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• W2014083896 abstract "An article by Chung et al1Chung M.T. Wilson P. Rinker B. Community-acquired methicillin-resistant Staphylococcus aureus hand infections in the pediatric population.J Hand Surg. 2012; 37A: 326-331Abstract Full Text Full Text PDF Scopus (8) Google Scholar was recently reviewed at our weekly hand journal club. Substantial inconsistencies in the reported data were noted, and concerns were voiced regarding the authors' recommendations for therapy.At several points in the article, reference is made to numbers of patients identified with methicillin-resistant Staphylococcus aureus (MRSA) infections. It seems clear that 146 pediatric patients with hand infections made up the study population, with cultures obtained from 60 patients. It becomes unclear, however, exactly how many patients were managed for infections caused by MRSA. At first it is stated that “MRSA was identified in 15 cases,” referring to positive cultures, followed by “MRSA was identified in 39 of 133 patients.” Later, the authors state that 20 patients with bedside debridements and 8 patients with formal surgical debridements were noted to have MRSA infections. Are we to surmise that patients without cultures positive for MRSA are being diagnosed with MRSA infection, and if so, based on what criteria? The article provides no explanation. These inconsistencies are troubling and introduce critical flaws into any further statistical analysis of the data.Finally, in an article that addresses treatment of infections in pediatric patients and recommends the use of tetracyclines, it seems remiss not to mention their contraindication in children less than 8 years of age. An article by Chung et al1Chung M.T. Wilson P. Rinker B. Community-acquired methicillin-resistant Staphylococcus aureus hand infections in the pediatric population.J Hand Surg. 2012; 37A: 326-331Abstract Full Text Full Text PDF Scopus (8) Google Scholar was recently reviewed at our weekly hand journal club. Substantial inconsistencies in the reported data were noted, and concerns were voiced regarding the authors' recommendations for therapy. At several points in the article, reference is made to numbers of patients identified with methicillin-resistant Staphylococcus aureus (MRSA) infections. It seems clear that 146 pediatric patients with hand infections made up the study population, with cultures obtained from 60 patients. It becomes unclear, however, exactly how many patients were managed for infections caused by MRSA. At first it is stated that “MRSA was identified in 15 cases,” referring to positive cultures, followed by “MRSA was identified in 39 of 133 patients.” Later, the authors state that 20 patients with bedside debridements and 8 patients with formal surgical debridements were noted to have MRSA infections. Are we to surmise that patients without cultures positive for MRSA are being diagnosed with MRSA infection, and if so, based on what criteria? The article provides no explanation. These inconsistencies are troubling and introduce critical flaws into any further statistical analysis of the data. Finally, in an article that addresses treatment of infections in pediatric patients and recommends the use of tetracyclines, it seems remiss not to mention their contraindication in children less than 8 years of age. Community-Acquired Methicillin-Resistant Staphylococcus aureus Hand Infections in the Pediatric PopulationJournal of Hand SurgeryVol. 37Issue 2PreviewRecent studies have reported rates of methicillin-resistant Staphylococcus aureus (MRSA) hand infections in patients without risk factors ranging from 26% to 73%. The purpose of our study was to review a large series of pediatric hand infections to determine the rate of MRSA and identify potential risk factors. Full-Text PDF" @default.
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• W2014083896 date "2012-10-01" @default.
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• W2014083896 title "Letter Regarding “Community-Acquired Methicillin-Resistant Staphylococcus aureus Hand Infections in the Pediatric Population”" @default.
• W2014083896 cites W1993339170 @default.
• W2014083896 doi "https://doi.org/10.1016/j.jhsa.2012.05.047" @default.
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