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Provedor de dados:  BJID
País:  Brazil
Título:  Methicillin-resistant and methicillin-susceptible community-acquired Staphylococcus aureus infection among children
Autores:  Gomes,Renata Tavares
Lyra,Ticiana Goyanna
Alves,Noraney Nunes
Caldas,Renilza Menezes
Barberino,Maria-Goreth
Nascimento-Carvalho,Cristiana Maria
Data:  2013-10-01
Ano:  2013
Palavras-chave:  Antibacterial agents
Community-acquired infection
Methicillin resistance
Staphylococcal infections
Staphylococcus aureus antimicrobial
Resistance
Resumo:  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.
Tipo:  Info:eu-repo/semantics/article
Idioma:  Inglês
Identificador:  http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702013000500010
Editor:  Brazilian Society of Infectious Diseases
Relação:  10.1016/j.bjid.2013.02.010
Formato:  text/html
Fonte:  Brazilian Journal of Infectious Diseases v.17 n.5 2013
Direitos:  info:eu-repo/semantics/openAccess
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