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Methicillin-resistant and methicillin-susceptible community-acquired Staphylococcus aureus infection among children.
- Source :
-
The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases [Braz J Infect Dis] 2013 Sep-Oct; Vol. 17 (5), pp. 573-8. Date of Electronic Publication: 2013 Sep 19. - Publication Year :
- 2013
-
Abstract
- Methicillin-resistant Staphylococcus aureus has emerged as a pathogen associated with community-acquired infections worldwide. We report the spectrum of community-acquired S. aureus infections and compare the patients infected with methicillin-susceptible or methicillin-resistant strains among patients aged <20 years. Overall, 90 cases of community-acquired S. aureus were detected in an 11-year period. Clinical and microbiological data were registered. Fifty-nine (66%) patients were male and the median age was two years. The majority (87%) of the patients were hospitalized and chronic underlying illnesses were detected in 27 (30%) cases. Overall, 34 (37.8%) patients had skin/soft tissue infections and 56 (62.2%) patients had deep-seated infection. Four (5.1%) patients were transferred to the intensive care unit and two (2.6%) died. Complications were detected in 17 (18.9%) cases, such as pleural effusion (41.2%), osteomyelitis (23.5%), and sepsis (17.6%). Six (6.7%) methicillin-resistant strains were detected. Patients infected with methicillin-susceptible or methicillin-resistant strains had similar baseline characteristics and treatment outcomes. Approximately 93% of the cases received systemic antibiotics, out of which 59 (65.5%) used oxacillin or cefalotin. Both methicillin-susceptible and methicillin-resistant S. aureus strains resulted in morbidity and death among children in this setting where methicillin-resistant strains are infrequent.<br /> (Copyright © 2013 Elsevier Editora Ltda. All rights reserved.)
- Subjects :
- Anti-Bacterial Agents pharmacology
Brazil epidemiology
Child
Child, Preschool
Cohort Studies
Community-Acquired Infections drug therapy
Community-Acquired Infections epidemiology
Community-Acquired Infections microbiology
Female
Humans
Infant
Male
Methicillin-Resistant Staphylococcus aureus drug effects
Methicillin-Resistant Staphylococcus aureus isolation & purification
Microbial Sensitivity Tests
Retrospective Studies
Severity of Illness Index
Staphylococcal Infections drug therapy
Staphylococcal Infections epidemiology
Staphylococcus aureus isolation & purification
Anti-Bacterial Agents therapeutic use
Staphylococcal Infections microbiology
Staphylococcus aureus drug effects
Subjects
Details
- Language :
- English
- ISSN :
- 1678-4391
- Volume :
- 17
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases
- Publication Type :
- Academic Journal
- Accession number :
- 24055391
- Full Text :
- https://doi.org/10.1016/j.bjid.2013.02.010