Presented as an oral presentation at the 2010 Triological Society Combined Otolaryngology Spring Meetings (COSM), Las Vegas, Nevada, U.S.A., April 28–May 2, 2010.
Article first published online: 30 NOV 2010
Copyright © 2010 The American Laryngological, Rhinological, and Otological Society, Inc.
Volume 121, Issue 1, pages 51–55, January 2011
How to Cite
Duggal, P., Naseri, I. and Sobol, S. E. (2011), The increased risk of community-acquired methicillin-resistant Staphylococcus aureus neck abscesses in young children. The Laryngoscope, 121: 51–55. doi: 10.1002/lary.21214
The authors have no funding, financial relationships, or conflicts of interest to disclose.
- Issue published online: 22 DEC 2010
- Article first published online: 30 NOV 2010
- Accepted manuscript online: 13 SEP 2010 01:25PM EST
- Manuscript Accepted: 22 JUL 2010
- Manuscript Revised: 14 JUL 2010
- Manuscript Received: 16 APR 2010
- methicillin resistant staphylococcus aureus;
- Level of Evidence: 2b.
To analyze the microbiological origins of deep neck space infections requiring surgical intervention in a pediatric population.
Retrospective cohort study.
The study population (N = 136) included all pediatric patients surgically treated for deep neck space abscesses in a metropolitan tertiary care children's hospital over the course of 5 years (September 2004–August 2009). Demographic and clinical information was compared with microbiological isolate data.
Microbiological analysis of 118 bacterial isolates demonstrated 49 (42%) methicillin-resistant Staphylococcus aureus (MRSA), 35 (30%) methicillin-sensitive S. aureus, and 34 (28%) non-S. aureus (N-SA) isolates. The median age was 16 months (range, 1 month–13years). Patients <16 months of age were 10 times more likely to have an S. aureus (SA) infection versus N-SA (P <.0001). MRSA comprised the majority of all SA isolates (58%). Eighty percent of all SA abscesses were located in the lateral neck. African American pediatric patients accounted for 70% of all deep neck space infections, and 86% of all MRSA infections. Clindamycin resistance was noted in 8% (4/49) of all community-acquired MRSA isolates.
Children younger than 16 months and/or with lateral neck abscesses are at a significantly increased risk of having an SA infection, the majority being MRSA. Laryngoscope, 2011