Community-associated methicillin-resistant Staphylococcus aureus infections in a pediatric intensive care unit

Khaled Menif; Asma Bouziri; Ammar Khaldi; Asma Hamdi; Sarra Belhadj; Aida Borgi; Zahra Fitouri; Najla Ben Jaballah

doi:10.3855/jidc.1565

Community-associated methicillin-resistant Staphylococcus aureus infections in a pediatric intensive care unit

Authors

Khaled Menif Pediatric intensive care unit, Children’s Hospital of Tunis, Tunis, Tunisia
Asma Bouziri Pediatric intensive care unit, Children’s Hospital of Tunis, Tunis, Tunisia
Ammar Khaldi Pediatric intensive care unit, Children’s Hospital of Tunis, Tunis, Tunisia
Asma Hamdi Pediatric intensive care unit, Children’s Hospital of Tunis, Tunis, Tunisia
Sarra Belhadj Pediatric intensive care unit, Children’s Hospital of Tunis, Tunis, Tunisia
Aida Borgi Pediatric intensive care unit, Children’s Hospital of Tunis, Tunis, Tunisia
Zahra Fitouri Pediatric intensive care unit, Children’s Hospital of Tunis, Tunis, Tunisia
Najla Ben Jaballah Pediatric intensive care unit, Children’s Hospital of Tunis, Tunis, Tunisia

DOI:

https://doi.org/10.3855/jidc.1565

Keywords:

methicillin-resistant Staphylococcus aureus, severe sepsis, pediatric intensive care unit, necrotizing pneumonia

Abstract

Introduction: Community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) infection is an increasing problem worldwide. In developing countries, there is little data on CA-MRSA infection in children. This study reviewed the clinical features and outcomes of children admitted in a Tunisian pediatric intensive care unit with severe CA-MRSA infections.

Methodology: Retrospective chart review of patients coded for CA-MRSA over 10 years.

Results: There were 14 (0.32% of all admissions) patients identified with severe CA-MRSA infections. The median age was three months (range, 0.5-156 months). All patients had pulmonary involvement. Six children (42.8%) developed septic shock. Two (14.3%) patients had multifocal infection with deep venous thrombosis. Two (14.3%) patients died.

Conclusions: Severe CA-MRSA pneumonia dominated presentation. The mortality of CA-MRSA infection in our series is lower than that previously reported.

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Published

2011-07-05

How to Cite

Menif K, Bouziri A, Khaldi A, Hamdi A, Belhadj S, Borgi A, Fitouri Z, Ben Jaballah N (2011) Community-associated methicillin-resistant Staphylococcus aureus infections in a pediatric intensive care unit. J Infect Dev Ctries 5:587–591. doi: 10.3855/jidc.1565

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Issue

Vol. 5 No. 08: August 2011

Section

Brief Original Articles

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