Decolonization of children after incision and drainage for MRSA abscess: A retrospective cohort study

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2 Citations (Scopus)

Abstract

Background/Purpose. Whether decolonization following incision and drainage (I&D) for methicillin-resistant Staphylococcus aureus (MRSA) abscess decreases repeat I&D and MRSA-positive cultures in children is unknown. Materials/Methods. Referral to the Pediatric Infectious Disease Service (PIDS) for decolonization was determined for eligible children (2003-2010), with outcomes studied over 12 months. Results. We identified 653 children; 54 had been seen by PIDS. In the PIDS group, no patients (0/54, 0%) had a repeat I&D. In the no PIDS group 36/599 (6%) had a repeat I&D, P =.06. Logistic regression modeling for repeat I&D showed no significant effect, odds ratio = 0.29; 95% confidence interval = 0.04-2.15; P =.23. In the PIDS group, 3 patients (3/54, 5.6%) had a repeat MRSA-positive culture. In the no PIDS group, 58/599 (9.7%) had a positive repeat culture, P =.46. Logistic regression modeling for positive culture showed no significant effect (odds ratio = 0.55; 95% confidence interval = 0.17-1.81; P =.32). Conclusions. We detected no statistically significant association between decolonization and repeat I&D or MRSA-positive culture.

Original languageEnglish
Pages (from-to)445-450
Number of pages6
JournalClinical Pediatrics
Volume54
Issue number5
DOIs
StatePublished - May 9 2015

Fingerprint

Methicillin-Resistant Staphylococcus aureus
Abscess
Communicable Diseases
Drainage
Cohort Studies
Retrospective Studies
Pediatrics
Logistic Models
Odds Ratio
Confidence Intervals
Referral and Consultation

Keywords

  • abscess
  • bleach
  • decolonization
  • incision and drainage procedure
  • MRSA
  • mupirocin

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

@article{a153babc590140a295a88cd8e5d55ad4,
title = "Decolonization of children after incision and drainage for MRSA abscess: A retrospective cohort study",
abstract = "Background/Purpose. Whether decolonization following incision and drainage (I&D) for methicillin-resistant Staphylococcus aureus (MRSA) abscess decreases repeat I&D and MRSA-positive cultures in children is unknown. Materials/Methods. Referral to the Pediatric Infectious Disease Service (PIDS) for decolonization was determined for eligible children (2003-2010), with outcomes studied over 12 months. Results. We identified 653 children; 54 had been seen by PIDS. In the PIDS group, no patients (0/54, 0{\%}) had a repeat I&D. In the no PIDS group 36/599 (6{\%}) had a repeat I&D, P =.06. Logistic regression modeling for repeat I&D showed no significant effect, odds ratio = 0.29; 95{\%} confidence interval = 0.04-2.15; P =.23. In the PIDS group, 3 patients (3/54, 5.6{\%}) had a repeat MRSA-positive culture. In the no PIDS group, 58/599 (9.7{\%}) had a positive repeat culture, P =.46. Logistic regression modeling for positive culture showed no significant effect (odds ratio = 0.55; 95{\%} confidence interval = 0.17-1.81; P =.32). Conclusions. We detected no statistically significant association between decolonization and repeat I&D or MRSA-positive culture.",
keywords = "abscess, bleach, decolonization, incision and drainage procedure, MRSA, mupirocin",
author = "Finnell, {S. Maria} and Marc Rosenman and John Christenson and Stephen Downs",
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T1 - Decolonization of children after incision and drainage for MRSA abscess

T2 - A retrospective cohort study

AU - Finnell, S. Maria

AU - Rosenman, Marc

AU - Christenson, John

AU - Downs, Stephen

PY - 2015/5/9

Y1 - 2015/5/9

N2 - Background/Purpose. Whether decolonization following incision and drainage (I&D) for methicillin-resistant Staphylococcus aureus (MRSA) abscess decreases repeat I&D and MRSA-positive cultures in children is unknown. Materials/Methods. Referral to the Pediatric Infectious Disease Service (PIDS) for decolonization was determined for eligible children (2003-2010), with outcomes studied over 12 months. Results. We identified 653 children; 54 had been seen by PIDS. In the PIDS group, no patients (0/54, 0%) had a repeat I&D. In the no PIDS group 36/599 (6%) had a repeat I&D, P =.06. Logistic regression modeling for repeat I&D showed no significant effect, odds ratio = 0.29; 95% confidence interval = 0.04-2.15; P =.23. In the PIDS group, 3 patients (3/54, 5.6%) had a repeat MRSA-positive culture. In the no PIDS group, 58/599 (9.7%) had a positive repeat culture, P =.46. Logistic regression modeling for positive culture showed no significant effect (odds ratio = 0.55; 95% confidence interval = 0.17-1.81; P =.32). Conclusions. We detected no statistically significant association between decolonization and repeat I&D or MRSA-positive culture.

AB - Background/Purpose. Whether decolonization following incision and drainage (I&D) for methicillin-resistant Staphylococcus aureus (MRSA) abscess decreases repeat I&D and MRSA-positive cultures in children is unknown. Materials/Methods. Referral to the Pediatric Infectious Disease Service (PIDS) for decolonization was determined for eligible children (2003-2010), with outcomes studied over 12 months. Results. We identified 653 children; 54 had been seen by PIDS. In the PIDS group, no patients (0/54, 0%) had a repeat I&D. In the no PIDS group 36/599 (6%) had a repeat I&D, P =.06. Logistic regression modeling for repeat I&D showed no significant effect, odds ratio = 0.29; 95% confidence interval = 0.04-2.15; P =.23. In the PIDS group, 3 patients (3/54, 5.6%) had a repeat MRSA-positive culture. In the no PIDS group, 58/599 (9.7%) had a positive repeat culture, P =.46. Logistic regression modeling for positive culture showed no significant effect (odds ratio = 0.55; 95% confidence interval = 0.17-1.81; P =.32). Conclusions. We detected no statistically significant association between decolonization and repeat I&D or MRSA-positive culture.

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