Staphylococcal Infections and Neonatal Skin: Data from Literature and Suggestions for the Clinical Management from Four Challenging Patients

Staphylococcal infections in neonates might be associated with skin blistering since early antibiotic therapy has been shown to limit infection spread and positively influence outcomes; therefore, neonatologists should be aware of these conditions. This review examines the recent literature on the m...

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Main Authors: Domenico Umberto De Rose, Flaminia Pugnaloni, Ludovica Martini, Iliana Bersani, Maria Paola Ronchetti, Andrea Diociaiuti, May El Hachem, Andrea Dotta, Cinzia Auriti
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Antibiotics
Subjects:
Online Access:https://www.mdpi.com/2079-6382/12/4/632
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author Domenico Umberto De Rose
Flaminia Pugnaloni
Ludovica Martini
Iliana Bersani
Maria Paola Ronchetti
Andrea Diociaiuti
May El Hachem
Andrea Dotta
Cinzia Auriti
author_facet Domenico Umberto De Rose
Flaminia Pugnaloni
Ludovica Martini
Iliana Bersani
Maria Paola Ronchetti
Andrea Diociaiuti
May El Hachem
Andrea Dotta
Cinzia Auriti
author_sort Domenico Umberto De Rose
collection DOAJ
description Staphylococcal infections in neonates might be associated with skin blistering since early antibiotic therapy has been shown to limit infection spread and positively influence outcomes; therefore, neonatologists should be aware of these conditions. This review examines the recent literature on the management of Staphylococcal infections that involve neonatal skin, discussing the most appropriate clinical approach to four cases of neonatal blistering diseases with Staphylococcal infections: a case of Staphylococcal bullous impetigo, a case of Staphylococcal scalded skin syndrome (SSSS), a case of epidermolysis bullosa with overlapping Staphylococcal infection, and a case of burns with overlapping Staphylococcal infection. In treating Staphylococcal infections involving skin in neonates, the presence or absence of systemic symptoms should be considered. In the lack of evidence-based guidelines in this age category, treatment should be individualized according to several factors including the extension of the disease or further skin comorbidities (such as skin fragility), with a multidisciplinary approach.
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spelling doaj.art-098767c9465d4b2aae610a8d7c9e81182023-11-17T18:01:45ZengMDPI AGAntibiotics2079-63822023-03-0112463210.3390/antibiotics12040632Staphylococcal Infections and Neonatal Skin: Data from Literature and Suggestions for the Clinical Management from Four Challenging PatientsDomenico Umberto De Rose0Flaminia Pugnaloni1Ludovica Martini2Iliana Bersani3Maria Paola Ronchetti4Andrea Diociaiuti5May El Hachem6Andrea Dotta7Cinzia Auriti8Neonatal Intensive Care Unit, “Bambino Gesù” Children’s Hospital IRCCS, 00165 Rome, ItalyNeonatal Intensive Care Unit, “Bambino Gesù” Children’s Hospital IRCCS, 00165 Rome, ItalyNeonatal Intensive Care Unit, “Bambino Gesù” Children’s Hospital IRCCS, 00165 Rome, ItalyNeonatal Intensive Care Unit, “Bambino Gesù” Children’s Hospital IRCCS, 00165 Rome, ItalyNeonatal Intensive Care Unit, “Bambino Gesù” Children’s Hospital IRCCS, 00165 Rome, ItalyDermatology Unit and Genodermatosis Unit, “Bambino Gesù” Children’s Hospital IRCCS, 00165 Rome, ItalyDermatology Unit and Genodermatosis Unit, “Bambino Gesù” Children’s Hospital IRCCS, 00165 Rome, ItalyNeonatal Intensive Care Unit, “Bambino Gesù” Children’s Hospital IRCCS, 00165 Rome, ItalyNeonatal Intensive Care Unit, “Bambino Gesù” Children’s Hospital IRCCS, 00165 Rome, ItalyStaphylococcal infections in neonates might be associated with skin blistering since early antibiotic therapy has been shown to limit infection spread and positively influence outcomes; therefore, neonatologists should be aware of these conditions. This review examines the recent literature on the management of Staphylococcal infections that involve neonatal skin, discussing the most appropriate clinical approach to four cases of neonatal blistering diseases with Staphylococcal infections: a case of Staphylococcal bullous impetigo, a case of Staphylococcal scalded skin syndrome (SSSS), a case of epidermolysis bullosa with overlapping Staphylococcal infection, and a case of burns with overlapping Staphylococcal infection. In treating Staphylococcal infections involving skin in neonates, the presence or absence of systemic symptoms should be considered. In the lack of evidence-based guidelines in this age category, treatment should be individualized according to several factors including the extension of the disease or further skin comorbidities (such as skin fragility), with a multidisciplinary approach.https://www.mdpi.com/2079-6382/12/4/632bullous impetigoStaphylococcal scalded skin syndromeepidermolysis bullosaburns<i>Staphylococcus aureus</i>
spellingShingle Domenico Umberto De Rose
Flaminia Pugnaloni
Ludovica Martini
Iliana Bersani
Maria Paola Ronchetti
Andrea Diociaiuti
May El Hachem
Andrea Dotta
Cinzia Auriti
Staphylococcal Infections and Neonatal Skin: Data from Literature and Suggestions for the Clinical Management from Four Challenging Patients
Antibiotics
bullous impetigo
Staphylococcal scalded skin syndrome
epidermolysis bullosa
burns
<i>Staphylococcus aureus</i>
title Staphylococcal Infections and Neonatal Skin: Data from Literature and Suggestions for the Clinical Management from Four Challenging Patients
title_full Staphylococcal Infections and Neonatal Skin: Data from Literature and Suggestions for the Clinical Management from Four Challenging Patients
title_fullStr Staphylococcal Infections and Neonatal Skin: Data from Literature and Suggestions for the Clinical Management from Four Challenging Patients
title_full_unstemmed Staphylococcal Infections and Neonatal Skin: Data from Literature and Suggestions for the Clinical Management from Four Challenging Patients
title_short Staphylococcal Infections and Neonatal Skin: Data from Literature and Suggestions for the Clinical Management from Four Challenging Patients
title_sort staphylococcal infections and neonatal skin data from literature and suggestions for the clinical management from four challenging patients
topic bullous impetigo
Staphylococcal scalded skin syndrome
epidermolysis bullosa
burns
<i>Staphylococcus aureus</i>
url https://www.mdpi.com/2079-6382/12/4/632
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