Staphylococcus aureus infections in pediatric patients with diabetes mellitus

J Infect. 2012 Aug;65(2):135-41. doi: 10.1016/j.jinf.2012.04.001. Epub 2012 Apr 7.


Objectives: To describe Staphylococcus aureus infections in children with diabetes mellitus (DM).

Methods: Children with DM (cases) and S. aureus infections (2/02-6/10) were identified from a surveillance database. Patient charts were reviewed, and S. aureus isolates were characterized by molecular methods. Cases were compared to age-matched controls without DM but with CA-S. aureus skin and soft tissue infections (SSTI) using conditional logistic regression.

Results: Forty-seven cases were identified; 41 were matched with 123 controls. Four cases had osteomyelitis and 43 had SSTI. Mean age was 14.2 years and 63% of cases had hemoglobin (Hb) A1c levels above 10%. Cases and controls differed by gender (85% vs. 45% female, P < 0.001), BMI% (median 87% vs. 72%, P = 0.04), methicillin-resistant S. aureus (MRSA) infection (49% vs. 68%, P = 0.04), and recurrent infections (22% vs. 4%, P = 0.001). Among cases, 88% of recurrences were caused by MRSA.

Conclusions: The majority of cases had poor glycemic control, more recurrences, fewer primary MRSA infections and were more likely to be female compared to a control group. Improved glycemic control may reduce the risk for infection, and decrease hospitalizations due to S. aureus infections.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Diabetes Complications / epidemiology*
  • Female
  • Glycemic Index
  • Humans
  • Male
  • Risk Factors
  • Staphylococcal Infections / epidemiology*
  • Staphylococcus aureus / isolation & purification*