Characteristics of skin and soft tissues infections in children between 0-14 years who received care at the Pediatric Emergency Department of Pereira Rossell Hospital Center during 2014.
Abstract
The frequency of methicillin-resistant Staphylococcus aureus was higher in cellulitis, abscesses and boils. No multiresistant strains were isolated. It found no constitutive resistance to clindamycin, only 3 (4%) showed inducible resistance to this antibiotic. Clindamycin, and trimethoprim-sulfamethoxazole are therapeutic options for Staphylococcus aureus. In cases with resistance to erythromycin it is necessary to detect inducible clindamycin resistance. Skin and soft tissue infections are a common reason for consultation. Staphylococcus aureus and Streptococcus pyogenes are the most frequent agents. The emergence of S. aureus strains of methicillin resistant determined changes in morbidity and mortality of these infections and in therapeutic guidelines. The aim to describe microbiological and clinical features of skin and soft tissue infections in children who recieved care at Pediatric Emergency Depatment of Pereira Rossel Hospital. A descriptive, retrospective study was conducted among children between 0-14 years with skin or soft tissue infections who received care at the pediatric emergency department of Pereira Rossell Hospital Center during 2014. 102 patients were included with the following diagnoses: Impetigo 51, abscess 16, cellulitis 16, furuncle 5, paronychia 5, others 9. S. aureus was isolated in 70%; from which 75% were methicillin sensitive and 25% methicillin resistant. Methicillin-resistant S. aureus frequency was higher in cellulitis, abscesses and boils. No multiresistant strains were isolated. No constitutive clindamycine resistant. S. aureus isolates where found, and only 3 (4%) had clindamycine inducible resistance. Clindamycin, and trimethoprim-sulfamethoxazole are therapeutic options for Staphylococcus aureus. Erythromycin strains should be tested for clindamycin inducible resistance. In CHPR clindamycin inducible resistance is not a problem. These findings need to be complemented with multicenter studies.
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