P047 : Clinical overview of methicillin-resistant staphylococcus aureus (MRSA) cutaneous infections

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발행기관 : 대한피부과학회 수록지정보 : 프로그램북(구 초록집) / 70권 / 2호
저자명 : ( Hanhim Jeong ) , ( Sunyoung Jo ) , ( Seunggi Hong ) , ( Kiwoong Ro ) , ( Eunphil Heo )

영어 초록

Background: The incidence of MRSA infections is increasing steadily, and the patterns of antibiotic resistance for S. aureus are changing recently.Objectives: This study aimed to determine the prevalence and antimicrobial susceptibility patterns of S. aureus and also about treatment.Methods: We reviewed the 358 cultures of 305 patients presenting to our dermatologic clinic between January 2013 and July 2018. The results of bacterial culture (strain, antimicrobial susceptibility) of cutaneous infection and follow-up treatment of MRSA were analyzed.Results: Of the included 358 cultures, 76 cases (21.2%) were S. aureus. And 28 cases (36.8%) of S.aureus revealed MRSA. In 76 cases of S. aureus, all cultures were tested for antibiotic resistance patterns : penicillin(85.5%), erythromycin (32.9%), clindamycin(23.7%), vancomycin (0%), trimethoprimsulfamethoxazole( 0%). In all MRSA 28 cultures, 8 cases were treated only by incision & drainage. Primary impressions were folliculitis(3), carbuncle(3), abscess(1), epidermal cyst(1). Additional antibiotic prescriptions were nessesary in 15 cases, which include cellulitis(9), abscess(3), epidermal cyst(1), tinea(1) and folliculitis(1).Conclusion: In this study, we suggested the prevalence and susceptibility of MRSA and it should be considered for diagnosis and treatment of cutaneous infection. Since treatment can depends on Primary impression as well as antimicrobial susceptibility, careful consideration is needed in selection of treatment strategies.

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P047 : Clinical overview of methicillin-resistant staphylococcus aureus (MRSA) cutaneous infections