期刊
EXPERT REVIEW OF ANTI-INFECTIVE THERAPY
卷 8, 期 2, 页码 183-195出版社
TAYLOR & FRANCIS LTD
DOI: 10.1586/ERI.09.127
关键词
antibiotic management; community-associated methicillin resistance; pediatric; severe infection; Staphylococcus aureus; vancomycin
The history of antibiotic resistance in Staphylococcus aureus spans more than half a century. Methicillin-resistant S. aureus (MRSA) has emerged as an almost ubiquitous pathogen in both the community and hospital settings. The predominant clone responsible for community-associated MRSA, USA300, is a highly successful pathogen, as demonstrated by its rapid global spread and associated morbidity and mortality. The management of MRSA infections in pediatric patients is complicated by the limited number of effective antibiotics that have been well-studied in children. The gold standard antimicrobial, vancomycin, has several shortcomings that have prompted the development of newer agents for the treatment of MRSA disease. Moreover, the emergence of vancomycin-intermediate or -resistant S. aureus, while uncommon, portends a potential new era of resistance that will require research and development of the next generation of antibiotics that act by novel mechanisms.
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