Community-Acquired Staphylococcus aureus Infections in Children: Clinical and Microbiological Characteristics

Aslıhan Sahin1, Esra Kaya2

  • 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.
Abstract

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