2017 2016 2015 2014 2013 2012 2011 2010 2009 2008
Mission Vision History
2016-2018 2014-2016 2012-2014 2010-2012 2008-2010 2006-2008 2004-2006 2002-2004 2000-2002 1998-2000 1995-1998
General Information Article Publishing Agreement Instruction to Authors Peer Reviewers Journal Search
23rd Convention 22nd Convention 21st Convention 20th Convention 19th Convention 18th Convention 17th Convention 16th Convention 15th Convention
Show All 23rd Convention 22nd Convention 21st Convention 20th Convention 19th Convention 17th Convention

Risk Factors for Community Acquired Methicillin Resistant Staphylococcus aureus Infections among 0-18 yrs old: A Retrospective Case- Control Study

Journal 2014 Vol.15 No.2
Maria Tricia D. Subido, MD, Jaime Santos, MD
Community-acquired CA)-MRSA infections, methicillin resistant Staphylococcus aureus
Background: Community-acquired methicillin-resistant Staphylococcus aureus (CA-MRSA) infection is an emerging health problem in pediatrics. Risk factors are not well established in children.

Objective: To determine the risk factors for the development of methicillin-resistant Staphylococcus aureus infections arising in the community.

Methodology: A restrospective case-control study was performed from January 2004 to December 2011. Cases included patients who were culture positive for Staphylococcus aureus and resistant to methicillin/oxacillin while Control included patients who were sensitive to methicillin/oxacillin. The study identified and analyzed the epidemiology, risk factors and resistance pattern of CA-MRSA isolates.

Results: Three hundred twety three (323) patients with Staphylococcus aureus infections were enrolled: 172 were CA-MRSA infections (cases); and 151 were community acquired methicillin-sensitive Staphylococcus aureus (CA-MSSA) infections (control). Demographic characteristics and clinical profile were skin (cellulitis, furunculosis and abscess) and pulmonary (pneumonica and empyema). The survival rate was high for both groups (>90%). The final multivariate logistic regresion model showed that level of crowding and socio-economic status remained model showed that level of crowding and socio-economic status remained as risk factors for CA-MRSA. The odds of having CA-MRSA in crowded households is 0.35 (90%CI 0.20-0.62) less likely when compared to the odds of acquiring MRSA in less crowded households (p=0.003). Those who had low socio-eonomic had 2.49 times higher chance (90%CI; 1.39 -4.47) of aquiring CA-MRSA compared to those with higher socio-economic status (p=0.01).

Conclusion: CA-MRSA is an emerging problem. This warrants recognition of patients with significant risk factors such as low socio-economic status and level of crowding. This may serve guide in choosing the appropriate antimicrobial theraply. *1st Place PIDSP Research Contest 2013
View Full Article in PDF format

Cecilia Maramba-Lazarte, MD, MScID

Nancy Bermal, MD
Arlene Dy-Co, MD

Gyneth Bibera, MD
Mary Anne Bunyi, MD
Elizabeth Gallardo, MD
Jonathan Lim, MD
Xenia Cathrine Fabay , MD
Fatima Jimenez , MD
Nanette Cuady-Madrid, MD
Carmina Arriola, MD
Arlene S. Dy-Co, MD
Maria Estrella Balao-Litam, MD, MBA-H
Belle Ranile, MD
Xenia Catherine J. Fabay, MD

Rea Uy-Epistola