Risk factors for community-associated methicillin-resistant Staphylococcus aureus infections in an outbreak of disease among military trainees in San Diego, California, in 2002
Risk factors for community-associated methicillin-resistant Staphylococcus aureus infections in an outbreak of disease among military trainees in San Diego, California, in 2002
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DOI：
10.1128/jcm.42.9.4050-4053.2004
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发表时间：
2004-09-01
影响因子：
9.4
通讯作者：
Ryan, MAK
中科院分区：
文献类型：
--
作者：
Campbell, KM;Vaughn, AF;Ryan, MAK
2002 年夏天，美国军事学员中爆发了社区相关的耐甲氧西林金黄色葡萄球菌 (CA-MRSA) 皮肤感染。我们为 206 名学员制定了一份调查问卷，其中 22 人感染了 MRSA。与感染相关的因素通过多变量逻辑回归模型进行描述，包括有一位正在接受皮肤感染训练的室友（比值比[OR] = 3.44）或有一位在医疗机构工作的家庭成员或朋友（OR = 2.79）。既往使用抗生素、住院治疗或健康问题与 MRSA 感染无关。这次 MRSA 皮肤感染在原本健康、明确的军人群体中爆发，为描述 CA-MRSA 的危险因素提供了一个机会，这可能有助于集中该社区和其他社区的预防工作。
An outbreak of community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) skin infections was observed in a population of U.S. military trainees in the summer of 2002. A questionnaire was developed and administered to 206 trainees, 22 of whom had MRSA infections. Factors associated with infection were described by multivariable logistic regression modeling and included having a roommate in training with a prior skin infection (odds ratio [OR] = 3.44) or having a family member or friend who worked in a health care setting (OR = 2.79). Previous antibiotic use, hospitalization, or health problems were not associated with MRSA infection. This outbreak of MRSA skin infections in an otherwise-healthy, well-defined, military population provided an opportunity to describe risk factors for CA-MRSA which may help focus prevention efforts in this and other communities.