Suspected Staphylococcus aureus and streptococcal skin and soft tissue infections in neonates: Evaluation and management
- 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
The evaluation and management of suspected Staphylococcus aureus or streptococcal skin and soft tissue infections (SSTIs) in neonates (≤28 days of age) are discussed here. Clinical features of SSTI; the evaluation and management of staphylococcal and streptococcal SSTIs in children older than 28 days; the epidemiology, prevention, and control of methicillin-resistant S. aureus (MRSA) infections in children; and the treatment of invasive MRSA infections in children are discussed separately.
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- History and examination
- Laboratory evaluation
- MANAGEMENT APPROACH
- Localized pustulosis
- SSTI more severe than localized pustulosis
- ANTIMICROBIAL THERAPY
- Choice of initial therapy
- - SSTI without systemic findings
- - SSTI with systemic findings
- Duration of therapy
- RESPONSE TO THERAPY
- Monitoring response
- Failure to respond
- INFORMATION FOR PATIENTS
- SUMMARY AND RECOMMENDATIONS