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Published on: February 9, 2011
Frequency and clinical role of Staphylococcus aureus overinfection in atopic dermatitis in children
Giampaolo Ricci1, Annalisa Patrizi, Iria Neri
1Department of Pediatrics, Division of Dermatology, University of Bologna, S. Orsola-Malpighi Hospital, Bologna, Italy. ricci@med.unibo.it
Insights
Staphylococcus aureus infection is common in children with atopic dermatitis (AD), affecting over 64%. This bacterial presence is linked to more severe eczema, especially in allergic children and infants.
Area of Science:
- Dermatology
- Microbiology
- Pediatrics
Background:
- Atopic dermatitis (AD) is a common inflammatory skin condition.
- The role of Staphylococcus aureus in AD pathogenesis requires further elucidation.
Purpose of the Study:
- To determine the frequency of Staphylococcus aureus infection in pediatric patients with moderate to severe atopic dermatitis.
- To investigate the association between S. aureus colonization and allergic status in children with AD.
Main Methods:
- Analysis of 308 cutaneous lesion samples from 81 children (2 months to 9 years) with moderate to severe AD.
- Isolation and identification of bacterial and fungal pathogens.
- Measurement of total and specific IgE serum levels to assess allergic status.
Main Results:
- Staphylococcus aureus was isolated in 52 children (64.2%).
- S. aureus was more prevalent in allergic children (71%) compared to non-allergic children (49%).
- Higher bacterial presence correlated with worsened eczematous lesions in infants.
Conclusions:
- Staphylococcus aureus plays a significant role in the clinical manifestation of atopic dermatitis.
- The bacterium exacerbates eczema, particularly on the face, neck, and perineum in infants.
- Targeting S. aureus may be crucial for managing AD in pediatric populations.
Abstract:
The goal of this study was to evaluate the frequency and role of Staphylococcus aureus infection in patients with atopic dermatitis (AD). In 81 children, ages 2 months to 9 years, affected with moderate to severe AD, 308 samples from the cutaneous lesions were obtained and analyzed. S. aureus was isolated in 52 children (64.2%). Five of these were also colonized by Streptococcus pyogenes and one by Candida albicans. In 61 patients, total IgE serum level and specific IgE were tested to evaluate their allergic status: in 43 children a diagnosis of extrinsic AD was made, while 18 were affected by intrinsic AD. A higher presence of the bacterium was observed in allergic (71%) versus nonallergic children (49%). Our data demonstrate the importance of S. aureus in the clinical manifestation of AD and, in particular, its role in worsening the eczematous lesions of the face, neck, and perineum in children less than 1 year of age.
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