Methicillin-resistant Staphylococcus aureus in dermatology outpatients with suspected bacterial infections in a university hospital in Beijing

Li, L.-F.; Zhang, L.

doi:10.1111/j.1365-2230.2009.03775.x

Cited by 3 publications

(2 citation statements)

References 3 publications

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“…Bacterial infection, especially S aureus in the eczema, is very common. Our study shows that about half of patients had bacterial infections; this finding is in accordance with the results of our other previous study, [ 19 ] in which of 54 patients with dermatitis and eczema, the S aureus isolation rate in eczema group was similar to the control group of patients with suspected primary S aureus infections (44% vs 47%; P > .05, chi-square test). Widespread eczema, stasis dermatitis, and AD had the highest bacterial infection rates (65.7%, 61.8%, and 61.4%, respectively; Table 1 ).…”

Section: Discussionsupporting

confidence: 92%

Classification and possible bacterial infection in outpatients with eczema and dermatitis in China

Wang

Shi

et al. 2017

Medicine

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Little is known about the classification and bacterial infection in outpatients with eczema and dermatitis in China.To investigate the prevalence of eczema and dermatitis in outpatients of dermatology clinics in China, examine classification and proportion of common types of dermatitis and the possible bacterial infection, and analyze the possible related factors.Outpatients with eczema or dermatitis from 39 tertiary hospitals of 15 provinces in mainland China from July 1 to September 30, 2014, were enrolled in this cross-sectional and multicenter study. Among 9393 enrolled outpatients, 636 patients (6.7%) were excluded because of incomplete information.The leading subtypes of dermatitis were unclassified eczema (35.5%), atopic dermatitis (13.4%), irritant dermatitis (9.2%), and widespread eczema (8.7%). Total bacterial infection rate was 52.3%, with widespread eczema, stasis dermatitis, and atopic dermatitis being the leading three (65.7%, 61.8%, and 61.4%, respectively). Clinically very likely bacterial infection has a significant positive correlation with disease duration, history of allergic disease, history of flexion dermatitis, and severe itching.Atopic dermatitis has become a common subtype of dermatitis in China. Secondary bacterial infection is common in all patients with dermatitis, and more attentions should be paid on this issue in other type of dermatitis apart from atopic dermatitis.

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Section: Discussionsupporting

confidence: 92%

Classification and possible bacterial infection in outpatients with eczema and dermatitis in China

Wang

Shi

et al. 2017

Medicine

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“…A previous study from our institute has demonstrated that the clinical diagnosis was highly correlated with the laboratory bacterial culture results; S. aureus was isolated in 92.9% of eczema patients who were diagnosed with very likely bacterial infection [16]. No laboratory test was performed to make the diagnosis [17,18].…”

Section: Data Collection and Diagnosismentioning

confidence: 99%

Risk Factors in Outpatients with Dermatitis and Eczema in Tertiary Hospitals of China Who Have Clinically Suspected Bacterial Infection

2020

BioMed Research International

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Skin bacterial infections are often observed in eczema patients, but the risk factors are not fully understood. The current study evaluated the prevalence of clinically suspected bacterial infection and its associated risk factors. Moreover, we investigated the practice of skin infection diagnosis in China. A hospital-based, multicenter, cross-sectional epidemiologic survey of bacterial infection was performed in a total of 6208 outpatients diagnosed with dermatitis and eczema from 39 tertiary hospitals of 15 provinces and municipalities in China. All patients completed a specific questionnaire regarding their demographic characteristics, disease duration, distribution of lesions, severity of itching, and medical history. Univariate analysis and multivariate analysis were used to evaluate risk factors associated with bacterial infection in patients with different types of eczema. The prevalence of clinically suspected bacterial infection was 47.0% in patients with eczema. Compared to atopic dermatitis, widespread eczema ( OR = 1.50 , P < 0.001 ) and other eczema ( OR = 1.42 , P < 0.001 ) were more likely to suffer bacterial infection. The itching grade was positively associated with the infection ( OR = 2.11 , 7.04, and 12.3 in patients with mild, moderate, and severe itching, respectively; P < 0.001 ). Lesion distribution in the cubital fossa, popliteal fossa, ear, shoulder and back, axillary, foot, and pudendum was positively associated with bacterial infection (all OR > 1.0 , P < 0.05 ). In contrast, the face and abdomen were reversely associated with bacterial infection ( OR < 1.0 , P < 0.005 ). History of asthma, allergic rhinitis, allergic conjunctivitis, atopic dermatitis, infantile eczema, and flexion dermatitis was positively associated with bacterial infection (all OR > 1.0 , P < 0.005 ), while the history of dry skin was reversely associated with bacterial infection ( OR = 0.76 , 95% CI: 0.64-0.90; P = 0.002 ). Patients with eczema were easily infected with bacteria. Widespread eczema and other eczema were more likely to have bacterial infection than atopic dermatitis. The high rate of infection may attribute to the lack of corresponding bacterial detection, suggesting the need of guideline development in China to prevent overuse of topical antibiotics.

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Staphylococcus aureus resistente a meticilina en las consultas externas de Dermatología

Redondo-Mateo

Hernando-Real

Pérez-Santos

et al. 2014

Piel

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Methicillin-resistant Staphylococcus aureus in dermatology outpatients with suspected bacterial infections in a university hospital in Beijing

Cited by 3 publications

References 3 publications

Classification and possible bacterial infection in outpatients with eczema and dermatitis in China

Classification and possible bacterial infection in outpatients with eczema and dermatitis in China

Risk Factors in Outpatients with Dermatitis and Eczema in Tertiary Hospitals of China Who Have Clinically Suspected Bacterial Infection

Staphylococcus aureus resistente a meticilina en las consultas externas de Dermatología

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