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

  • 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
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.

Published
2011-07-05
How to Cite
1.
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: https://doi.org/10.3855/jidc.1565
Section
Brief Original Articles