Recurring methicillin-resistant Staphylococcus aureus infections in a football team.

Recurring methicillin-resistant Staphylococcus aureus infections in a football team.
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DOI:
10.3201/eid1104.041094
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发表时间:
2005-04
影响因子:
11.8
通讯作者:
Brancoft E
Brancoft E
中科院分区:
医学2区
文献类型:
--
作者:
Nguyen DM;Mascola L;Brancoft E

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通过每日六氯消毒剂淋浴和卫生教育控制了MRSA的爆发。2003年8月至9月,一所大学足球队发生了社区相关的耐甲氧西林金黄色葡萄球菌(MRSA)皮肤和软组织感染(SSTI)暴发。确定了11名病例患者,其中疖子是最常见的体征。前锋的攻击率最高(18%)。在99名(93%的球队)运动员培养标本,8(8%)有MRSA鼻培养阳性。所有可用的病例参与者的MRSA分离株均具有社区相关脉冲场类型USA300。一项病例对照研究发现,共用肥皂和先前存在的割伤或擦伤与感染有关。一项携带者控制研究发现,在患有SSTI的队友附近有一个储物柜,共用毛巾,住在校园里与鼻携带有关。成功的疫情控制措施包括每天进行六氯农药淋浴和卫生教育。
MRSA outbreak was controlled with daily hexachlorophene showers and hygiene education. An outbreak of community-associated methicillin-resistant Staphylococcus aureus (MRSA) skin and soft tissue infection (SSTI) occurred in a college football team from August to September 2003. Eleven case-players were identified, and boils were the most common sign. Linemen had the highest attack rate (18%). Among 99 (93% of team) players with cultured specimens, 8 (8%) had positive MRSA nasal cultures. All available case-players' MRSA isolates characterized had the community-associated pulsed-field type USA300. A case-control study found that sharing bars of soap and having preexisting cuts or abrasions were associated with infection. A carrier-control study found that having a locker near a teammate with an SSTI, sharing towels, and living on campus were associated with nasal carriage. Successful outbreak control measures included daily hexachlorophene showers and hygiene education.
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