Diagnosis and management of community-associated MRSA infections in children

Caroline B. Long, Rebecca P. Madan, Betsy C. Herold

Research output: Contribution to journalArticle

Abstract

The history of antibiotic resistance in Staphylococcus aureus spans more than half a century. Methicillin-resistant S. aureus (MRSA) has emerged as an almost ubiquitous pathogen in both the community and hospital settings. The predominant clone responsible for community-associated MRSA, USA300, is a highly successful pathogen, as demonstrated by its rapid global spread and associated morbidity and mortality. The management of MRSA infections in pediatric patients is complicated by the limited number of effective antibiotics that have been well-studied in children. The gold standard antimicrobial, vancomycin, has several shortcomings that have prompted the development of newer agents for the treatment of MRSA disease. Moreover, the emergence of vancomycin-intermediate or -resistant S. aureus, while uncommon, portends a potential new era of resistance that will require research and development of the next generation of antibiotics that act by novel mechanisms.

Original languageEnglish (US)
Pages (from-to)183-195
Number of pages13
JournalExpert Review of Anti-Infective Therapy
Volume8
Issue number2
DOIs
StatePublished - Feb 2010

Keywords

  • antibiotic management
  • community-associated methicillin resistance
  • pediatric
  • severe infection
  • Staphylococcus aureus
  • vancomycin

ASJC Scopus subject areas

  • Infectious Diseases
  • Microbiology (medical)
  • Microbiology
  • Virology

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