[Incidence of methicillin-resistant Staphylococcus aureus strains (MRSA) and difficulties in treatment. Own experience].
OBJECTIVE
To estimate the incidence of MRSA strains in hospitalized children, the analysis of antibiotic treatment necessity and its effectiveness.


RESULTS
In 54 cases biological material obtained from hospitalized children revealed the culture of S. aureus, 22% of them were MRSA strains. Micro-organisms were cultured from throat swabs, faeces, purulent skin lesions, blood, cerebrospinal fluid. Antibiotic treatment was applied in 3 cases. Vancomycin (Edicin) was used as the first-choice option. Symptoms of drug intolerance was observed in all three cases after the first or the second dose, must have been immediately withdrawn.


CONCLUSIONS
MRSA strains are common in children population, they are not only nosocomial strains. Infections caused by S. aureus MRSA may result in life-threatening diseases. The generic formula of Vancomycin, that is used in Poland may cause serious side effects, which restricts narrow range of therapeutic options to eradicate MRSA strains.
Bednarek
Małgorzata
M
Klinika Chorób Zakaźnych i Hepatologii Uniwersytetu Medycznego w Lodzi. m.bednarek@csk.umed.lodz.pl
Majda-Stanisławska
Ewa
E
D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000009:adverse effects; D002648:Child; D006801:Humans; D016106:Methicillin Resistance; D011044:Poland; D013045:Species Specificity; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000188:drug therapy* / Q000382:microbiology*; D013211:Staphylococcus aureus / Q000145:classification*; D016896:Treatment Outcome; D014640:Vancomycin / Q000008:administration & dosage / Q000009:adverse effects
D000900:Anti-Bacterial Agents; D014640:Vancomycin