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[Acute infectious cellulitis. Apropos of 28 cases]
Annales De Pediatrie
|February 1, 1989
Summary
Pediatric acute infectious cellulitis requires age-specific antimicrobial therapy. Early treatment based on likely pathogens like Streptococcus pyogenes and Staphylococcus aureus ensures favorable outcomes in children.
Area of Science:
- Pediatric Infectious Diseases
- Clinical Microbiology
Context:
- Acute infectious cellulitis is a frequent pediatric diagnosis.
- Retrospective analysis of 28 cases over four years.
- Common symptoms include fever and malaise.
Purpose:
- To evaluate treatment strategies for pediatric cellulitis.
- To correlate causative organisms with patient age.
- To guide age-appropriate antimicrobial selection.
Summary:
- Streptococcus pyogenes and Staphylococcus aureus are common pathogens.
- Neonatal cellulitis ( < 3 months) suggests Streptococcus B, treated with ampicillin/penicillin +/- aminoglycoside.
- Infants (4 months-2 years) often have Haemophilus influenzae b or pneumococcus; treat with cephalosporins then amoxicillin-clavulanate.
- Older children (>2-3 years) treated for S. pyogenes/S. aureus with penicillin M or macrolides.
Impact:
- Early, targeted antimicrobial therapy improves pediatric cellulitis outcomes.
- Age-stratified treatment guidelines enhance clinical management.
- Understanding common pathogens aids in prompt diagnosis and effective treatment.