Nourse Clare, Starr Mike, Munckhof Wendy
Mater Children's Hospital, Stanley Street, South Brisbane, QLD 4101, Australia.
J Paediatr Child Health. 2007 Oct;43(10):656-61. doi: 10.1111/j.1440-1754.2007.01153.x. Epub 2007 Jun 29.
Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) infection in children is increasingly common and can be associated with dissemination and life-threatening complications. Empiric therapy for presumed severe Staphylococcus aureus infection should be reviewed. Four children with severe invasive CA-MRSA infection causing osteomyelitis and pneumonia complicated by pulmonary embolus and deep venous thrombosis are described. The literature is reviewed and recommendations for management are provided.
儿童社区获得性耐甲氧西林金黄色葡萄球菌(CA-MRSA)感染日益常见,且可能伴有播散及危及生命的并发症。应对疑似严重金黄色葡萄球菌感染的经验性治疗进行评估。本文描述了4例因严重侵袭性CA-MRSA感染导致骨髓炎和肺炎,并伴有肺栓塞和深静脉血栓形成的儿童病例。同时对相关文献进行了综述并提供了管理建议。