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Gesundheitswissenschaftliches Journal

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Staphylococcus Aureus Infections, Frequent Clinical Presentations In pediatrics, Sensitivity in the Last 3 Years in Monteria, Colombia

Alexandra Zapata Botero*, Dayana Romero Rico, Jiseth Paola Avilez Alemán, Sandra Milena Negrete Contreras, Estefanía Ortega Uribe, Alba Luz Ramírez Vargas, Héctor Rafael Pineda Román, Rafael Chica Polo, Carlos Mauricio Vergara Lobo

Introduction: In the last decade, Staphylococcus aureus has been one of the main pathogens that has had a negative impact on human health, mainly in the pediatric population, given its particular virulence characteristics that give it a high capacity to produce a wide range of diseases, of which it is estimated that up to 70% of these are caused by community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) without associated risk factors. The following analytical, descriptive and retrospective study evaluates and analyzes the prevalence rates of cause of admission and cases associated with pediatric infections caused by community-acquired resistant Staphylococcus aureus in a clinic in the city of Monteria, Cordoba, Colombia.

Objectives: To analyze the behavior of MRSA-ACS infections in the pediatric population in a clinic in the city of Monteria, describe the clinical characteristics, specify the antibiotic treatment regimen, and identify the susceptibility profile of community acquired methicillin-resistant Staphylococcus aureus isolates.

Materials and Methods: In the following descriptive, retrospective, analytical study, the records of pediatric patients aged 0-18 years, in a period of time established between February 2018 to February 2021 in a clinic in the city of Monteria were reviewed, demographic and clinical variables were reviewed; and the presence of diagnostic tests to determine the presence of the isolated microorganism.

Results: Infections caused by community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) have an estimated prevalence of 37.5% in the pediatric population included in the study, in addition to a resistance to Oxacillin and Cefoxitin of 90%, which shows the great virulence capacity of this pathogen and the importance of the correct application of an adequate therapeutic treatment for it. Likewise, it is directly observed how the epidemiology of community staphylococcal infections has undergone radical changes in the last 10 years.

Discussion: The data found are similar to those reported in other studies. Skin and soft tissue infection is the most common type of infection caused by Staphylococcus aureus, being the most common manifestation of disease caused by methicillinresistant strains acquired in the community and skin abscess the main reason for consultation, also showing the increase in resistance to antibiotics used as treatment, always associated with the health environment.