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An intubated 7-month-old infant with a retropharyngeal abscess and multidrug-resistant Streptococcus mitis

Yoshihisa Watanabe1, Yoshiro Nagao1, Hisashi Endo1

  • 1Department of Pediatrics Fukuoka Tokushukai Hospital Kasuga Japan.

Clinical Case Reports
|January 2, 2020
PubMed

Insights

Antimicrobial resistance patterns differ between pediatric and adult patients. Treatment for children should be guided by pediatric-specific antibiograms for effective management of multidrug-resistant infections.

Area of Science:

  • Microbiology
  • Infectious Diseases
  • Pediatrics

Background:

  • Antimicrobial resistance (AMR) poses a significant global health threat.
  • Understanding age-specific AMR profiles is crucial for effective treatment strategies.
  • Deep neck infections can be severe, particularly in pediatric populations.

Observation:

  • A case of severe deep neck infection in an infant caused by a multidrug-resistant organism was observed.
  • The identified microbe exhibited a distinct resistance profile in the pediatric patient compared to adult data.
  • This highlights potential disparities in antimicrobial susceptibility between age groups within the same healthcare setting.

Findings:

  • The antibiogram of the multidrug-resistant microbe in this pediatric case was more pronounced than typically observed in adults.
  • This suggests that antimicrobial resistance patterns may not be uniform across different age demographics.
  • Pediatric patients may harbor or be infected by microbes with unique resistance characteristics.

Implications:

  • Treatment decisions for pediatric deep neck infections should consider age-specific antibiograms.
  • Relying solely on adult antibiograms may lead to suboptimal or ineffective treatment in children.
  • Further research into pediatric AMR surveillance is warranted to guide clinical practice and public health interventions.

Keywords:
ageantibiogramantimicrobial resistanceantimicrobial susceptibilitydeep neck infectionpediatricsviridans streptococcus

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