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A comparison of risk factors associated with community-associated methicillin-resistant and -susceptible Staphylococcus aureus infections in remote communities

  • G. R. GOLDING (a1), P. N. LEVETT (a2), R. R. McDONALD (a2), J. IRVINE (a3), M. NSUNGU (a4), S. WOODS (a4), A. HORBAL (a5), C. G. SIEMENS (a5), M. KHAN (a6), M. OFNER-AGOSTINI (a7), M. R. MULVEY (a1) (a5) and the Northern Antibiotic Resistance Partnership (NARP)...
Summary

In this case-control study, cases [community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA), n=79] and controls [community-associated methicillin-susceptible S. aureus (CA-MSSA), n=36] were defined as a laboratory-confirmed infection in a patient with no previous hospital-associated factors. Skin and soft tissue were the predominant sites of infection, both for cases (67·1%) and controls (55·6%). Most of the cases (79·7%) and controls (77·8%) were aged <30 years. Investigations did not reveal any significant statistical differences in acquiring a CA-MRSA or CA-MSSA infection. The most common shared risk factors included overcrowding, previous antibiotic usage, existing skin conditions, household exposure to someone with a skin condition, scratches/insect bites, and exposure to healthcare workers. Similar risk factors, identified for both CA-MRSA and CA-MSSA infections, suggest standard hygienic measures and proper treatment guidelines would be beneficial in controlling both CA-MRSA and CA-MSSA in remote communities.

Copyright
Crown COPYRIGHT: © Published by Cambridge University Press [2010]
Corresponding author
*Author for correspondence: Dr M. R. Mulvey, National Microbiology Laboratory, 1015 Arlington St, Winnipeg, MB, R3E 3R2, Canada. (Email: Michael_mulvey@phac-aspc.gc.ca)
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