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JPIDS: Releases consensus statement on research definitions for drug-resistant TB in children
Date:5/21/2013

ARLINGTON, VA, May 21, 2013The Journal of the Pediatric Infectious Diseases Society (JPIDS) today released its June issue, which includes a consensus statement of the global Sentinel Project on Pediatric Drug-Resistant Tuberculosis. It establishes standardized definitions, measurements, and other key attributes that will effect research. This is the first step as the group of international stakeholders collaborate to raise visibility and share evidence and resources that can improve children's access to prompt and effective treatment.

Consensus Statement on Research Definitions for Drug-Resistant Tuberculosis in Children

"Colonization Pressure"(CP) is one predictor of healthcare associated Methicillin-resistant Staphylococcus aureus (MRSA) infections. It is a gauge of the proportion of patients on a given unit colonized during a defined period. As new strains of MRSA emerge outside the healthcare environment, Rodriguez, et al, hypothesized that CP would also be a good measurement tool for households, where S aureus infections cluster, and that cases with a higher baseline household colonization pressure (HHCP) would be at greater risk for persistent S aureus colonization and recurrent S aureus skin and soft tissue infection (SSTI). They conducted an individual vs. household decolonization intervention study for pediatric patients with community-onset SSTI and colonization. Patients colonized or infected with either MRSA or Methicillin-susceptible Staphylococcus aureus (MSSA) were eligible, and the team shared decolonization strategies with the households.

The team evaluated 92 cases and 296 of their household contacts quarterly for a year. They found that high MRSA HHCP is associated with persistent MRSA colonization in children. Surprisingly, although cases with household contacts that experienced an SSTI in the past year had a higher baseline S aureus HHCP than those w
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Contact: Jodie Klein
jodieklein@kleinonpoint.com
703-528-3333
Pediatric Infectious Diseases Society
Source:Eurekalert

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