Tags

Type your tag names separated by a space and hit enter

Recent microbiological shifts in perianal bacterial dermatitis: Staphylococcus aureus predominance.
Pediatr Dermatol. 2009 Nov-Dec; 26(6):696-700.PD

Abstract

Traditionally, bacterial infections of the anal skin have been found to be caused by Streptococcus. The aim of this study was to determine the breakdown of bacterial isolates and the current presentation of bacterial diseases involving the perineum. From the chart review of children who had bacterial cultures of the anus from 2005 to 2008 in a pediatric dermatology practice population in New York City, 26 pediatric patients (ages 5 months to 12 yrs) who had the indications of anal erythema or recurrent buttocks dermatitis were identified. Bacterial cultures of 17 patients grew pathogens, that of 14 (82% of identifiably infected patients) grew Staphylococcus aureus, in 11 as a solo pathogen (6 MSSA and 5 MRSA in 2 family clusters). Streptococcus was identified in three patients, two on culture and one on latex agglutination test; and two patients were identified as having both group A beta hemolytic Streptococcus and Staphylococcus aureus (2 MSSA and 1 MRSA). In patients with S. aureus perianally, concurrent small papules and pustules of the buttocks or extension of the erythema to adjacent buttock skin was the primary clinical feature distinguishing this condition from isolated streptococcal disease. Whereas Streptococcal infections of the anus and buttocks occur commonly, Staphylococcus aureus has become the leading cause of anal bacterial infection in the setting of skin involvement; therefore, antibacterial therapy for anal and buttock bacterial infections should be tailored accordingly.

Links

Aggregator Full Text

Authors+Show Affiliations

Heath C
Department of Dermatology, St. Luke's-Roosevelt Hospital Center, New York, NY 10025, USA.
Desai N
No affiliation info available
Silverberg NB
No affiliation info available

MeSH

Anal CanalAnti-Bacterial AgentsButtocksChildChild, PreschoolDermatitisDiaper RashFemaleHumansInfantInfant, NewbornMaleMethicillin-Resistant Staphylococcus aureusPerineumRetrospective StudiesStaphylococcal Skin InfectionsStreptococcal InfectionsStreptococcus pyogenes

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20199443

Citation

Heath, Candrice, et al. "Recent Microbiological Shifts in Perianal Bacterial Dermatitis: Staphylococcus Aureus Predominance." Pediatric Dermatology, vol. 26, no. 6, 2009, pp. 696-700.
Heath C, Desai N, Silverberg NB. Recent microbiological shifts in perianal bacterial dermatitis: Staphylococcus aureus predominance. Pediatr Dermatol. 2009;26(6):696-700.
Heath, C., Desai, N., & Silverberg, N. B. (2009). Recent microbiological shifts in perianal bacterial dermatitis: Staphylococcus aureus predominance. Pediatric Dermatology, 26(6), 696-700. https://doi.org/10.1111/j.1525-1470.2009.01015.x
Heath C, Desai N, Silverberg NB. Recent Microbiological Shifts in Perianal Bacterial Dermatitis: Staphylococcus Aureus Predominance. Pediatr Dermatol. 2009 Nov-Dec;26(6):696-700. PubMed PMID: 20199443.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Recent microbiological shifts in perianal bacterial dermatitis: Staphylococcus aureus predominance. AU - Heath,Candrice, AU - Desai,Nina, AU - Silverberg,Nanette B, PY - 2010/3/5/entrez PY - 2010/3/5/pubmed PY - 2010/6/3/medline SP - 696 EP - 700 JF - Pediatric dermatology JO - Pediatr Dermatol VL - 26 IS - 6 N2 - Traditionally, bacterial infections of the anal skin have been found to be caused by Streptococcus. The aim of this study was to determine the breakdown of bacterial isolates and the current presentation of bacterial diseases involving the perineum. From the chart review of children who had bacterial cultures of the anus from 2005 to 2008 in a pediatric dermatology practice population in New York City, 26 pediatric patients (ages 5 months to 12 yrs) who had the indications of anal erythema or recurrent buttocks dermatitis were identified. Bacterial cultures of 17 patients grew pathogens, that of 14 (82% of identifiably infected patients) grew Staphylococcus aureus, in 11 as a solo pathogen (6 MSSA and 5 MRSA in 2 family clusters). Streptococcus was identified in three patients, two on culture and one on latex agglutination test; and two patients were identified as having both group A beta hemolytic Streptococcus and Staphylococcus aureus (2 MSSA and 1 MRSA). In patients with S. aureus perianally, concurrent small papules and pustules of the buttocks or extension of the erythema to adjacent buttock skin was the primary clinical feature distinguishing this condition from isolated streptococcal disease. Whereas Streptococcal infections of the anus and buttocks occur commonly, Staphylococcus aureus has become the leading cause of anal bacterial infection in the setting of skin involvement; therefore, antibacterial therapy for anal and buttock bacterial infections should be tailored accordingly. SN - 1525-1470 UR - https://www.unboundmedicine.com/medline/citation/20199443/Recent_microbiological_shifts_in_perianal_bacterial_dermatitis:_Staphylococcus_aureus_predominance_ L2 - https://doi.org/10.1111/j.1525-1470.2009.01015.x DB - PRIME DP - Unbound Medicine ER -