Community‐Associated Methicillin‐Resistant Staphylococcus aureus in a Pediatric Emergency Department in Newfoundland and Labrador
BACKGROUND: First‐generation cephalosporins and antistaphylococcal penicillins are typically the first choice for treating skin and soft tissue infections (SSTI), but are not effective for infections caused by methicillin‐resistant Staphylococcus aureus (MRSA). It is currently unclear what percentag...
Published in: | Canadian Journal of Infectious Diseases and Medical Microbiology |
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crwiley:10.1155/2014/267901 2024-09-15T18:20:01+00:00 Community‐Associated Methicillin‐Resistant Staphylococcus aureus in a Pediatric Emergency Department in Newfoundland and Labrador Peebles, Erin Morris, Robert Chafe, Roger 2014 http://dx.doi.org/10.1155/2014/267901 http://downloads.hindawi.com/journals/cjidmm/2014/267901.pdf https://onlinelibrary.wiley.com/doi/pdf/10.1155/2014/267901 en eng Wiley http://creativecommons.org/licenses/by/4.0/ Canadian Journal of Infectious Diseases and Medical Microbiology volume 25, issue 1, page 13-16 ISSN 1712-9532 1918-1493 journal-article 2014 crwiley https://doi.org/10.1155/2014/267901 2024-08-13T04:14:52Z BACKGROUND: First‐generation cephalosporins and antistaphylococcal penicillins are typically the first choice for treating skin and soft tissue infections (SSTI), but are not effective for infections caused by methicillin‐resistant Staphylococcus aureus (MRSA). It is currently unclear what percentage of SSTIs is caused by community‐associated MRSA in different regions in Canada. OBJECTIVES:To determine the incidence of MRSA in children presenting to a pediatric emergency department with SSTI, and to determine which antibiotics were used to treat these infections. METHODS: All visits to a pediatric emergency department were reviewed from April 15, 2010 to April 14, 2011. Diagnoses of cellulitis, abscess, impetigo, folliculitis and skin infection (not otherwise specified) were reviewed in detail to determine whether a culture was taken and which antibiotic was prescribed. RESULTS: There were 367 cases of SSTI diagnosed over the study period. Forty‐five (12.3%) patients had lesions that were swabbed for culture and sensitivity. S aureus was the most common organism found, with 14 (66%) methicillin‐sensitive cases and seven (33%) methicillin‐resistant cases. Of the seven cases of MRSA identified, only one patient had clear risk factors for hospital‐acquired MRSA. First‐generation cephalosporins were initially prescribed for 280 (76%) patients. CONCLUSIONS: The overall incidence of MRSA in the population presenting to a pediatric emergency department in Newfoundland and Labrador appeared to be low, although only a small percentage of infections were cultured. At this time, there appears to be no need to change empirical antibiotic coverage, which remains a first‐generation cephalosporin. Article in Journal/Newspaper Newfoundland Wiley Online Library Canadian Journal of Infectious Diseases and Medical Microbiology 25 1 13 16 |
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English |
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BACKGROUND: First‐generation cephalosporins and antistaphylococcal penicillins are typically the first choice for treating skin and soft tissue infections (SSTI), but are not effective for infections caused by methicillin‐resistant Staphylococcus aureus (MRSA). It is currently unclear what percentage of SSTIs is caused by community‐associated MRSA in different regions in Canada. OBJECTIVES:To determine the incidence of MRSA in children presenting to a pediatric emergency department with SSTI, and to determine which antibiotics were used to treat these infections. METHODS: All visits to a pediatric emergency department were reviewed from April 15, 2010 to April 14, 2011. Diagnoses of cellulitis, abscess, impetigo, folliculitis and skin infection (not otherwise specified) were reviewed in detail to determine whether a culture was taken and which antibiotic was prescribed. RESULTS: There were 367 cases of SSTI diagnosed over the study period. Forty‐five (12.3%) patients had lesions that were swabbed for culture and sensitivity. S aureus was the most common organism found, with 14 (66%) methicillin‐sensitive cases and seven (33%) methicillin‐resistant cases. Of the seven cases of MRSA identified, only one patient had clear risk factors for hospital‐acquired MRSA. First‐generation cephalosporins were initially prescribed for 280 (76%) patients. CONCLUSIONS: The overall incidence of MRSA in the population presenting to a pediatric emergency department in Newfoundland and Labrador appeared to be low, although only a small percentage of infections were cultured. At this time, there appears to be no need to change empirical antibiotic coverage, which remains a first‐generation cephalosporin. |
format |
Article in Journal/Newspaper |
author |
Peebles, Erin Morris, Robert Chafe, Roger |
spellingShingle |
Peebles, Erin Morris, Robert Chafe, Roger Community‐Associated Methicillin‐Resistant Staphylococcus aureus in a Pediatric Emergency Department in Newfoundland and Labrador |
author_facet |
Peebles, Erin Morris, Robert Chafe, Roger |
author_sort |
Peebles, Erin |
title |
Community‐Associated Methicillin‐Resistant Staphylococcus aureus in a Pediatric Emergency Department in Newfoundland and Labrador |
title_short |
Community‐Associated Methicillin‐Resistant Staphylococcus aureus in a Pediatric Emergency Department in Newfoundland and Labrador |
title_full |
Community‐Associated Methicillin‐Resistant Staphylococcus aureus in a Pediatric Emergency Department in Newfoundland and Labrador |
title_fullStr |
Community‐Associated Methicillin‐Resistant Staphylococcus aureus in a Pediatric Emergency Department in Newfoundland and Labrador |
title_full_unstemmed |
Community‐Associated Methicillin‐Resistant Staphylococcus aureus in a Pediatric Emergency Department in Newfoundland and Labrador |
title_sort |
community‐associated methicillin‐resistant staphylococcus aureus in a pediatric emergency department in newfoundland and labrador |
publisher |
Wiley |
publishDate |
2014 |
url |
http://dx.doi.org/10.1155/2014/267901 http://downloads.hindawi.com/journals/cjidmm/2014/267901.pdf https://onlinelibrary.wiley.com/doi/pdf/10.1155/2014/267901 |
genre |
Newfoundland |
genre_facet |
Newfoundland |
op_source |
Canadian Journal of Infectious Diseases and Medical Microbiology volume 25, issue 1, page 13-16 ISSN 1712-9532 1918-1493 |
op_rights |
http://creativecommons.org/licenses/by/4.0/ |
op_doi |
https://doi.org/10.1155/2014/267901 |
container_title |
Canadian Journal of Infectious Diseases and Medical Microbiology |
container_volume |
25 |
container_issue |
1 |
container_start_page |
13 |
op_container_end_page |
16 |
_version_ |
1810458389487026176 |