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Pediatric Reports
Volume 4
Issue 1
10.4081/pr.2012.e5
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Article

Current Role of Community-Acquired Methicillin-Resistant Staphylococcus Aureus among Children with Skin and Soft Tissue Infections

by
Carlos G. Teran
*,
Sunitha Sura
,
Tarek Mohamed
,
Thant Lin
,
Marsha Medows
,
Donkor Cynthia
and
Sze H. Wong
Department of pediatrics, Woodhull Medical and Mental Health Center, Brooklyn; New York University School of Medicine, New York, NY, USA
*
Author to whom correspondence should be addressed.
Pediatr. Rep. 2012, 4(1), e5; https://doi.org/10.4081/pr.2012.e5
Submission received: 13 August 2011 / Revised: 13 August 2011 / Accepted: 19 September 2011 / Published: 17 January 2012

Abstract

Community-acquired methicillin-resistant Staphylococcus aureus has become a wellestablished pathogen with alarming rates during the last decade. The current situation of this bacteria in pediatric infections is very limited and motivated us to conduct this study. This is a retrospective and analytical study including patients less than 18 years of age with the diagnosis of skin or soft tissue infections in 2008 and 2009 meeting the criteria of Community-acquired infection. A prevalence of 41.9% among skin and soft tissue infections was found. Inducible resistance to clindamycin was detected in 1.3% of the strains and the infection shows a seasonal predilection for summer (P=0.003); 57.8% of the cases required hospitalization with a mean stay of 3.3±2.5 days. The susceptibility to clindamycin and co-trimoxazole is 88 and 97% respectively. The resistance to erythromycin has reached 92%. The main diagnoses at presentation was gluteal abscess plus cellulitis (34.2%). The prevalence of CA-MRSA is trending up and seems to become a large burden for the health system in our community. Clindamycin is still an excellent option in the community setting since inducible clindamycin resistance is extremely low in this community. Co-trimoxazole should be kept as a reserved drug to avoid the rapid resurgence resistance in the community.
Keywords: MRSA; CA-MRSA; skin infections; clindamycin; children MRSA; CA-MRSA; skin infections; clindamycin; children

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MDPI and ACS Style

Teran, C.G.; Sura, S.; Mohamed, T.; Lin, T.; Medows, M.; Cynthia, D.; Wong, S.H. Current Role of Community-Acquired Methicillin-Resistant Staphylococcus Aureus among Children with Skin and Soft Tissue Infections. Pediatr. Rep. 2012, 4, e5. https://doi.org/10.4081/pr.2012.e5

AMA Style

Teran CG, Sura S, Mohamed T, Lin T, Medows M, Cynthia D, Wong SH. Current Role of Community-Acquired Methicillin-Resistant Staphylococcus Aureus among Children with Skin and Soft Tissue Infections. Pediatric Reports. 2012; 4(1):e5. https://doi.org/10.4081/pr.2012.e5

Chicago/Turabian Style

Teran, Carlos G., Sunitha Sura, Tarek Mohamed, Thant Lin, Marsha Medows, Donkor Cynthia, and Sze H. Wong. 2012. "Current Role of Community-Acquired Methicillin-Resistant Staphylococcus Aureus among Children with Skin and Soft Tissue Infections" Pediatric Reports 4, no. 1: e5. https://doi.org/10.4081/pr.2012.e5

APA Style

Teran, C. G., Sura, S., Mohamed, T., Lin, T., Medows, M., Cynthia, D., & Wong, S. H. (2012). Current Role of Community-Acquired Methicillin-Resistant Staphylococcus Aureus among Children with Skin and Soft Tissue Infections. Pediatric Reports, 4(1), e5. https://doi.org/10.4081/pr.2012.e5

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