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Volume 19, Number 1—January 2013

CME ACTIVITY

Staphylococcal Infections in Children, California, USA, 1985–2009

Earning CME Credit

To obtain credit, you should first read the journal article. After reading the article, you should be able to answer the following, related, multiple-choice questions. To complete the questions (with a minimum 70% passing score) and earn continuing medical education (CME) credit, please go to www.medscape.org/journal/eid. Credit cannot be obtained for tests completed on paper, although you may use the worksheet below to keep a record of your answers. You must be a registered user on Medscape.org. If you are not registered on Medscape.org, please click on the New Users: Free Registration link on the left hand side of the website to register. Only one answer is correct for each question. Once you successfully answer all post-test questions you will be able to view and/or print your certificate. For questions regarding the content of this activity, contact the accredited provider, CME@medscape.net. For technical assistance, contact CME@webmd.net. American Medical Association’s Physician’s Recognition Award (AMA PRA) credits are accepted in the US as evidence of participation in CME activities. For further information on this award, please refer to http://www.ama-assn.org/ama/pub/category/2922.html. The AMA has determined that physicians not licensed in the US who participate in this CME activity are eligible for AMA PRA Category 1 Credits™. Through agreements that the AMA has made with agencies in some countries, AMA PRA credit may be acceptable as evidence of participation in CME activities. If you are not licensed in the US, please complete the questions online, print the certificate and present it to your national medical association for review.

Article Title:
Staphylococcal Infections in Children, California, USA, 1985–2009

CME Questions

1. You are caring for an 18-month-old male child admitted with fever, lethargy, and decreased oral intake for 2 days. His blood culture is growing Staphylococcus aureus. What should you consider regarding temporal trends of pediatric hospitalizations related to staphylococcal species in the current study?

A. The biggest increase in the incidence of hospitalizations occurred between 1985 and 2002

B. The biggest increase in the incidence of hospitalizations occurred between 2006 and 2009

C. Hospitalizations for cellulitis declined between 2002 and 2006

D. The maximum incidence of hospitalization remained below 100 cases per 100,000 population

2. What was one the demographic risk factors for hospitalization with staphylococcal infection in the current study?

A. Female sex

B. African American race

C. Age 14 to 17 years

D. Low family income

3. What should you consider regarding outcomes of hospitalization related to staphylococcal infection in the current study?

A. Excluding neonates, the mean length of hospital stay was approximately 14 days

B. The length of hospital stay progressively increased over the entire study period

C. Staphylococcal infection did not independently increase the risk of mortality

D. African American race was associated with a higher risk of mortality due to staphylococcal infection

4. What should you consider regarding the types of infection with staphylococcal infections in the current study?

A. Bacteremia was the most common type of infection

B. Rates of infection with methicillin-susceptible S. aureus increased substantially from 2000 to 2009

C. Rates of infection with methicillin-resistant S. aureus (MRSA) increased substantially from 2000 to 2009

D. MRSA infections were most common among neonates

Activity Evaluation

1. The activity supported the learning objectives.

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2. The material was organized clearly for learning to occur.

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3. The content learned from this activity will impact my practice.

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4. The activity was presented objectively and free of commercial bias.

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