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Invasive Staphylococcus aureus Infections in Children in Tropical Northern Australia

Overview of attention for article published in Journal of the Pediatric Infectious Diseases Society, March 2014
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Title
Invasive Staphylococcus aureus Infections in Children in Tropical Northern Australia
Published in
Journal of the Pediatric Infectious Diseases Society, March 2014
DOI 10.1093/jpids/piu013
Pubmed ID
Authors

Daniel Engelman, Alexandra Hofer, Joshua S. Davis, Jonathan R. Carapetis, Robert W. Baird, Philip M. Giffard, Deborah C. Holt, Steven Y. C. Tong

Abstract

Despite a high burden of staphylococcal skin disease in children and high incidence of Staphylococcus aureus bacteremia in adult Indigenous populations in northern Australia, there are few studies describing incidence or clinical information of invasive S aureus (ISA) infections in children. We conducted a retrospective review for all cases of S aureus bacteremia and sterile site infections, for children under 15 years, in northern Australia over a 4-year period (2007-2010). Cases were categorized as neonatal (<28 days) and pediatric (≥28 days). Forty-four cases (9 neonatal, 35 pediatric) were identified. The annual incidence of ISA was 27.9 cases per 100 000 population. Among pediatric cases, the annual incidence was significantly higher in the Indigenous (46.6) compared with the non-Indigenous (4.4) population (IRR: 10.6 [95% confidence interval, 3.8-41.4]). Pediatric infections were predominantly community-associated (86%). Clinical infection sites included osteoarticular (66%), pleuropulmonary (29%), and endocarditis (9%), and multifocal disease was common (20%). Eighty-three percent of pediatric cases presented with sepsis; 34% resulted in intensive care admission. Neonatal cases were all born prematurely; 89% were late-onset infections. Overall, 27% of infections were due to methicillin-resistant S aureus (MRSA). Compared with methicillin-sensitive S aureus (MSSA), there was no difference in severity or presentation in pediatric MRSA cases, but a higher proportion of MRSA cases were readmitted. The annual incidence of ISA infection in this study is among the highest described, largely due to a disproportionate burden in Indigenous children. Infections are frequently severe and infection with MRSA is common. Children presenting with suspected ISA in this region should be treated empirically for MRSA.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 41 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Australia 1 2%
Unknown 40 98%

Demographic breakdown

Readers by professional status Count As %
Researcher 7 17%
Student > Master 7 17%
Student > Bachelor 6 15%
Student > Postgraduate 6 15%
Professor 2 5%
Other 6 15%
Unknown 7 17%
Readers by discipline Count As %
Medicine and Dentistry 22 54%
Immunology and Microbiology 4 10%
Agricultural and Biological Sciences 2 5%
Biochemistry, Genetics and Molecular Biology 2 5%
Nursing and Health Professions 1 2%
Other 1 2%
Unknown 9 22%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 3. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 12 February 2020.
All research outputs
#13,331,094
of 22,749,166 outputs
Outputs from Journal of the Pediatric Infectious Diseases Society
#492
of 878 outputs
Outputs of similar age
#109,366
of 224,560 outputs
Outputs of similar age from Journal of the Pediatric Infectious Diseases Society
#11
of 24 outputs
Altmetric has tracked 22,749,166 research outputs across all sources so far. This one is in the 41st percentile – i.e., 41% of other outputs scored the same or lower than it.
So far Altmetric has tracked 878 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 16.2. This one is in the 43rd percentile – i.e., 43% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 224,560 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 50% of its contemporaries.
We're also able to compare this research output to 24 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 54% of its contemporaries.