Antibiotic Susceptibility and Treatment Response in Bacterial Skin Infection

Ji Soo Lim1, Hyun-Sun Park1, Soyun Cho1

  • 1Department of Dermatology, SMG-SNU Boramae Medical Center, Seoul, Korea.

Annals of Dermatology
|April 3, 2018
PubMed
Abstract

Insights

Community-acquired bacterial skin infections are often caused by Staphylococcus aureus. High antibiotic resistance and non-systemic antibiotic use were linked to poorer treatment outcomes in young patients.

Area of Science:

  • Dermatology
  • Infectious Diseases
  • Microbiology

Background:

  • Bacterial skin infections, frequently caused by Staphylococcus aureus and Streptococci, arise from compromised skin barriers or as primary infections like impetigo.
  • Increasing prevalence of methicillin-resistant Staphylococcus aureus (MRSA) poses a growing challenge.

Purpose of the Study:

  • To characterize community-acquired bacterial skin infections in young outpatients.
  • To analyze antibiotic susceptibility patterns of causative pathogens.
  • To identify factors influencing treatment response.

Main Methods:

  • Retrospective review of 197 outpatients under 30 years old (2010-2015).
  • Analysis of skin swab cultures and antibiotic susceptibility testing results.
  • Collection of clinical and microbiological data from medical records.

Main Results:

  • Staphylococcus aureus was the most common pathogen (52.6%), with high resistance to penicillin (90.9%) and oxacillin (36.3%).
  • 86.3% of patients achieved initial treatment response.
  • Multivariable analysis revealed that resistance to multiple antibiotics, high bacterial load, and non-systemic antibiotic use were associated with lower treatment response.
  • Methicillin resistance did not significantly impact treatment response.

Conclusions:

  • Staphylococcus aureus is the predominant pathogen in bacterial skin infections among young patients.
  • High-level antibiotic resistance and non-systemic antibiotic use correlate with reduced treatment efficacy.
  • First-generation cephalosporins are recommended as effective first-line empirical treatment for outpatient bacterial skin infections, irrespective of methicillin resistance status.

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