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Morbidity and mortality of Staphylococcal bacteremia in children.
Am J Infect Control 2007; 35(2):102-5AJ

Abstract

BACKGROUND

Staphylococcal aureus bacteremia (SAB) is a major problem in adult patients with a significant mortality. Less is known about SAB in children. The present study was designed to review a 5-year experience with SAB in a children's hospital.

METHODS

We conducted a retrospective chart review from 2000-2004.

RESULTS

Thirty-six children experienced 42 episodes of SAB and ranged in age from 1 week to 16.7 years with a mean age of 30.5 months. Thirty-two (89%) of the 36 children had preexisting medical conditions. Thirty-six (86%) of 42 episodes of SAB were due to hospital-acquired infections, and 22 (61%) of these 36 episodes occurred in premature infants in the neonatal intensive care unit. Only 3 episodes (7%) of endocarditis were identified, and 2 were community-acquired infections. Fourteen (39%) episodes of SAB were due to methicillin-resistant strains. There were only 3 (8%) deaths, and all were unrelated to SAB.

CONCLUSION

SAB occurred most often as a hospital-acquired infection in the neonatal intensive care unit, and methicillin-resistant Staphylococcal aureus accounted for one third of the episodes. Complications such as endocarditis or other metastatic infections and death because of SAB were infrequent.

Authors+Show Affiliations

Department of Pediatrics, University at Buffalo, The State University of New York at Buffalo, Women and Children's Hospital of Buffalo, 219 Bryant Street, Buffalo, NY 14222, USA.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

17327189

Citation

Hakim, Hana, et al. "Morbidity and Mortality of Staphylococcal Bacteremia in Children." American Journal of Infection Control, vol. 35, no. 2, 2007, pp. 102-5.
Hakim H, Mylotte JM, Faden H. Morbidity and mortality of Staphylococcal bacteremia in children. Am J Infect Control. 2007;35(2):102-5.
Hakim, H., Mylotte, J. M., & Faden, H. (2007). Morbidity and mortality of Staphylococcal bacteremia in children. American Journal of Infection Control, 35(2), pp. 102-5.
Hakim H, Mylotte JM, Faden H. Morbidity and Mortality of Staphylococcal Bacteremia in Children. Am J Infect Control. 2007;35(2):102-5. PubMed PMID: 17327189.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Morbidity and mortality of Staphylococcal bacteremia in children. AU - Hakim,Hana, AU - Mylotte,Joseph M, AU - Faden,Howard, PY - 2006/08/10/received PY - 2006/09/15/revised PY - 2006/09/15/accepted PY - 2007/3/1/pubmed PY - 2007/4/5/medline PY - 2007/3/1/entrez SP - 102 EP - 5 JF - American journal of infection control JO - Am J Infect Control VL - 35 IS - 2 N2 - BACKGROUND: Staphylococcal aureus bacteremia (SAB) is a major problem in adult patients with a significant mortality. Less is known about SAB in children. The present study was designed to review a 5-year experience with SAB in a children's hospital. METHODS: We conducted a retrospective chart review from 2000-2004. RESULTS: Thirty-six children experienced 42 episodes of SAB and ranged in age from 1 week to 16.7 years with a mean age of 30.5 months. Thirty-two (89%) of the 36 children had preexisting medical conditions. Thirty-six (86%) of 42 episodes of SAB were due to hospital-acquired infections, and 22 (61%) of these 36 episodes occurred in premature infants in the neonatal intensive care unit. Only 3 episodes (7%) of endocarditis were identified, and 2 were community-acquired infections. Fourteen (39%) episodes of SAB were due to methicillin-resistant strains. There were only 3 (8%) deaths, and all were unrelated to SAB. CONCLUSION: SAB occurred most often as a hospital-acquired infection in the neonatal intensive care unit, and methicillin-resistant Staphylococcal aureus accounted for one third of the episodes. Complications such as endocarditis or other metastatic infections and death because of SAB were infrequent. SN - 0196-6553 UR - https://www.unboundmedicine.com/medline/citation/17327189/Morbidity_and_mortality_of_Staphylococcal_bacteremia_in_children_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0196-6553(06)01329-0 DB - PRIME DP - Unbound Medicine ER -