儿科颈部脓肿中耐甲氧西林金黄色葡萄球菌的发病率不断上升。

The rising incidence of methicillin-resistant Staphylococcus aureus in pediatric neck abscesses.

作者信息

Thomason Timothy S, Brenski Amy, McClay John, Ehmer Dale

机构信息

Department of Otolaryngology-Head and Neck Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA.

出版信息

Otolaryngol Head Neck Surg. 2007 Sep;137(3):459-64. doi: 10.1016/j.otohns.2007.05.010.

DOI:10.1016/j.otohns.2007.05.010

PMID:17765776

Abstract

OBJECTIVES

To examine the incidence of methicillin-resistant Staphylococcus aureus (MRSA) in pediatric neck abscesses and compare these with abscesses caused by methicillin-susceptible Staphylococcus aureus (MSSA) and other organisms (non-SA).

STUDY DESIGN

Retrospective review of 245 children who underwent incision and drainage of neck abscesses from January 1, 2001, to December 1, 2005.

RESULTS

The yearly incidence of MRSA increased from 9 percent to 40 percent during the study period. Abscesses in medial locations were less common in the MRSA group (P < 0.01) and MSSA group (P < 0.001) compared with the non-SA group. Average patient ages were MRSA 18.9 months, MSSA 18.7 months, and non-SA 47.6 months. Complication rates were MRSA 8 percent, MSSA 5 percent, and non-SA 5 percent.

CONCLUSIONS

The incidence of MRSA in pediatric neck abscesses is increasing dramatically. MRSA and MSSA usually infect younger patients in the lateral locations. Clinical courses were similar in all groups.

摘要

目的

研究耐甲氧西林金黄色葡萄球菌（MRSA）在儿童颈部脓肿中的发生率，并与甲氧西林敏感金黄色葡萄球菌（MSSA）及其他微生物（非金黄色葡萄球菌）所致脓肿进行比较。

研究设计

回顾性分析2001年1月1日至2005年12月1日期间245例行颈部脓肿切开引流术的儿童。

结果

研究期间，MRSA的年发生率从9%增至40%。与非金黄色葡萄球菌组相比，MRSA组（P<0.01）和MSSA组（P<0.001）中位于内侧部位的脓肿较少见。患者平均年龄分别为：MRSA组18.9个月，MSSA组18.7个月，非金黄色葡萄球菌组47.6个月。并发症发生率分别为：MRSA组8%，MSSA组5%，非金黄色葡萄球菌组5%。