Introduction: Osteomyelitis in burn patients is rare. Objective: To describe the clinical, microbiological and evolution characteristics of burned children with osteomyelitis hospitalized in a high complexity hospital.
Goal. To describe the clinical, microbiological and outcome of children diagnosed with osteomyelitis hospitalized in a tertiary Pediatric Burn Unit.
Methods: Retrospective and descriptive study carried out during the period from January 2007 to January 2017.
Results: Of a total of 600 burned children, 12 presented osteomyelitis (incidence of 2%). Eleven patients presented burns due to direct fire. The median age was 42.5 months (interquartile range -IQR- 27-118 months) and the burned area was 33.5% (IQR 18.5-58%). Osteomyelitis was diagnosed a median of 30 days post-burn. The most frequent locations were the upper extremities and the calvaria. Fever was the most common clinical manifestation. The most frequently isolated microorganisms in bone tissue were fungi in 9 patients. All presented compatible pathological anatomy. The median of treatment was 44.5 days (IQR 34.5-65.5 days). Six patients presented motor sequelae and 1 patient died