[Bacteriology of cutaneous infections of the child].
Two bacterial species are responsible for the majority of children skin infections: Streptococcus pyogenes and Staphylococcus aureus. If S. pyogenes remain susceptible to the beta-lactams, their resistance to macrolides varies over time but remains significant (> 10%). In France, most resistant strains are by modification of the target, coded by the gene erm b. For S. aureus, almost all strains isolated were resistant to G and A penicillins, but remain susceptible to M penicillin and cephalosporins. In France, the incidence of methicillin resistant community acquired S. aureus strains is currently low, around 6 %, but the risk of a rapid increase is real.
Raymond
J
J
Service de Bactériologie, Hôpital Cochin, 27 rue du Faubourg Saint Jacques, 75679 Paris cedex 19, France. J.Raymond@svp.aphp.fr
Cohen
R
R
D001426:Bacterial Proteins / Q000502:physiology; D002511:Cephalosporins / Q000627:therapeutic use; D002648:Child; D024881:Drug Resistance, Bacterial; D006801:Humans; D018942:Macrolides / Q000627:therapeutic use; D016106:Methicillin Resistance; D055624:Methicillin-Resistant Staphylococcus aureus / Q000502:physiology; D008780:Methyltransferases / Q000502:physiology; D010400:Penicillin G / Q000627:therapeutic use; D010403:Penicillin Resistance; D010406:Penicillins / Q000627:therapeutic use; D012307:Risk Factors; D017192:Skin Diseases, Bacterial / Q000382:microbiology*; D013207:Staphylococcal Skin Infections / Q000382:microbiology*; D013211:Staphylococcus aureus / Q000502:physiology*; D013290:Streptococcal Infections / Q000382:microbiology*; D013297:Streptococcus pyogenes / Q000502:physiology*; D018440:beta-Lactam Resistance; D047090:beta-Lactams / Q000627:therapeutic use
D001426:Bacterial Proteins; D002511:Cephalosporins; D018942:Macrolides; D010406:Penicillins; D047090:beta-Lactams; D008780:Methyltransferases; C431709:ErmA protein, Bacteria; D010400:Penicillin G