Evidence map›Paper›PMID 31567961›Full record

ArticleMedicine2019

Severe infections of Panton-Valentine leukocidin positive Staphylococcus aureus in children.

Pia-Alice Hoppe, Susanne Holzhauer, Birgit Lala, Christoph Bührer, Alexander Gratopp, Leif Gunnar Hanitsch, Daniel Humme, Moritz Kieslich, Tilmann Kallinich, Susanne Lau and 15 more

Open access · goldAbstract read
In one paragraph

Article in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
4.2field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 44 citations in OpenAlex.

  1. Article
  2. Article
  3. Clindamycin and daptomycin failure in PVL-positive MRSA infection of the skin and soft tissue.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2026
    Article
  4. Article
  5. Review
  6. Review
  7. Severe Panton-Valentine-Leukocidin-PositiveAntibiotics (Basel, Switzerland) · 2024
    Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. SevereFrontiers in pediatrics · 2022
    Article
  19. Surveillance of osteoarticular infections caused byFrontiers in cellular and infection microbiology · 2022
    Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors at 3 institutions in 2 countries.

Pia-Alice HoppeDepartment of Pediatric Pneumology, Immunology and Intensive Care.
Susanne HolzhauerDepartment of Pediatric Hematology and Oncology.
Birgit LalaDepartment of Pediatric Radiology.
Christoph BührerDepartment of Neonatology.
Alexander GratoppDepartment of Pediatric Pneumology, Immunology and Intensive Care.
Leif Gunnar HanitschDepartment of Medical Immunology.
Daniel HummeDepartment of Dermatology, Venerology and Allergy.
Moritz KieslichDepartment of Pediatric Cardiology.
Tilmann KallinichDepartment of Pediatric Pneumology, Immunology and Intensive Care.
Susanne LauDepartment of Pediatric Pneumology, Immunology and Intensive Care.
Rasmus LeistnerInstitute of Hygiene and Environmental Medicine.
Michaela NiebankDepartment of Infectious Diseases and Respiratory Medicine.
Anna PokrywkaDepartment of Dermatology, Venerology and Allergy.
Hannelore RingeDepartment of Pediatric Pneumology, Immunology and Intensive Care.
Anne-Sophie SchaperDepartment of Neonatology.
Jennyver-Tabea SchröderDepartment of Pediatric Surgery, Charité - Universitätsmedizin Berlin.
Carsten SchwarzDepartment of Pediatric Pneumology, Immunology and Intensive Care.
Doris StaabDepartment of Pediatric Pneumology, Immunology and Intensive Care.
Miriam Songa StegemannDepartment of Infectious Diseases and Respiratory Medicine.
Stephanie TheeDepartment of Pediatric Pneumology, Immunology and Intensive Care.
Verena VarnholtDepartment of Pediatric Pneumology, Immunology and Intensive Care.
Horst von BernuthDepartment of Pediatric Pneumology, Immunology and Intensive Care.
Steffen Weber-CarstensDepartment of Anesthesiology and Operative Intensive Care Medicine Campus Mitte and Campus-Virchow Klinikum, Charité - Universitätsmedizin Berlin, Berlin, Germany.
Anke WendtDepartment of Pediatric Pneumology, Immunology and Intensive Care.
Renate KrügerDepartment of Pediatric Pneumology, Immunology and Intensive Care.
ENT and Allergy · USCharité - Universitätsmedizin Berlin · DEVivantes Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Infections caused by Panton-Valentine leukocidin-positive Staphylococcus aureus (PVL-SA) mostly present as recurrent skin abscesses and furunculosis. However, life-threatening infections (eg, necrotizing pneumonia, necrotizing fasciitis, and osteomyelitis) caused by PVL-SA have also been reported.We assessed the clinical phenotype, frequency, clinical implications (surgery, length of treatment in hospitals/intensive care units, and antibiotic treatments), and potential preventability of severe PVL-SA infections in children.Total, 75 children treated for PVL-SA infections in our in- and outpatient units from 2012 to 2017 were included in this retrospective study.Ten out of 75 children contracted severe infections (PVL-methicillin resistant S aureus n = 4) including necrotizing pneumonia (n = 4), necrotizing fasciitis (n = 2), pyomyositis (n = 2; including 1 patient who also had pneumonia), mastoiditis with cerebellitis (n = 1), preorbital cellulitis (n = 1), and recurrent deep furunculosis in an immunosuppressed patient (n = 1). Specific complications of PVL-SA infections were venous thrombosis (n = 2), sepsis (n = 5), respiratory failure (n = 5), and acute respiratory distress syndrome (n = 3). The median duration of hospital stay was 14 days (range 5-52 days). In 6 out of 10 patients a history suggestive for PVL-SA colonization in the patient or close family members before hospital admission was identified.PVL-SA causes severe to life-threatening infections requiring lengthy treatments in hospital in a substantial percentage of symptomatic PVL-SA colonized children. More than 50% of severe infections might be prevented by prompt testing for PVL-SA in individuals with a history of abscesses or furunculosis, followed by decolonization measures.

Indexed as

AdolescentBacterial ToxinsChildChild, PreschoolExotoxinsFemaleHumansInfantInfant, NewbornLength of StayLeukocidinsMalePneumonia, NecrotizingRetrospective StudiesSoft Tissue InfectionsStaphylococcal InfectionsBacterial ToxinsExotoxinsLeukocidinsPanton-Valentine leukocidin

Identifiers

PMID31567961
PMCPMC6756729
OpenAlexW2977807977

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.