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Archivos de Pediatría del Uruguay
On-line version ISSN 1688-1249
Abstract
BONINO, Anna; GNESETTI, Annella; PUJADAS, Mónica and BROGGI, Alberto. Infecciones por Staphylococcus aureus meticilino resistente adquirido en la comunidad: análisis de la población pediátrica asistida en el Hospital Policial de Uruguay, 2004. Arch. Pediatr. Urug. [online]. 2007, vol.78, n.1, pp.41-47. ISSN 1688-1249.
In the 1990s the prescence of new strains of Staphylococcus aureus in people without risk factors was communicated. It was named community acquired methicillin-resistant Staphylococcus aureus (CA - MRSA); with similar characteristics to the ones found at hospital, but with a particular antibiotic sensitivity pattern. In our country the skin and soft tissue infections due to this germ initiated in closed communities, prisons, and suburban populations. The population assisted at the Police Hospital has an increased risk of having infections to CA - MRSA. There is no epidemiological data regarding this new type of infections caused by CA - MRSA at the Pediatrics Service of the Police Hospital. The objective was to analyze the clinical and epidemiological manifestations of the infections caused by MRSA-CA in the pediatric population of the Police Hospital through a retrospective descriptive study during a 13 month period. 91 patients were included with positive CA - MRSA cultures. The most frequent clinical manifestations were abscesses (22%), impetigo (21%) and overinfected injury (18%). 34% (31) of the patients required hospitalization. Skin and soft tissue infections were the third cause of hospitalization in our service during the year 2004; being CA - MRSA responsible of 40% of them.
Keywords : STAPHYLOCOCCUS AUREUS; METHICILLIN RESISTANCE; COMMUNITY-ACQUIRED INFECTIONS.