Staphylococcus aureus bacteremia in children: Management and outcome
- Sheldon L Kaplan, MD
Sheldon L Kaplan, MD
- Editor-in-Chief — Pediatrics
- Section Editor — Pediatric Infectious Diseases
- Professor and Vice Chairman for Clinical Affairs
- Baylor College of Medicine
Staphylococcus aureus is a leading cause of both community-associated and hospital-acquired bacteremia. S. aureus bacteremia (SAB) is associated with increased morbidity and mortality, even with appropriate therapy.
The treatment and outcome of S. aureus bacteremia in children are reviewed here. The epidemiology and clinical manifestations of S. aureus bacteremia in children are discussed separately. (See "Staphylococcus aureus bacteremia in children: Epidemiology and clinical features".)
Supportive care — Supportive measures for children with S. aureus bacteremia (SAB) may include:
●Respiratory support for patients with pneumonia or respiratory distress (see "Oxygen monitoring and therapy in the newborn")
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- Supportive care
- Antibiotic therapy
- - Antibiotic resistance
- Macrolides and clindamycin
- - Empiric therapy
- - Alternative drugs
- - Oral therapy
- - Duration of therapy
- Removal of infectious foci
- - Intravascular catheter removal
- - Surgical intervention
- - Repeat blood cultures
- - Toxicity
- - Echocardiography
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS