The Frequency of Erythromycin‐Resistant Staphylococcus aureus in Impetiginized Dermatoses

Misko, Monica L.; Terracina, Joseph R.; Diven, Dayna G.

doi:10.1111/j.1525-1470.1995.tb00116.x

Cited by 13 publications

(5 citation statements)

References 13 publications

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“…Results revealed that there is an inverse relationship between the percentage of isolated S. aureus and patient age. Similar patterns of these results were observed in different studies conducted in Iraq and worldwide [18,19].…”

Section: Discussionsupporting

confidence: 78%

The Prevalence, Molecular Characterization and Antimicrobial Susceptibility of S. aureus Isolated from Impetigo Cases in Duhok, Iraq

Zebary¹,

Yousif²,

Assafi³

2017

TODJ

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Section: Discussionsupporting

confidence: 78%

The Prevalence, Molecular Characterization and Antimicrobial Susceptibility of S. aureus Isolated from Impetigo Cases in Duhok, Iraq

Zebary¹,

Yousif²,

Assafi³

2017

TODJ

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“…In earlier reports, Streptococcus pyogenes was considered to be the primary etiological agent, with staphylococcus being a secondary invader [14]. However, more recent studies have shown that up to 87% of impetigo cases are due to Staphylococcus aureus and not Streptococcus pyogenes [15]. This apparent shift of pathogen from Group A streptococci to Staphylococcus aureus has remained unexplained, but it has been documented in different countries [16,17], and it may have played a key role in changing the paradigm of APSGN.…”

Section: Discussionmentioning

confidence: 99%

Changing epidemiology of acute post-streptococcal glomerulonephritis in Northeast Florida: a comparative study

Ilyas

Tolaymat

2008

Pediatr Nephrol

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The objective of this study was to review the epidemiological patterns of acute post-streptococcal glomerulonephritis (APSGN) in a pediatric population. We compared incidence, pathogenesis, clinical presentation and outcomes in two APSGN pediatric patient cohorts in northeastern Florida. Retrospective medical records were reviewed of children who were admitted to our institution with a diagnosis of APSGN. Patients admitted between 1999 and 2006 (recent cohort) were compared with a previously reported cohort of patients admitted between 1957 and 1973 (earlier cohort). The recent cohort comprised 45 children with APSGN of whom 87% were male and 13% were female; the median age was 7 years, and there was an average incidence of 6.4 patients per year. The earlier cohort comprised 153 children with APSGN of whom 62% were male and 38% were female; the median age 4.25 years, and there was an average incidence of 10.9 patients per year. The recent cohort was predominantly White-American (62%) and the earlier cohort predominately African American (87%). In the recent cohort, 64% of patients had antecedent pharyngitis, and in the earlier cohort, 66% of patients had antecedent pyoderma. In the recent cohort, 11% of APSGN cases occurred between August to October, and in the earlier cohort, 50% occurred during these months. In the recent cohort, symptoms of APSGN at presentation were milder and all cases recovered, but in the earlier cohort two deaths (1.3% mortality) were reported. In conclusion, there has been a decline in the incidence and severity of APSGN at our institute in recent decades. Pharyngitis has replaced impetigo as the predominant cause of APSGN. The etiological agent for impetigo has changed over the last decade, which has impacted the incidence, racial distribution, seasonal variation and severity of APSGN.

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“…[20] Erythromycin resistance has been found to vary from 3% to 74% in S. aureus [12] and more so in S. pyogenes in different studies from across the world, which makes it unsuitable for empirical treatment of SSTIs in children. [21] In a community-based study of pyoderma from India, prevalence of erythromycin-resistant strains of S. aureus was found to be 56.4%. [8] Both S. aureus and streptococci may show resistance to MLS agents (macrolide, lincosamide, streptogramin B), which is mediated by methylation of 23SrRNA, inhibiting effective ribosomal binding of the antibacterials.…”

Section: Epidemiologymentioning

confidence: 99%

Current concepts in the management of bacterial skin infections in children

Palit¹,

Inamadar²

2010

Indian J Dermatol Venereol Leprol

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Bacterial skin infections in children vary widely clinically, starting from mild superficial folliculitis to deep necrotizing fasciitis. The causative organisms are mostly Staphylococcus aureus and Streptococcus, with occasional involvement of Gram-negative organisms. Treatment of even the milder forms of bacterial skin infections is of importance because of the long-term morbidity associated with them. However, because of global emergence of resistant strains of bacteria, treatment of these conditions is becoming increasingly difficult. The current antibacterial resistance patterns in organisms causing skin and soft tissue infections and the problems encountered in their management in children have been discussed.

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The Frequency of Erythromycin‐Resistant Staphylococcus aureus in Impetiginized Dermatoses

Cited by 13 publications

References 13 publications

The Prevalence, Molecular Characterization and Antimicrobial Susceptibility of S. aureus Isolated from Impetigo Cases in Duhok, Iraq

The Prevalence, Molecular Characterization and Antimicrobial Susceptibility of S. aureus Isolated from Impetigo Cases in Duhok, Iraq

Changing epidemiology of acute post-streptococcal glomerulonephritis in Northeast Florida: a comparative study

Current concepts in the management of bacterial skin infections in children

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