[Surgical issues of the treatment of meningococcal disease in children].

Background: The paper addresses an important section of pediatric combustiology - generalized meningococcal infection, associated with a severe course, the risk of disabling complications, life-threatening conditions, and high mortality.

Objective: The purpose of the study was to share the experience of treating patients with the sequelae of generalized bacterial infection caused by Neisseria meningitidis in a children's burn center.

Material and methods: We conducted a retrospective analysis of the medical records of 23 patients treated in the burn department for babies from 0 to 3 years of the Children's City Clinical Hospital No. 9, named after G.N. Speransky, in the period between 2008 and 2025 for the surgical sequelae of meningococcal disease.

Clinical cases illustrate the late diagnosis of meningococcal infection, the challenges of treating septic shock in the intensive care unit, surgical methods for repairing damaged skin and underlying tissues resulting from generalized meningococcal infection, as well as the indications and timing of organ-resecting surgery. The issues of prevention of this disease in children are considered.

Results: Summarizing treatment outcomes is a challenging task due to the individualized approach to providing specialized medical care during surgical interventions, which varies depending on the severity of each patient's condition, as well as the depth and extent of tissue involvement.

Conclusion: Based on the above, managing such patients requires continuity in treatment following a widely used, unified protocol for local pediatricians, ambulance teams, infectious disease doctors, intensivists, pediatric surgeons, traumatologists, and medical rehabilitation specialists.