Drug-resistance surveillance and analysis of the staphylococcus aureus infection of children under 5-year in Zhuhai area

WANG Wei-shan, CAI Gui-feng, ZHONG Ying, ZHOU Yu-qiu

Chinese Journal of Child Health Care ›› 2011, Vol. 19 ›› Issue (7) : 657-660.

Chinese Journal of Child Health Care ›› 2011, Vol. 19 ›› Issue (7) : 657-660.

Drug-resistance surveillance and analysis of the staphylococcus aureus infection of children under 5-year in Zhuhai area

  • WANG Wei-shan, CAI Gui-feng, ZHONG Ying, ZHOU Yu-qiu
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Abstract

【Objective】 To investigate the drug-resistance of staphylococcus aureus(SAU) isolated from children under 5-year in Zhuhai area. 【Methods】 245 stains of SAU were isolated from 4 357 cases under 5-year in the Zhuhai Municipal Maternity and Child Health Care Hospital since January 2007 to December 2009. Kurby-Bauer method was used to analyze antimicrobial susceptibility of above-mentioned strains against 12 antimicrobial agents. Results were evaluated according to Clinical and Laboratory Standards Institute(CLSI) of that year. The data was statistic analysis by WHONET 5.4 and SPSS 17.0. 【Results】 95.1% of the cases were under 1-year. 97.1% strains were isolated from the specimens of the outpatients and in-patients within 48 h of hospitalization. The majority of the specimens was sputum(89%) and pneumonia was the main disease among the cases(88.6%). The prevalence of the methicillin-resistant staphylococcus aureus(MRSA) was 17.6%. The rates of resistance to penicillin, clindamycin and erythromycin were 93.9%, 51.4%, 67.6% respectively. All were sensitive to vancomycin and linezolid. The drug-resistance of MRSA was higher than methicillin sensitive staphylococcus cureus(MSSA)(P<0.05). According to the drug resistance of SAU, there was no significant difference between the newborns and the infants(P>0.05). 【Conclusions】 The detection rate of MRSA is low in children under 5-year with SAU infection in Zhuhai area. The drug-resistance rate is not high in the microbial agents except Penicillin, Clindamycin and Erythromycin. Oxacillin is still a cheap and sensitive drug to cure the children with SAU infection in Zhuhai area.

Key words

staphylococcus aureus / drug-resistance / influence / children

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WANG Wei-shan, CAI Gui-feng, ZHONG Ying, ZHOU Yu-qiu. Drug-resistance surveillance and analysis of the staphylococcus aureus infection of children under 5-year in Zhuhai area[J]. Chinese Journal of Child Health Care. 2011, 19(7): 657-660

References

[1] 李春辉,吴安华.社区获得性耐甲氧西林金黄色葡萄球菌感染研究进展[J].中国感染控制杂志,2008,7(6):430-434.
[2] Seybold U, Kourbatova EV, Johnson JG, et al. Emergence of community-associated methicillin-resistant Staphylococcus aureus USA300 genotype as a major cause of health care associated blood stream infections[J]. Clin Infect Dis,2006,42:647-656.
[3] 王群,高燕,沈叙庄.我国儿童耐甲氧西林金黄色葡萄球菌的分离与耐药状况[J].华夏医学,2010,23(1):99-101.
[4] 邓秋连,邓力,谢永强,等.儿童感染金黄色葡萄球菌耐药性分析[J].中国感染控制杂志,2008,7(1):39-43.
[5] 李湘燕,肖永红.Mohnarin2006~2007年度报告:14岁以下人群细菌耐药监测[J].中国抗生素杂志,2008,33(10):579-585.
[6] 汪玲,陆权,邓秋连,等.2000~2004年京沪穗渝5家儿童医院革兰氏阳性球菌耐药情况分析[J].中国循征儿科杂志,2006,1(2):113-120.
[7] 王进,肖永红.Mohnarin2006~2007年度报告:革兰阳性菌耐药监测结果[J].中国抗生素杂志,2008,33(10):592-596.
[8] Weigel LM, Donlan RM. Shin DH, et al. High-level vancomycin resistant Staphylococcus aureus isolates associated with a polymicrobial biofilm[J]. Antimicrob Agents Chemother,2007,51(1):231-238.
[9] 华春珍,李建平,俞惠,等.金黄色葡萄球菌儿童株耐药性研究和mecA基因检测[J].中华儿科杂志,2006,44(5):360-363.

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