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Acta Médica del Centro
versão On-line ISSN 2709-7927
Resumo
FERNANDEZ TOLEDO, Elvio et al. Severe skin and soft tissue infections. Acta méd centro [online]. 2023, vol.17, n.4, pp. 691-703. Epub 31-Dez-2023. ISSN 2709-7927.
Introduction:
skin and soft tissue infections can present from banal clinical forms to those severe enough to put the child's life at risk.
Objective:
to characterize serious skin and soft tissue infections in patients admitted to the “José Luis Miranda” Hospital during the period from January to December 2020.
Methods:
a cross-sectional descriptive study was carried out with a population of 53 cases diagnosed with severe skin and soft tissue infections, from zero to 18 years of age, who were admitted to the services of the aforementioned hospital. Variables such as age, sex, risk factors, clinical forms of presentation, complications and stage of sepsis were taken into account.
Results:
32 patients were male, with 32 patients, and those older than 6 years. Comorbidities (30.2%) and trauma (22.6%) were the most frequent risk factors. Skin abscess (37.7%) and cellulitis (32.1%) were the most frequent clinical forms of presentation. Polytherapy was applied in 43.4% of hospitalized patients. Myocardial dysfunction (24.5%) was the most frequently diagnosed complication.
Conclusions:
deeper clinical forms with systemic involvement such as necrotizing fasciitis and systemic staphylococcal disease were associated with advanced stages of sepsis.
Palavras-chave : skin diseases; infections of the subcutaneous tissue; initial empirical antimicrobial therapeutics.