title: Community-acquired methicillin-resistant Staphylococcus aureus infections requiring admission to a Tunisian pediatric intensive care unit.
abstract: BACKGROUND
  There is limited literature describing severe community acquired methicillin-resistant S aureus (CA-MRSA) in children admitted to an intensive care unit.
  
  
  OBJECTIVE
  To review clinical features and outcome of children admitted in a Tunisian pediatric intensive care with CA-MRSA.
  
  
  METHODS
  Retrospective chart review of patients coded for CAMRSA over 10 years.
  
  
  RESULTS
  There were 14 (0.32% of all admissions) patients identified with severe CA-MRSA. The median age was 3 months (range,0.5-156 months). All patients had pulmonary involvement. Six children (42.8%) developed septic shock. Two (14.3%) patients had multifocal infection with deep venous thrombosis. Two (14.3%) patients died.
  
  
  CONCLUSIONS
  Severe CA-MRSA pneumonia dominated presentation. The mortality of CA-MRSA infection in our series is lower than reported in the literature.
authors.affiliation: Pediatric Intensive Care Unit, Children's Hospital of Tunis, Tunisia.
authors.forename: Khaled
authors.initials: K
authors.lastname: Menif
authors.forename: Asma
authors.initials: A
authors.lastname: Bouziri
authors.forename: Ammar
authors.initials: A
authors.lastname: Khaldi
authors.forename: Asma
authors.initials: A
authors.lastname: Hamdi
authors.forename: Sarra
authors.initials: S
authors.lastname: Belhadj
authors.forename: Aida
authors.initials: A
authors.lastname: Borgi
authors.forename: Najla
authors.initials: N
authors.lastname: Ben Jaballah
mesh_terms: D002675:Child, Preschool; D017714:Community-Acquired Infections; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D015278:Intensive Care Units, Pediatric; D007902:Length of Stay; D055624:Methicillin-Resistant Staphylococcus aureus; D018410:Pneumonia, Bacterial / Q000453:epidemiology* / Q000382:microbiology*; D012189:Retrospective Studies; D013203:Staphylococcal Infections / Q000453:epidemiology*; D014416:Tunisia / Q000453:epidemiology