Staphylococcus aureus skin and soft tissue infections in primary healthcare in Denmark: a 12-year population-based study

Methicillin-resistant Staphylococcus aureus (MRSA) is an emerging cause of skin and soft-tissue infections among athletes. To determine statewide incidence among high school athletes, we surveyed all 312 Nebraska high schools regarding sport programs offered, program-specific participation numbers, number of athletes with physician-diagnosed MRSA infections, and athlete’s sport at infection onset. Among 271 (86.9%) schools responding, MRSA infections were reported among one or more athletes by 4.4% (12/270) and 14.4% (39/271) during school years 2006–2007 and 2007–2008, respectively. From 2006–2007 to 2007–2008, MRSA incidence per 10,000 wrestlers increased from 19.6 to 60.1, and incidence per 10,000 football players increased from 5.0 to 25.1. We did not identify differences in distribution of MRSA infections on the basis of grade, school enrollment, location, or number of participants per team. Incidence of reported MRSA infections among football players and wrestlers was substantially higher during 2007–2008, compared with 2006–2007.

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Faculty Opinions recommendation of Effectiveness of measures to eradicate Staphylococcus aureus carriage in patients with community-associated skin and soft-tissue infections: a randomized trial.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.13335991.14702099 ◽

2011 ◽

Author(s):

Jason Newland

Keyword(s):

Staphylococcus Aureus ◽

Soft Tissue ◽

Randomized Trial ◽

Soft Tissue Infections

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Nasopharyngeal bacterial carriage in young children in Greenland: a population at high risk of respiratory infections

Epidemiology and Infection ◽

10.1017/s0950268816001461 ◽

2016 ◽

Vol 144 (15) ◽

pp. 3226-3236 ◽

Cited By ~ 14

Author(s):

J. E. NAVNE ◽

M. L. BØRRESEN ◽

H. C. SLOTVED ◽

M. ANDERSSON ◽

M. MELBYE ◽

...

Keyword(s):

Risk Factors ◽

Staphylococcus Aureus ◽

Moraxella Catarrhalis ◽

Respiratory Infections ◽

Positive Association ◽

Population Based ◽

Carriage Rate ◽

Population Based Study ◽

Pneumococcal Carriage ◽

Bacterial Associations

SUMMARYThe incidence of childhood respiratory infections in Greenland is among the highest globally. We performed a population-based study of 352 Greenlandic children aged 0–6 years aiming to describe rates and risk factors for carriage of four key bacteria associated with respiratory infections, their antimicrobial susceptibility and inter-bacterial associations. Nasopharyngeal swabs were tested for Streptococcus pneumoniae grouped by serotypes included (VT) or not included (NVT) in the 13-valent pneumococcal conjugate vaccine, non-typable Haemophilus influenzae (NTHi), Staphylococcus aureus and Moraxella catarrhalis. S. pneumoniae was detected from age 2 weeks with a peak carriage rate of 60% in 2-year-olds. Young age and having siblings attending a daycare institution were associated with pneumococcal carriage. Overall co-colonization with ⩾2 of the studied bacteria was 52%. NTHi showed a positive association with NVT pneumococci and M. catarrhalis, respectively, M. catarrhalis was positively associated with S. pneumoniae, particular VT pneumococci, whereas S. aureus were negatively associated with NTHi and M. catarrhalis. Nasopharyngeal bacterial carriage was present unusually early in life and with frequent co-colonization. Domestic crowding increased odds of carriage. Due to important bacterial associations we suggest future surveillance of pneumococcal conjugate vaccine's impact on carriage in Greenland to also include other pathogens.

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