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Microbiology of Pediatric Orbital Cellulitis and Trends in Methicillin-Resistant Staphylococcus aureus Cases.
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- Author(s): Hsu, Jerry; Treister, Alison D.; Ralay Ranaivo, Hantamalala; Rowley, Anne H.; Rahmani, Bahram
- Source:
Clinical Pediatrics; Sep2019, Vol. 58 Issue 10, p1056-1062, 7p- Subject Terms:
AGE distribution; AMOXICILLIN; BLOOD; CELL culture; CELLULITIS; CLAVULANIC acid; CULTURES (Biology); EYE-sockets; PENICILLIN; MEDICAL records; PARANASAL sinuses; PEDIATRICS; STREPTOCOCCUS; METHICILLIN-resistant staphylococcus aureus; AMPICILLIN; ACQUISITION of data methodology; TERTIARY care; CHILDREN - Source:
- Additional Information
- Abstract: We reviewed medical records of children with orbital cellulitis with positive cultures at a tertiary institution from 2005 to 2018 to identify microbiology trends and features associated with methicillin-resistant Staphylococcus aureus (MRSA) cases. Cultures obtained from the orbits (n = 33), sinuses (n = 31), and dural cavities (n = 4) had yields of 66.7%, 61.3%, and 75%, respectively, compared with 17.6% of blood cultures (n = 69). Fifty-five patients had positive culture results. Staphylococcus aureus was the most common pathogen isolated (n = 19), followed by Streptococcus species, most commonly Streptococcus anginosus (n = 8). The most frequently prescribed antibiotic combination regimen was ampicillin-sulbactam followed by amoxicillin-clavulanate. There were 8 cases of MRSA. MRSA was associated with an age of presentation <1 year old (P =.034). Other clinical features were similar between MRSA and non-MRSA cases. In infants and neonates, or those with epidemiologic risk factors, MRSA should also be considered. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Clinical Pediatrics is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Abstract:
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