Panton-Valentine leukocidin-positive Staphylococcus aureus skin and soft tissue infections among children in an emergency department in Madrid, Spain

被引:43
作者
Daskalaki, M. [1 ]
Rojo, P. [2 ]
Marin-Ferrer, M. [2 ]
Barrios, M. [2 ]
Otero, J. R. [1 ]
Chaves, F. [1 ]
机构
[1] Hosp Univ 12 Octubre, Microbiol Serv, Madrid, Spain
[2] Hosp Univ 12 Octubre, Serv Pediat, Madrid, Spain
关键词
Community-associated infections; emergency department; methicillin resistance; paediatric infections; Panton-Valentine leukocidin; Spain; Staphylococcus aureus; MULTIPLEX PCR STRATEGY; METHICILLIN-RESISTANT; MEC ELEMENT; IDENTIFICATION; PNEUMONIA; DISEASE;
D O I
10.1111/j.1469-0691.2009.02830.x
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
Fifty-three children who attended the emergency department with community-associated (CA) Staphylococcus aureus skin and soft tissue infections (SSTIs) were enrolled in the study. Seven cases of infection (13.2%) were due to methicillin-resistant S. aureus (MRSA). Twelve of 46 available isolates (26.1%) were Panton-Valentine leukocidin (PVL)-positive. PVL-positive S. aureus SSTIs were more frequently associated with abscesses and cellulitis (75% vs. 38%, p 0.028), and more commonly required incision and drainage (75% vs. 21%, p 0.001). Most PVL-positive CA-MRSA isolates belonged to a single multilocus sequence type (ST8). In contrast, PVL-positive methicillin-susceptible S. aureus isolates belonged to four different sequence types (ST8, ST30, ST80, ST120).
引用
收藏
页码:74 / 77
页数:4
相关论文
共 23 条
[1]   Panton-Valentine leukocidin genes are associated with enhanced inflammatory response and local disease in acute hematogenous Staphylococcus aureus osteomyelitis in children [J].
Bocchini, CE ;
Hulten, KG ;
Mason, EO ;
Gonzalez, BE ;
Hammerman, WA ;
Kaplan, SL .
PEDIATRICS, 2006, 117 (02) :433-440
[2]   Emergence of a single clone of community-associated methicillin-resistant Staphylococcus aureus in southern Madrid children [J].
Broseta, A ;
Chaves, F ;
Rojo, P ;
Otero, JR .
ENFERMEDADES INFECCIOSAS Y MICROBIOLOGIA CLINICA, 2006, 24 (01) :31-35
[3]  
Cantón R, 2000, J CLIN MICROBIOL, V38, P1339
[4]   Community-acquired methicillin-resistant Staphylococcus aureus in Madrid, Spain:: transcontinental importation and polyclonal emergence of Panton-Valentine leukocidin-positive isolates [J].
Cercenado, Emilia ;
Cuevas, Oscar ;
Marin, Mercedes ;
Bouza, Emilio ;
Trincado, Pilar ;
Boquete, Teresa ;
Padilla, Belen ;
Vindel, Ana .
DIAGNOSTIC MICROBIOLOGY AND INFECTIOUS DISEASE, 2008, 61 (02) :143-149
[5]  
Clinical and Laboratory Standards Institute, 2006, M100S16 CLSI
[6]   Multilocus sequence typing for characterization of methicillin-resistant and methicillin-susceptible clones of Staphylococcus aureus [J].
Enright, MC ;
Day, NPJ ;
Davies, CE ;
Peacock, SJ ;
Spratt, BG .
JOURNAL OF CLINICAL MICROBIOLOGY, 2000, 38 (03) :1008-1015
[7]   A review of community-associated methicillin-resistant Staphylococcus aureus skin and soft tissue infections [J].
Gorwitz, Rachel J. .
PEDIATRIC INFECTIOUS DISEASE JOURNAL, 2008, 27 (01) :1-7
[8]   Community-acquired methicillin-resistant Staphylococcus aureus in children with no identified predisposing risk [J].
Herold, BC ;
Immergluck, LC ;
Maranan, MC ;
Lauderdale, DS ;
Gaskin, RE ;
Boyle-Vavra, S ;
Leitch, CD ;
Daum, RS .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1998, 279 (08) :593-598
[9]   Three-year surveillance of community-acquired Staphylococcus aureus infections in children [J].
Kaplan, SL ;
Hulten, KG ;
Gonzalez, BE ;
Hammerman, WA ;
Lamberth, L ;
Versalovic, J ;
Mason, EO .
CLINICAL INFECTIOUS DISEASES, 2005, 40 (12) :1785-1791
[10]   Staphylococcus aureus Panton-Valentine leukocidin causes necrotizing pneumonia [J].
Labandeira-Rey, Maria ;
Couzon, Florence ;
Boisset, Sandrine ;
Brown, Eric L. ;
Bes, Michele ;
Benito, Yvonne ;
Barbu, Elena M. ;
Vazquez, Vanessa ;
Hoeoek, Magnus ;
Etienne, Jerome ;
Vandenesch, Francois ;
Bowden, M. Gabriela .
SCIENCE, 2007, 315 (5815) :1130-1133