Tasa de Staphylococcus aureus resistentes a meticilina en urgencias pediátricas en España

Ferrer-Bergua, Lucía Garriga; Senra, Anna María Borrull; Velasco, Carmen Pérez; Valladares, Cristina Montero; Vallduriola, Iris Collazo; Villanueva, Sandra Moya; Velasco, Roberto; Alba, Marta Pérez; Espí, Mercedes de la Torre

doi:10.1016/j.anpedi.2021.06.013

Cited by 3 publications

(2 citation statements)

References 27 publications

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“…Nuestro porcentaje de SARM del 15,4% es parecido al 16,6% comunicado en un estudio realizado recientemente en Unidades de Urgencias españolas. Sin embargo, este mismo estudio mostró porcentajes de SARM muy variables (2,7%-47,4%) entre los hospitales participantes [ 8 ]. El análisis de los datos del año 2022 en la población pediátrica de nuestro departamento de salud ofreció un porcentaje de SARM del 16%, sin que se haya producido una modificación significativa en nuestra prevalencia de SARM.…”

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“…Entre los aislados de SARM la resistencia a clindamicina (21%) y cotrimoxazol (24%), mupirocina (14%) y ácido fusídico (22%) fue llamativamente superior a la comunicada en otros estudios, [ 2 , 8 , 9 , 12 , 13 , 14 ]. La mayor frecuencia de CMI a vancomicina > 1 mcg/ml entre los aislados de SARM supone un mayor riesgo de fracaso terapéutico con este antibiótico [ 15 ].…”

Section: Discussionunclassified

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Prevalence and risk factors for methicillin-resistant Staphylococcus aureus infection in children

Marín Oliván,

Ferrando Monleón,

Bretón-Martínez

et al. 2024

Rev Esp Quimioter

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ntroduction. The objectives of this work were to know the prevalence of methicillin-resistant S. aureus (MRSA) infections in the paediatric population of our health department, to describe the risk factors for infection by MRSA compared to those produced by methicillin-susceptible S. aureus (MSSA) and to know the antibiotic sensitivity profile of MRSA and MSSA isolates. Material and methods. A retrospective, descriptive and analytical study of infections produced by MRSA versus those produced by MSSA was carried out during the years 2014 to 2018. Risk factors for MRSA infection were studied using a binary logistic regression model. Results. 162 patients with S. aureus infections were identified. Of these, 25 (15.4%) were MRSA. The highest percentages of MRSA infection occurred among children who required hospital admission (23.4%). In the univariate analysis the need of hospital admission, antibiotic treatment in the last 3 months, the kind of infection and past MRSA infection or colonisation reached statistical significance. However, only the need of hospital admission and antibiotic treatment in the last 3 months maintained statistical significance in the binary logistic regression model. Correct antibiotic treatment was only prescribed in 26.7% of the MRSA infection cases admitted to the hospital. Conclusions. Our results suggest the need to review empirical local treatment regimen using drugs active against MRSA in infections of probable staphylococcal origin admitted to the hospital, especially if they have received antibiotic treatment in the last 3 months.

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Prevalence and risk factors for methicillin-resistant Staphylococcus aureus infection in children

Marín Oliván,

Ferrando Monleón,

Bretón-Martínez

et al. 2024

Rev Esp Quimioter

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Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis – update from 2017 to 2023

Chukwudile,

Pan,

Silva

et al. 2024

eClinicalMedicine

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Staphylococcus aureus Bacteremia in the Pediatric Emergency Department and Predictors of Poor Outcome

Suárez-Bustamante Huélamo,

Alonso-Cadenas,

Cortés

et al. 2023

Pediatric Infectious Disease Journal

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Background: Staphylococcus aureus has become the leading cause of bacteremia among previously healthy children older than 5 years. Methods: We aimed to describe the infants presenting to pediatric emergency departments and diagnosed with S. aureus bacteremia (SAB) and identify predictors (clinical and laboratory variables) of poor outcome (complications, sequelae or death). We performed an observational study and subanalysis of a multicenter prospective registry, including every patient under the age of 18 years with a positive blood culture obtained at any of the 22 participating Spanish pediatric emergency departments between 2011 and 2016. We considered chronic diseases, immunosuppressive treatment and the presence of mechanical devices as risk factors for SAB. Results: Of the 229 patients with SAB, 176 (76.9%) were previously healthy, 192 (83.8%) had a normal pediatric assessment triangle and 158 (69.0%) had an associated focal infection (mainly osteoarticular infection, skin and soft tissue infection and pneumonia). Fifty-three patients (23.1%) had 1 or more risk factors for SAB. Thirty-one (13.5%) presented a poor outcome, including 4 deaths (1.7%). A poor outcome was more common in patients with SAB risk factors [odds ratio (OR): 7.0; 95% CI: 3.2–15.4], abnormal PAT (OR: 5.9; 95% CI: 2.6–13.3), elevated procalcitonin (OR: 1.2; 95% CI: 1.05–1.3) and C-reactive protein, the latter being the only independent predictor of poor outcome (OR: 1.01; 95% CI: 1.01–1.02). Conclusions: Overall, children with SAB are previously healthy, appear well, and have an associated focal infection. One out of 7 had a poor outcome, with C-reactive protein being the only predictor identified.

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Tasa de Staphylococcus aureus resistentes a meticilina en urgencias pediátricas en España

Cited by 3 publications

References 27 publications

Prevalence and risk factors for methicillin-resistant Staphylococcus aureus infection in children

Prevalence and risk factors for methicillin-resistant Staphylococcus aureus infection in children

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis – update from 2017 to 2023

Staphylococcus aureus Bacteremia in the Pediatric Emergency Department and Predictors of Poor Outcome

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