admitted to the Pediatric Service of the National Center for Burns and Reconstructive Surgery (CENQUER) from January 2017 to January 2018 were included.


The total number of patients was 220, of which 161 (73%) were breastfeeding, 24 (11%) pre-school, 17 (8%) schoolchildren, 13 (6%) adolescents and 5 (2%) newborns. The percentage of burned body surface area ranged from 1 to 95% (median 27%). The type of burn was A (superficial) in 78 (36%), patients, AB (intermediate) in 38 (17%) and B (deep) in 104 (47%). One hundred and eighty children (82%) had venous catheter, 166 (75.5%) arterial catheter and 172 (78%); bladder catheter in 150 patients (68%) mechanical ventilation was required. In 128(58%) patients infections were documented. The most frequent focus was sepsis related to the burn. Gram-negative bacteria Pseudomonas aeruginosa and multiresistant Acinetobacter spp were the most frequently isolated germs. 186(85%) patients were discharged and 34 (15%) died. In 28 (82%) of them, the cause of death was related to the infection. The duration of the hospitalization had a median of 37 days.


Infections in burned children are an important cause of morbidity and mortality and multidrug resistant gram negative bacteria play an important role in them. Mortality was related to infection.

Keywords : Childs; burns; bacterial infections; mycoses; Paraguay.

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