A retrospective analysis of skin bacterial colonisation, susceptibility and resistance in atopic dermatitis and impetigo patients

Acta Derm Venereol. 2015 May;95(5):532-5. doi: 10.2340/00015555-1996.

Abstract

Atopic dermatitis (AD) and impetigo are skin conditions where bacterial colonisation and infection, especially with Staphylococcus aureus play an important role. We compared skin bacterial population, resistance patterns and choice of antimicrobial agents in patients diagnosed with AD and impetigo during 2005 and 2011 in our department. Number of positive cultures in the AD group were 40 and 53 in 2005 and 2011, with S. aureus found in 97.5% and 100%, respectively. Differences in resistance were marginal. In impetigo, S. aureus was found in all 70 patients in 2005 and all 40 patients in 2011. Antibiotic resistance to specifically fusidic acid was more common in 2005 impetigo patients (22.8%) versus 2011 (5%) (p = 0.078). The most commonly used oral antimicrobial was cefadroxil (in 57.5% and 52.8% of AD and 58.6% and 35% of impetigo patients in 2005 and 2011, respectively). Our observations confirm the high prevalence of S. aureus in both diseases and, interestingly, show a declining resistance trend in impetigo.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Anti-Bacterial Agents / pharmacology
  • Anti-Bacterial Agents / therapeutic use*
  • Cefadroxil / therapeutic use
  • Child
  • Child, Preschool
  • Cohort Studies
  • Colony Count, Microbial
  • Databases, Factual
  • Dermatitis, Atopic / drug therapy*
  • Dermatitis, Atopic / microbiology
  • Dermatitis, Atopic / physiopathology
  • Drug Resistance, Microbial*
  • Female
  • Humans
  • Impetigo / drug therapy*
  • Impetigo / microbiology
  • Impetigo / physiopathology
  • Male
  • Microbial Sensitivity Tests
  • Middle Aged
  • Prognosis
  • Retrospective Studies
  • Risk Assessment
  • Staphylococcal Skin Infections / diagnosis
  • Staphylococcal Skin Infections / drug therapy*
  • Streptococcal Infections / diagnosis
  • Streptococcal Infections / drug therapy*
  • Treatment Outcome
  • Young Adult

Substances

  • Anti-Bacterial Agents
  • Cefadroxil