Kevin Purcell

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BACKGROUND Community-acquired methicillin-resistant Staphylococcus aureus (CAMRSA) infections have increased dramatically from 1990 to 2000. OBJECTIVES The objectives of this retrospective study were to report the frequency of CAMRSA isolates, to describe the spectrum of disease observed in children infected with CAMRSA and to compare the antibiotic(More)
BACKGROUND Previously we reported the rapid emergence and exponential increase of community-acquired (CA) methicillin-resistant Staphylococcus aureus (MRSA) infections in South Texas children. OBJECTIVE To assess whether changes have occurred in the frequency, types, susceptibility, and treatment of CAMRSA infections at Driscoll Children's Hospital. (More)
BACKGROUND At Driscoll Children's Hospital (Corpus Christi, Tex), we observed that most infants and children hospitalized for treatment of respiratory syncytial virus (RSV) bronchiolitis and/or pneumonia received broad-spectrum intravenous antibiotics despite having typical RSV signs and symptoms and positive RSV-rapid-antigen tests on admission. Physicians(More)
BACKGROUND Murine typhus is a zoonotic infection caused by Rickettsia typhi. This illness used to be endemic in the southeastern and gulf coast of the United States and is now only rarely reported in South Texas and Southern California. Murine typhus causes a febrile illness with headache and rash that has been well-described in adults. OBJECTIVE To(More)
Thirty (12%) of 257 healthcare workers were colonized with methicillin-resistant Staphylococcus aureus (MRSA). There was no significant difference in MRSA colonization among physicians (13%), nurses (12%), and other healthcare professionals (11%). Potential risk factors for MRSA colonization were found in 90% or more of all subjects, including those with(More)
Pertussis admissions ranged from 0 to 7.4 per 10,000 hospitalizations from 1996 to 2003, and from 16.3 to 27.4 per 10,000 hospitalizations from 2004 to 2006. A total of 78% of patients were <4 months old, and 52% had a sick contact that was a family member. A total of 29% of patients required intensive care unit admission, and 3 died during the last 2 years(More)
BACKGROUND Treatment of respiratory syncytial virus (RSV) lower respiratory tract infection has historically been one of the most frequent reasons for admission to Driscoll Children's Hospital. OBJECTIVE The objective of this study was to examine the relationship of risk factors for a severe and complicated disease course to the treatment and hospital(More)