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Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus (MRSA)
Published on: February 9, 2011
Community-Acquired Staphylococcus aureus Infections in Children: Clinical and Microbiological Characteristics
1Division of Pediatric Infectious Diseases, Department of Pediatrics, Kahramanmaraş Necip Fazıl City Hospital, Kahramanmaraş, Türkiye.
Insights
Community-acquired Staphylococcus aureus infections in children are often caused by methicillin-resistant S. aureus (MRSA). MRSA infections show consistent susceptibility to trimethoprim-sulfamethoxazole, highlighting the need for local surveillance and infection control.
Area of Science:
- Pediatric Infectious Diseases
- Clinical Microbiology
- Antimicrobial Resistance
Background:
- Community-acquired Staphylococcus aureus (SA) infections are a significant concern in pediatric populations.
- Understanding the prevalence and resistance patterns of methicillin-resistant SA (MRSA) and methicillin-susceptible SA (MSSA) is crucial for effective treatment.
Purpose of the Study:
- To evaluate the clinical characteristics, antimicrobial resistance, and temporal trends of community-acquired SA infections in children.
- To compare MRSA and MSSA isolates in terms of patient demographics, clinical presentations, and resistance profiles.
Main Methods:
- Retrospective review of medical records for pediatric patients diagnosed with SA infections between January 2022 and December 2024.
- Analysis of demographic, clinical, and microbiological data, including specimen type and antibiotic use.
- Comparison of MRSA and MSSA isolates for temporal variation and resistance patterns.
Main Results:
- Out of 26 pediatric patients, 17 (65.4%) had MRSA and 9 (34.6%) had MSSA infections.
- Abscess (53.8%) was the most common presentation, with MRSA more frequent in abscess isolates.
- MRSA isolates demonstrated high susceptibility to trimethoprim-sulfamethoxazole and low clindamycin resistance.
Conclusions:
- The proportion of MRSA and its susceptibility profile necessitate ongoing local surveillance and antimicrobial stewardship.
- Enhanced pediatric infection control and optimized empirical therapy, particularly for outpatient soft tissue infections, are essential.
Objective:
This study aimed to evaluate the clinical features, antimicrobial resistance, and temporal patterns of community-acquired Staphylococcus aureus infections among children in a tertiary hospital in Türkiye.
Methods:
Medical records of pediatric patients diagnosed between January 2022 and December 2024 were retrospectively reviewed. Demographic, clinical, and microbiological data were analyzed, and methicillin-resistant S. aureus (MRSA) and methicillin-susceptible (MSSA) isolates were compared to assess temporal variation and resistance profiles.
Results:
Twenty-six pediatric patients were included 17 (65.4%) MRSA and 9 (34.6%) MSSA. The median age was 1.6 years (min-max: 1 month-16 years), with 69.3% under 5 years. Fourteen (53.8%) were girls. Abscess was the most common presentation (53.8%), followed by blood-stream (26.9%) and urinary tract infections (19.2%). Compared with MSSA, MRSA cases had a similar median age (1.2 vs. 2.0 years; P=.892) and showed no association with chronic comorbidities (29.4% vs. 33.3%; P=1.000) or recent antibiotic use (47.1% vs. 44.4%; P=1.000). The MRSA was more frequent among abscess isolates (71.4%, 10/14); however, the MRSA proportion did not differ significantly by specimen type (P=.480) or study year (P=.261). MRSA isolates were highly susceptible to trimethoprim-sulfamethoxazole with low clindamycin resistance.
Conclusion:
The observed MRSA proportion and susceptibility profile underscores the importance of ongoing local surveillance and stewardship. Strengthening pediatric-focused infection control and optimizing empirical therapy, especially in outpatient soft tissue infections, are crucial.
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