51. Clinical characteristics and antibiotic resistance profile of invasive MRSA infections in newborn inpatients: a retrospective multicenter study from China
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Xia Wu, Chuanqing Wang, Leiyan He, Hongmei Xu, Chunmei Jing, Yinghu Chen, Jikui Deng, Aiwei Lin, Huiling Deng, Huijun Cai, Yiping Chen, Jinhong Yang, Ting Zhang, Qing Cao, Jianhua Hao, Yuanyuan Huang, and Hui Yu
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Methicillin-resistant Staphylococcus aureus ,Invasive infection ,Clinical characteristics ,Antimicrobial resistance ,Neonates ,Pediatrics ,RJ1-570 - Abstract
Abstract Background Methicillin-resistant Staphylococcus aureus (MRSA) can cause invasive infections with significant mortality in neonates. This study aimed to analyze the clinical characteristics and antibiotic resistance profiles of invasive MRSA infections and determine risk factors associated with invasive MRSA infections in newborn inpatients. Methods This multicenter retrospective study of inpatients from eleven hospitals in the Infectious Diseases Surveillance of Pediatrics (ISPED) group of China was performed over a two-year period (2018–2019). Statistical significance was calculated by applying the χ2 test or by Fisher’s exact test in the case of small sample sizes. Results A total 220 patients were included. Among included cases, 67 (30.45%) were invasive MRSA infections, including two deaths (2.99%), while 153 (69.55%) were noninvasive infections. The invasive infections of MRSA occurred at a median age of 8 days on admission, which was significantly younger compared to 19 days in noninvasive cases. Sepsis (86.6%) was the most common invasive infection, followed by pneumonia (7.4%), bone and joint infections (3.0%), central nervous system infection (1.5%), and peritonitis (1.5%). Congenital heart disease, low birth weight infant (
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- 2023
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