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10.1197/j.aem.2006.08.008

http://scihub22266oqcxt.onion/10.1197/j.aem.2006.08.008
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17119184!ä!17119184

suck abstract from ncbi


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pmid17119184      Acad+Emerg+Med 2007 ; 14 (1): 35-40
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  • Cutaneous community-associated methicillin-resistant staphylococcus aureus among all skin and soft-tissue infections in two geographically distant pediatric emergency departments #MMPMID17119184
  • Hasty MB; Klasner A; Kness S; Denmark TK; Ellis D; Herman MI; Brown L
  • Acad Emerg Med 2007[Jan]; 14 (1): 35-40 PMID17119184show ga
  • 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.
  • |Abscess/*microbiology[MESH]
  • |Adolescent[MESH]
  • |Buttocks/microbiology[MESH]
  • |California/epidemiology[MESH]
  • |Child[MESH]
  • |Child, Preschool[MESH]
  • |Community-Acquired Infections[MESH]
  • |Emergency Service, Hospital[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Infant[MESH]
  • |Infant, Newborn[MESH]
  • |Leg/microbiology[MESH]
  • |Male[MESH]
  • |Methicillin Resistance[MESH]
  • |Microbial Sensitivity Tests[MESH]
  • |Retrospective Studies[MESH]
  • |Soft Tissue Infections/drug therapy/*epidemiology/*microbiology[MESH]
  • |Southeastern United States/epidemiology[MESH]


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