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- 感染性皮肤病的临床特征及抗生素敏感性

Clinical Features and Antibiotic Susceptibility of -Infected Dermatoses.

作者信息

Koumaki Dimitra, Maraki Sofia, Evangelou Georgios, Koumaki Vasiliki, Gregoriou Stamatios, Kouloumvakou Stamatoula, Petrou Danae, Rovithi Evangelia, Zografaki Kyriaki, Doxastaki Aikaterini, Ioannou Petros, Gkiaouraki Ioanna, Rogdakis Antonios, Mavromanolaki Viktoria Eirini, Krasagakis Konstantinos

机构信息

Dermatology Department, University Hospital of Heraklion, 71110 Heraklion, Greece.

Department of Medical Microbiology, University Hospital of Heraklion, 71110 Heraklion, Greece.

出版信息

J Clin Med. 2025 Feb 8;14(4):1084. doi: 10.3390/jcm14041084.

Abstract

Methicillin-resistant (MRSA) poses significant treatment challenges, particularly in community settings. Limited data are available on -associated infected dermatoses (ID) in outpatient dermatology clinics. This study examines the clinical characteristics, microbiological profiles, resistance patterns, and treatment outcomes of dermatoses caused by . Between January 2023 and January 2025, consecutive patients with confirmed -associated SD were recruited in a dermatology clinic in Heraklion, Greece. Demographic, clinical, and treatment data were collected. Skin swabs underwent bacterial culture and antimicrobial susceptibility testing following CLSI guidelines. Statistical analyses evaluated associations between clinical and microbiological findings. Sixty-eight patients were included, 54.4% of whom were male, with a mean age of 46.7 years (± SD 25.1). MRSA was identified in 22.1% of cases and was significantly associated with female gender ( = 0.014). The most common diagnoses were eczema (35.3%) and folliculitis (19.1%). Oxacillin-resistant patients were more likely to receive systemic therapy ( = 0.039). Resistance rates were highest for benzylpenicillin (81.8%), levofloxacin (54.9%), and erythromycin (39.4%). Resistance rates for fusidic acid, clindamycin, mupirocin, and tetracycline were 38.2%, 20.6%, 16.9%, and 10.3%, respectively. Other pathogens, including and , were isolated in 27.9% of cases. This study highlights the high prevalence of MRSA in outpatient dermatology settings, emphasizing the need for local antimicrobial resistance surveillance to guide treatment strategies and improve outcomes in superinfected dermatoses.

摘要

耐甲氧西林金黄色葡萄球菌(MRSA)带来了重大的治疗挑战,尤其是在社区环境中。关于门诊皮肤科诊所中与MRSA相关的感染性皮肤病(ID)的数据有限。本研究调查了由MRSA引起的皮肤病的临床特征、微生物谱、耐药模式和治疗结果。在2023年1月至2025年1月期间,希腊伊拉克利翁的一家皮肤科诊所招募了连续确诊为与MRSA相关的皮肤疾病(SD)的患者。收集了人口统计学、临床和治疗数据。按照临床和实验室标准协会(CLSI)指南对皮肤拭子进行细菌培养和抗菌药敏试验。统计分析评估了临床和微生物学结果之间的关联。纳入了68名患者,其中54.4%为男性,平均年龄为46.7岁(±标准差25.1)。在22.1%的病例中鉴定出MRSA,且与女性显著相关(P = 0.014)。最常见的诊断是湿疹(35.3%)和毛囊炎(19.1%)。对苯唑西林耐药的患者更有可能接受全身治疗(P = 0.039)。苄星青霉素、左氧氟沙星和红霉素的耐药率最高,分别为81.8%、54.9%和39.4%。夫西地酸、克林霉素、莫匹罗星和四环素的耐药率分别为38.2%、20.6%、16.9%和10.3%。在27.9%的病例中分离出了包括……和……在内的其他病原体。本研究强调了门诊皮肤科环境中MRSA的高流行率,强调需要进行局部抗菌药物耐药性监测,以指导治疗策略并改善重叠感染性皮肤病的治疗结果。

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