Article ; Online: Cutaneous community-associated methicillin-resistant staphylococcus aureus among all skin and soft-tissue infections in two geographically distant pediatric emergency departments.
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
2007 Volume 14, Issue 1, Page(s) 35–40
Abstract: Objectives: To describe the culture results of cutaneous infections affecting otherwise healthy children presenting to two pediatric emergency departments (EDs) in the southeastern United States and southern California.: Methods: Medical records of ... ...
| Abstract | Objectives: To describe the culture results of cutaneous infections affecting otherwise healthy children presenting to two pediatric emergency departments (EDs) in the southeastern United States and southern California. Methods: Medical records of 920 children who presented to the pediatric EDs with skin infections and abscesses (International Classification of Diseases, Ninth Revision codes 680.0-686.9) during 2003 were reviewed. Chronically ill children with previously described risk factors for community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) were excluded. Data abstracted included the type of infection; the site of infection; and, if a culture was obtained, the organism grown, along with their corresponding sensitivities. Results: Of the 270 children who had bacterial cultures obtained, 60 (22%) were CA-MRSA-positive cultures, most cultured from abscesses (80%). Of all abscesses cultured, CA-MRSA grew in more than half (53%). All CA-MRSA isolates tested were sensitive to vancomycin, trimethoprim-sulfamethoxazole, rifampin, and gentamicin. One isolate at each center was resistant to clindamycin. The sensitivities at both institutions were similar. Conclusions: The authors conclude that CA-MRSA is responsible for most abscesses and that the pattern of CA-MRSA infections in these geographically distant pediatric EDs is similar. These data suggest that optimal diagnostic and management strategies for CA-MRSA will likely be widely applicable if results from a larger, more collaborative study yield similar findings. |
|---|---|
| MeSH term(s) | Abscess/microbiology ; Adolescent ; Buttocks/microbiology ; California/epidemiology ; Child ; Child, Preschool ; Community-Acquired Infections ; Emergency Service, Hospital ; Female ; Humans ; Infant ; Infant, Newborn ; Leg/microbiology ; Male ; Methicillin Resistance ; Microbial Sensitivity Tests ; Retrospective Studies ; Soft Tissue Infections/drug therapy ; Soft Tissue Infections/epidemiology ; Soft Tissue Infections/microbiology ; Southeastern United States/epidemiology ; Staphylococcal Skin Infections/drug therapy ; Staphylococcal Skin Infections/epidemiology |
| Language | English |
| Publishing date | 2007-01 |
| Publishing country | United States |
| Document type | Journal Article ; Multicenter Study |
| ZDB-ID | 1329813-6 |
| ISSN | 1553-2712 ; 1069-6563 |
| ISSN (online) | 1553-2712 |
| ISSN | 1069-6563 |
| DOI | 10.1197/j.aem.2006.08.008 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
Full text online
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
| Zs.A 4479: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (2.OG) ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.