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Expert Q&A:
What are the signs of a staph infection in a 3-month-old?

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David Schonfeld
Answered by David Schonfeld M.D.

"I became a pediatrician because I enjoy being with kids," says David Schonfeld. "I'm fascinated with the way that children view the world and learn to interact with it. I'm particularly interested in figuring out how to help children understand and adjust to illness and difficult situations, such as the death of a family member or a crisis in their family or community." 

Dr. Schonfeld is a developmental-behavioral pediatrician and the Thelma and Jack Rubinstein Professor of Pediatrics at Cincinnati Children's Hospital Medical Center (CCHMC). He completed the six-year B.A./M.D. program at Boston University, a pediatric residency at Children's Hospital of Philadelphia, and a developmental-behavioral pediatrics fellowship program at the University of Maryland before joining the faculty at Yale, where he worked for 16 years before relocating in July 2005 to Cincinnati. He remains as a Professor Adjunct of Pediatrics at Yale in order to continue his research in New Haven Public Schools. In July 2005, he became the new Director of the Division of Developmental and Behavioral Pediatrics at CCHMC.

Dr. Schonfeld is a member of the National Commission on Children and Disasters, the Mental Health Subcommittee of the National Biodefense Science Board Federal Advisory Committee, the American Academy of Pediatrics' Disaster Preparedness Advisory Council (having served on the AAP's Task Force on Terrorism), and the National Children's Study Federal Advisory Committee. He is a past President (2006-2007) of the Society for Developmental and Behavioral Pediatrics and past Chair (2004-2008) of the Committee on Pediatric Research of the American Academy of Pediatrics (AAP). He has served as a member of the initial Subboard of Developmental-Behavioral Pediatrics of the American Board of Pediatrics. 

His clinical expertise in pediatric bereavement and extensive experience in school crisis response led to his funding to establish a National Center for School Crisis and Bereavement at CCHMC. His research involves children's understanding of and adjustment to serious illness and death and school-based interventions to promote healthy behavior and risk prevention. He has authored elementary school curricula in both AIDS and cancer prevention education at the elementary school level, which have been evaluated through multiple randomized, controlled trials.

Dr. Schonfeld lives with his wife, Joanne, a landscape architect, and one of their two teenage daughters (the oldest attends college in California), who have tried patiently to teach him what he really needs to know about being a parent.

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Question


Staph is short for "staphylococcus," a group of bacteria that are commonly found on the skin of healthy people.

Answer


"Staph" is short for "staphylococcus," a group of bacteria that are commonly found on the skin of healthy people. They can cause illness in people either by causing an infection (usually after entering the body through a cut or break in the skin) or by making toxins (poisons).

 



Infections are usually local and not serious. They include folliculitis (minor infections involving hair follicles), boils (deeper infections involving hair follicles), sties (when the hair follicles on eyelashes are involved), impetigo (a skin infection more commonly seen in children that may cause blisters or scabs), and abscesses (deeper and more serious infections of the skin or collections of pus within body organs). Much less frequently, staph can enter the bloodstream and cause more serious infections, usually (but not always) in individuals whose immune systems are not working well. These cases are very uncommon, especially among otherwise healthy children.

 



If food is not properly handled — if not kept cold or warm enough, for example —staph may multiply in the food and produce a toxin that will not be destroyed by subsequently heating the food and may not be detected by any change in the smell or taste of the food. Within hours after eating such contaminated food, people may develop vomiting and diarrhea. As such, food poisoning caused by staph toxins is not spread from person to person —groups of people get ill from sharing the same original source of contaminated food. Safe handling of food is the best form of prevention for this type of illness. Toxins from staph can also make someone very ill if they get into the bloodstream.

 



The best way to protect your child from getting a staph infection is to clean and cover cuts and to try to keep the skin healthy and free of breakdown. Individuals with a skin infection should keep the area covered. If for some reason your child does touch an area of infection on another child, wash your child €™s hands with soap and water. Health care providers are concerned nowadays that more staph is becoming immune to many antibiotics because of the overuse of antibiotics in the general public. This resistant strain of staph can be very difficult to treat when it does cause infections, even by using strong antibiotics given intravenously in the hospital. This is why we are working hard to limit the unnecessary use of antibiotics.

 

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