Korean J Pediatr Infect Dis.  2004 Nov;11(2):183-191. 10.14776/kjpid.2004.11.2.183.

Staphylococcal Scalded Skin Syndrome in Children : Comparison of the Clinical Features of That Isolated Methicillin-resistant and Methicillin-sensitive Staphylococcus aureus

• Lee SH
• Choi WK
• Jung CH
• Chung CJ
• Lee DJ

• KMID: 2440065
• DOI: http://doi.org/10.14776/kjpid.2004.11.2.183

Abstract

PURPOSE
The purpose of this study was to compare the clinical features of staphylococcal scalded skin syndrome(SSSS) isolated methicillin-resistant Staphylococcal aureus(MRSA) with those of SSSS isolated methicillin-sensitive Staphylococcal aureus(MSSA) in children.
METHODS
We retrospectively reviewed the medical records and microbiological results of 36 cases of SSSS who were admitted to the Pediatric Department of Ulsan Dong-Kang General Hospital from Jan. 1999 to Dec. 2003.
RESULTS
Among 36 cases, there were 7 generalized types, 1 abortive type in MRSA group and 5 generalized types, 6 abortive types in MSSA group. The peak incidence of age was between 2 and 5 years in both groups. SSSS were diagnosed with increasing frequency. Most of MRSA group were diagnosed in 2003(6/8). The peak seasonal incidence was fall and winter in both groups. Facial lesion was observed in all cases followed by flexural lesion in both groups. Staphylococci were isolated from the skin and throat most frequently in both groups. Upper respiratory illness and conjunctivitis were most common preceding infections in both groups. Among 8 cases of MRSA group, 4 cases were treated completely with ampicillin-sulbactam. There was no significant difference of mean duration of admission between MRSA group and MSSA group.
CONCLUSION
There was no significant difference of clinical features between MRSA group and MSSA group although generalized types of SSSS were more common in MRSA group than in MSSA group.

Keyword

Staphylococcal scalded skin syndrome; Methicillin-resistant Staphylococcus aureus

MeSH Terms

Child*
Conjunctivitis
Hospitals, General
Humans
Incidence
Medical Records
Methicillin Resistance*
Methicillin-Resistant Staphylococcus aureus
Pharynx
Retrospective Studies
Seasons
Skin
Staphylococcal Scalded Skin Syndrome*
Staphylococcus aureus*
Staphylococcus*
Ulsan