Association Between Contact Sports and Colonization with Staphylococcus aureus in a Prospective Cohort of Collegiate Athletes.

Association Between Contact Sports and Colonization with Staphylococcus aureus in a Prospective Cohort of Collegiate Athletes.
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未来的大学运动员群体中接触运动与金黄色葡萄球菌定植之间的关联。

DOI:
10.1007/s40279-016-0618-6
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发表时间:
2017
期刊:
Sports medicine (Auckland, N.Z.)
影响因子:
--
通讯作者:
Creech,CBuddy
Creech,CBuddy
中科院分区:
--
文献类型:
--
作者:
Jiménez-Truque,Natalia;Saye,ElizabethJ;Soper,Nicole;Saville,BenjaminR;Thomsen,Isaac;Edwards,KathrynM;Creech,CBuddy

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运动员比普通人群感染金黄色葡萄球菌的风险更高。大多数针对运动员的研究主要包括男性接触性运动参与者,并且尚未进行评估。随着时间的推移,我们的目的是研究S的流行病学和危险因素。研究设计我们从2008年8月到2010年4月对377名大学运动员进行了一项前瞻性队列研究。基线问卷调查确定了定植的风险因素。在入组时采集鼻和口咽拭子,此后每月采集一次,以检测S。金色殖民主要结局为S。金黄色葡萄球菌定殖,既有甲氧西林敏感的,也有耐药的。金黄色葡萄球菌,如通过细菌培养和分子确认所定义。次要结局是S定植时间。aureus和运输轮廓,定义为非载体,间歇性载体,或持续carrier.ResultsOverall,224接触性运动和153非接触性运动员参加。接触性运动员携带S的风险较高。金黄色葡萄球菌随时间的变化:他们有更高的几率被MRSA定殖(OR 2.36; 95% CI 1.13-4.93),他们倾向于携带S。持续时间较长(间歇性携带OR 3.60; 95%CI 2.02-6.40;持续携带OR 2.39; 95%CI 1.21-4.72)。从事接触性运动的运动员也获得了S。结论接触性运动员金黄色葡萄球菌带菌情况普遍。这些发现表明,努力防止传播S。在运动员中,应将重点放在接触性运动队上。
ObjectiveAthletes have a higher risk of infection withStaphylococcus aureusthan the general population. Most studies in athletes have included primarily male contact sports participants and have not assessedS. aureuscarriage over time. We aimed to examine the epidemiology and risk factors ofS. aureuscarriage in a cohort of male and female collegiate athletes.Study designWe conducted a prospective cohort study of 377 varsity collegiate athletes from August 2008 to April 2010. A baseline questionnaire ascertained risk factors for colonization. Nasal and oropharyngeal swabs were obtained at enrollment and monthly thereafter to detectS. aureuscolonization. The primary outcome wasS. aureuscolonization, both with methicillin-susceptible and methicillin-resistantS. aureus, as defined by bacterial culture and molecular confirmation. Secondary outcomes were time to colonization withS. aureusand carriage profile, defined as non-carrier, intermittent carrier, or persistent carrier.ResultsOverall, 224 contact sports and 153 non-contact sports athletes were enrolled. Contact sports athletes had a higher risk of carryingS. aureusover time: They had higher odds of being colonized with MRSA (OR 2.36; 95 % CI 1.13–4.93) and they tended to carryS. aureusfor longer periods of time (intermittent carriage OR 3.60; 95 % CI 2.02–6.40; persistent carriage OR 2.39; 95 % CI 1.21–4.72). Athletes engaged in contact sports also acquiredS. aureusmore quickly (HR 1.61; 95 % CI 1.02–2.55).ConclusionsStaphylococcus aureuscarriage was common in contact sports athletes. These findings suggest that efforts to prevent transmission ofS. aureusamong athletes should be focused on contact sports teams.
在卵和分离的脊髓制剂中记录的胚胎鸡后肢肌肉的激活模式。
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发表时间: 1984
期刊: The Journal of Physiology
影响因子: --
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DOI: 10.1523/jneurosci.06-02-00364.1986
发表时间: 1986-02
期刊: --
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DOI: 10.1113/jphysiol.1980.sp013262
发表时间: 1980
期刊: The Journal of Physiology
影响因子: --
作者:
C. Lance‐Jones;L. Landmesser
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DOI: 10.1152/physrev.1988.68.3.819
发表时间: 1988-07
影响因子: 33.6
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