Methicillin-resistant Staphylococcus aureus in a high school wrestling team and the surrounding community
Methicillin-resistant Staphylococcus aureus in a high school wrestling team and the surrounding community
复制标题
DOI：
10.1001/archinte.158.8.895
复制
发表时间：
1998-04-27
影响因子：
--
通讯作者：
Carney, JK
中科院分区：
文献类型：
--
作者：
Lindenmayer, JM;Schoenfeld, S;Carney, JK
目的：描述一起社区爆发的耐甲氧西林金黄色葡萄球菌（MRSA），并调查MRSA在摔跤队传播和感染的危险因素。设计：病例系列和回顾性队列研究。背景：1993年至1994年，佛蒙特州南部一个高中摔跤队和周边社区。患者或其他参与者：病例系列包括1993年1月1日至1994年2月28日在医院实验室和1993年7月1日至1994年2月28日在健康维护组织实验室发现的mrsa阳性感染者。1例摔跤队患者为1993-1994年摔跤队队员，1993年1月1日至1994年2月28日期间mrsa培养呈阳性。干预措施：比赛前对摔跤手进行目视检查。受影响的摔跤运动员被排除在摔跤之外，并建议他们寻求适当的医疗护理。个人卫生和环境卫生受到高度重视。主要观察指标：MRSA定植或感染。结果：32名组员中7人MRSA阳性（6人感染，1人定植）。所有病变呈阳性的摔跤运动员都进行了脉冲场凝胶电泳测试，发现感染了相同的MRSA菌株，6名非摔跤运动员也是如此。未发现MRSA感染的危险因素。结论：甲氧西林金黄色葡萄球菌在摔跤队成员中传播。在接触性运动的健康参与者及其密切接触者中，如果出现对标准抗生素治疗无反应的疖子暴发，应怀疑感染MRSA。
Objectives: To describe a community outbreak of methicillin-resistant Staphylococcus aureus (MRSA) and to investigate risk factors for MRSA transmission and infection in a wrestling team.Design: Case series and retrospective cohort study.Setting: A high school wrestling team and the surrounding community in southern Vermont, 1993 to 1994.Patients or Other Participants: The case series included persons whose MRSA-positive infections were identified at a hospital laboratory from January 1, 1993, through February 28, 1994, and a health maintenance organization laboratory from July 1, 1993, through February 28, 1994. A wrestling team case-patient was a 1993-1994 team member with an MRSA-positive culture during the period from January 1, 1993, through February 28, 1994.Interventions: Visual inspection of wrestlers before matches was instituted. affected wrestlers were excluded from wrestling and advised to seek appropriate medical care. Heightened attention was given to personal and environmental hygiene.Main Outcome Measures: Colonization or infection with MRSA.Results: Seven of 32 team members were MRSA positive (6 infected, 1 colonized). All lesion-positive wrestlers were tested by pulsed field gel electrophoresis and found to be infected with the same MRSA strain, as were 6 nonwrestlers. No risk factors for MRSA infection were identified.Conclusions: The MRSA was transmitted among members of a wrestling team. Infection with MRSA should be suspected in outbreaks of boils that are nonresponsive to standard antibiotic therapy among healthy participants of contact sports and their close contacts.