The increased risk of community-acquired methicillin-resistant Staphylococcus aureus neck abscesses in young children
✍ Scribed by Praveen Duggal; Iman Naseri; Steven E. Sobol
- Publisher
- John Wiley and Sons
- Year
- 2010
- Tongue
- English
- Weight
- 225 KB
- Volume
- 121
- Category
- Article
- ISSN
- 0023-852X
No coin nor oath required. For personal study only.
✦ Synopsis
Abstract
Objectives/Hypothesis:
To analyze the microbiological origins of deep neck space infections requiring surgical intervention in a pediatric population.
Study Design:
Retrospective cohort study.
Methods:
The study population (N = 136) included all pediatric patients surgically treated for deep neck space abscesses in a metropolitan tertiary care children's hospital over the course of 5 years (September 2004–August 2009). Demographic and clinical information was compared with microbiological isolate data.
Results:
Microbiological analysis of 118 bacterial isolates demonstrated 49 (42%) methicillin‐resistant Staphylococcus aureus (MRSA), 35 (30%) methicillin‐sensitive S. aureus, and 34 (28%) non‐S. aureus (N‐SA) isolates. The median age was 16 months (range, 1 month–13years). Patients <16 months of age were 10 times more likely to have an S. aureus (SA) infection versus N‐SA (P <.0001). MRSA comprised the majority of all SA isolates (58%). Eighty percent of all SA abscesses were located in the lateral neck. African American pediatric patients accounted for 70% of all deep neck space infections, and 86% of all MRSA infections. Clindamycin resistance was noted in 8% (4/49) of all community‐acquired MRSA isolates.
Conclusions:
Children younger than 16 months and/or with lateral neck abscesses are at a significantly increased risk of having an SA infection, the majority being MRSA. Laryngoscope, 2011