Community-associated methicillin-resistant Staphylococcus aureus infections in a pediatric intensive care unit

Autores: Menif Khaled, Bouziri Asma, Khaldi Ammar, Hamdi Asma, Belhadj Sarra, Borgi Aida, Fitouri Zahra, Ben Jaballah Najla

Resumen

Introduction: Community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) infection is an increasing problem worldwide. In developing countries, there is little data on CA-MRSA infection in children. This study reviewed the clinical features and outcomes of children admitted in a Tunisian pediatric intensive care unit with severe CA-MRSA infections. Methodology: Retrospective chart review of patients coded for CA-MRSA over 10 years. Results: There were 14 (0.32% of all admissions) patients identified with severe CA-MRSA infections. The median age was three months (range, 0.5–156 months). All patients had pulmonary involvement. Six children (42.8%) developed septic shock. Two (14.3%) patients had multifocal infection with deep venous thrombosis. Two (14.3%) patients died. Conclusions: Severe CA-MRSA pneumonia dominated presentation. The mortality of CA-MRSA infection in our series is lower than that previously reported.

Palabras clave: Methicillin-resistant Staphylococcus aureus severe sepsis pediatric intensive care unit necrotizing pneumonia.

2011-10-05   |   353 visitas   |   Evalua este artículo 0 valoraciones

Vol. 5 Núm.8. Agosto 2011 Pags. 587-591 J Infect Developing Countries 2011; 5(8)