Methicillin-Resistant Staphylococcus aureus: Decolonization and Prevention Prescribing Practices for Children Treated With Skin Abscesses/Boils in a Pediatric Emergency Department

作者：Jennings Jeanine E; Timm Nathan L^*; Duma Elena M

来源：Pediatric Emergency Care, 2015, 31(4): 266-268.

• methicillin-resistant Staphylococcus aureus
• decolonization
• prevention
• abscess

Objective: This study aimed to describe methicillin-resistant Staphylococcus aureus (MRSA) eradication/prevention practices of cliniciansmanaging patients with skin and soft tissue infections (SSTIs), specifically, in those patients undergoing abscess incision and drainage (I&D) in a pediatric emergency department (ED).
Methods: A retrospective cohort study was performed for children aged 0 to 18 years old undergoing I&D of cutaneous abscess between January 1, 2011, and December 31, 2011, in the Cincinnati Children's Hospital Medical Center ED.
Results: Five hundred seventy-five patients underwent abscess I&D during our study period. Approximately 25% of our population had previous history of MRSA, SSTI, or boil/abscess; in addition, 26% of our population had a household family member with a previous history of MRSA, SSTI, or boil/abscess. Wound cultures were obtained in 399 (69%) of 575 of I&D abscesses, and of these, 57% of the I&D abscesses grew MRSA. Of all patients, only 3.7% (21 patients) had documentation of MRSA eradication/prevention instructions for patient/family.
Conclusions: Methicillin-resistant S aureus eradication/prevention discussions are not commonly included in discharge instructions for patients undergoing abscess I&D. Given the significant proportion with previous MRSA infection, the ED may be a setting to provide instructions to patients/families with recurrent infections.

• 出版日期2015-4