[Community-acquired Staphylococcus aureus bacteremia: 17 years of experience in Argentine children].

医学 克林霉素 菌血症 感染性休克 庆大霉素 金黄色葡萄球菌 内科学 抗生素 死亡率 流行病学 回顾性队列研究 外科 儿科 胃肠病学 败血症 微生物学 生物 遗传学 细菌
作者
Hugo Paganini,Paula Della Latta,Adriana Soto,Lidia Casimir,Andrea Lo Monaco,Virginia Verdaguer,Griselda Berberián,María Teresa Rosanova,Fernando Álvez González,Claudia Sarkis
出处
期刊:PubMed 卷期号:108 (4): 311-7 被引量:12
标识
DOI:10.1590/s0325-00752010000400004
摘要

Community-acquired methicillin-resistant Staphylococcus aureus (CAMRSa) emerged in recent years. Few studies analyzed the impact of these infections in bacteremias (B).To analyze clinical, epidemiological, microbiological and outcome of CASa B between two periods (Period I: 1993-2004, and Period II: 2004-2007).Retrospective, observational and comparative study. All children older than 1 month of age and CASaB were included.During the study period 647 SaB were diagnosed (Period I: 499 and Period II: 148). Of them, 140 (28%) and 49 (33%) were CSaB, respectively. The median age of patients was 5.9 and 4.8 years, respectively (p= NS). Clinical foci of infection and septic shock were more frequent in the period I (78% vs. 47%) and (5% vs. 16%) (p <0.05), respectively. Skin infection and septic shock were similar in both periods (78% vs. 67% and 5% vs. 8%; p= NS). Four CAMRSa B (3%) were diagnosed during the first period. One predisposing factor was identified in all cases. Inversely, 23 cases (47%) were diagnosed during the Period II (p <0.05). Resistance rates to clindamycin and gentamicin were more high during the second period (10% vs. 2% and 20% vs. 3%, respectively) (p <0.05). Patients in the second period had longer antibiotic treatment (X 16.6 vs. 10.1 days) and more frequent inappropriate treatment at admission (53% vs. 5%) (p <0.05). Hospital stay time was longer during de first period (19.2 vs. 12.2 days) (p <0.05). The mortality rate was higher in the first period (13% vs. 4%) (p= NS).A significant increase of CAMRSa B were detected in recent years. It is necessary to evaluate the empirical treatment of severe community infections in children in our country.

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
刚刚
1秒前
1秒前
2秒前
打打应助仁爱发卡采纳,获得10
2秒前
科研通AI2S应助glockie采纳,获得10
2秒前
安静幻枫完成签到,获得积分10
2秒前
kchrisuzad完成签到,获得积分10
3秒前
123发布了新的文献求助10
3秒前
xuqiansd发布了新的文献求助10
3秒前
lq完成签到,获得积分20
3秒前
3秒前
失眠的向日葵完成签到 ,获得积分10
4秒前
4秒前
畅快代亦发布了新的文献求助30
5秒前
苏唱完成签到 ,获得积分10
5秒前
maaicui发布了新的文献求助10
5秒前
深情安青应助tttttttttt采纳,获得10
5秒前
踏实的依波完成签到,获得积分10
5秒前
academic_rookie完成签到,获得积分10
5秒前
Sega完成签到,获得积分10
5秒前
Selenge完成签到,获得积分10
6秒前
6秒前
7秒前
123发布了新的文献求助10
7秒前
7秒前
三侠完成签到,获得积分10
7秒前
wushuai发布了新的文献求助10
8秒前
单薄树叶完成签到,获得积分10
8秒前
kndfsfmf完成签到,获得积分10
9秒前
Duha完成签到,获得积分10
9秒前
洂浔发布了新的文献求助10
9秒前
9秒前
奋斗的怀曼完成签到,获得积分10
9秒前
10秒前
周同学发布了新的文献求助10
10秒前
依依完成签到,获得积分10
10秒前
猫大熊完成签到,获得积分10
10秒前
10秒前
10秒前
高分求助中
The late Devonian Standard Conodont Zonation 2000
Nickel superalloy market size, share, growth, trends, and forecast 2023-2030 2000
The Lali Section: An Excellent Reference Section for Upper - Devonian in South China 1500
Smart but Scattered: The Revolutionary Executive Skills Approach to Helping Kids Reach Their Potential (第二版) 1000
Very-high-order BVD Schemes Using β-variable THINC Method 850
Mantiden: Faszinierende Lauerjäger Faszinierende Lauerjäger 800
PraxisRatgeber: Mantiden: Faszinierende Lauerjäger 800
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3249240
求助须知:如何正确求助?哪些是违规求助? 2892603
关于积分的说明 8272618
捐赠科研通 2560858
什么是DOI,文献DOI怎么找? 1389289
科研通“疑难数据库(出版商)”最低求助积分说明 651107
邀请新用户注册赠送积分活动 627946