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Retrospective Study on <i>Staphylococcus aureus</i> Resistance Profile and Antibiotic Use in a Pediatric Population
oleh: Danilo Buonsenso, Martina Giaimo, Davide Pata, Alessia Rizzi, Barbara Fiori, Teresa Spanu, Antonio Ruggiero, Giorgio Attinà , Marco Piastra, Orazio Genovese, Giovanni Vento, Simonetta Costa, Eloisa Tiberi, Maurizio Sanguinetti, Piero Valentini
Format: | Article |
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Diterbitkan: | MDPI AG 2023-08-01 |
Deskripsi
The growing phenomenon of antibiotic resistance and the presence of limited data concerning the pediatric area prompted us to focus on <i>Staphylococcus aureus</i> infection in this study, its antibiotic resistance profile, and the therapeutic management of affected children. We conducted a retrospective study by collecting clinical data on infants and children with antibiogram-associated <i>S. aureus</i> infection. We enrolled 1210 patients with a mean age of 0.9 years. We analyzed the resistance patterns and found 61.5% resistance to oxacillin, 58.4% resistance to cephalosporins, 41.6% resistance to aminoglycosides, and 38.3% resistance to fluoroquinolones. Importantly, we found no resistance to glycopeptides, a key antibiotic for <i>MRSA</i> infections whose resistance is increasing worldwide. We also found that the main risk factors associated with antibiotic resistance are being aged between 0 and 28 days, the presence of devices, and comorbidities. Antibiotic resistance is a growing concern; knowing the resistance profiles makes it possible to better target the therapy; however, it is important to use antibiotics according to the principles of antibiotic stewardship to limit their spread.