TY - JOUR
T1 - Clinical Management of Staphylococcus aureus Bacteremia in Neonates, Children, and Adolescents
AU - McMullan, Brendan J.
AU - Campbell, Anita J.
AU - Blyth, Christopher C.
AU - McNeil, J. Chase
AU - Montgomery, Christopher P.
AU - Tong, Steven Y.C.
AU - Bowen, Asha C.
PY - 2020/9/1
Y1 - 2020/9/1
N2 - Staphylococcus aureus is a common cause of community and health care-associated bacteremia, with authors of recent studies estimating the incidence of S aureus bacteremia (SAB) in high-income countries between 8 and 26 per 100 000 children per year. Despite this, <300 children worldwide have ever been randomly assigned into clinical trials to assess the efficacy of treatment of SAB. A panel of infectious diseases physicians with clinical and research interests in pediatric SAB identified 7 key clinical questions. The available literature is systematically appraised, summarizing SAB management in children in relation to these priority clinical questions. The management of neonates, children, and adolescents with SAB is predominantly based on clinical experience and trial data extrapolated from adult studies, with limited high-quality evidence available to guide management. The optimal, comprehensive management strategies for SAB in children will remain unknown until the questions outlined are answered through prospective observational cohorts and inclusion of children with SAB in clinical trials.
AB - Staphylococcus aureus is a common cause of community and health care-associated bacteremia, with authors of recent studies estimating the incidence of S aureus bacteremia (SAB) in high-income countries between 8 and 26 per 100 000 children per year. Despite this, <300 children worldwide have ever been randomly assigned into clinical trials to assess the efficacy of treatment of SAB. A panel of infectious diseases physicians with clinical and research interests in pediatric SAB identified 7 key clinical questions. The available literature is systematically appraised, summarizing SAB management in children in relation to these priority clinical questions. The management of neonates, children, and adolescents with SAB is predominantly based on clinical experience and trial data extrapolated from adult studies, with limited high-quality evidence available to guide management. The optimal, comprehensive management strategies for SAB in children will remain unknown until the questions outlined are answered through prospective observational cohorts and inclusion of children with SAB in clinical trials.
UR - http://www.scopus.com/inward/record.url?scp=85090251030&partnerID=8YFLogxK
U2 - 10.1542/peds.2020-0134
DO - 10.1542/peds.2020-0134
M3 - Review article
C2 - 32759380
AN - SCOPUS:85090251030
SN - 0031-4005
VL - 146
SP - 1
EP - 15
JO - Pediatrics
JF - Pediatrics
IS - 3
M1 - e20200134
ER -
