Skip to main content
×
Home
    • Aa
    • Aa
  • Get access
    Check if you have access via personal or institutional login
  • Cited by 5
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    BRAUN, TIM KAHANOV, LEAMOR DANNELLY, KATHLEEN and LAUBER, CHRISTINE 2016. CA-MRSA Infection Incidence and Care in High School and Intercollegiate Athletics. Medicine & Science in Sports & Exercise, Vol. 48, Issue. 8, p. 1530.


    Imahara, Scott D. and Friedrich, Jeffrey B. 2010. Community-Acquired Methicillin-Resistant Staphylococcus aureus in Surgically Treated Hand Infections. The Journal of Hand Surgery, Vol. 35, Issue. 1, p. 97.


    Jiménez-Truque, Natalia Saye, Elizabeth J. Soper, Nicole Saville, Benjamin R. Thomsen, Isaac Edwards, Kathryn M. and Creech, C. Buddy 2016. Longitudinal Assessment of Colonization WithStaphylococcus aureus in Healthy Collegiate Athletes. Journal of the Pediatric Infectious Diseases Society, Vol. 5, Issue. 2, p. 105.


    Grosset-Janin, A. Nicolas, X. and Saraux, A. 2012. Sport and infectious risk: A systematic review of the literature over 20 years. Médecine et Maladies Infectieuses, Vol. 42, Issue. 11, p. 533.


    Faires, Meredith C Pearl, David L Ciccotelli, William A Berke, Olaf Reid-Smith, Richard J and Weese, J Scott 2014. The use of the temporal scan statistic to detect methicillin-resistant Staphylococcus aureus clusters in a community hospital. BMC Infectious Diseases, Vol. 14, Issue. 1,


    ×

Multiclonal outbreak of methicillin-resistant Staphylococcus aureus infections on a collegiate football team

  • A. J. HALL (a1) (a2), D. BIXLER (a2) and L. E. HADDY (a2)
  • DOI: http://dx.doi.org/10.1017/S095026880800068X
  • Published online: 18 April 2008
Abstract
SUMMARY

An outbreak of methicillin-resistant Staphylococcus aureus (MRSA) skin and soft tissue infections (SSTIs) occurred in a college football team in August 2006. Of 109 players on the team roster, 88 (81%) were interviewed during a cohort investigation. Twenty-five cases were identified, six of which were culture-confirmed. Available culture isolates were typed by pulsed-field gel electrophoresis (PFGE), which identified two different MRSA strains associated with the outbreak. Playing positions with the most physical contact (offensive linemen, defensive linemen, and tight ends) had the greatest risk of infection [risk ratio (RR) 5·1, 95% confidence interval (CI) 2·3–11·5. Other risk factors included recent skin trauma (RR 1·9, 95% CI 0·95–3·7), use of therapeutic hydrocollator packs (RR 2·5, 95% CI 1·1–5·7), and miscellaneous training equipment use (RR 2·1, 95% CI 1·1–4·1). The outbreak was successfully controlled through team education and implementation of improved infection-control practices and hygiene policies.

Copyright
Corresponding author
*Author for correspondence: Dr A. J. Hall, West Virginia Department of Health & Human Resources, 350 Capitol Street, Room 125, Charleston, WV 25301, USA. (Email: ajhall@cdc.gov)
Linked references
Hide All

This list contains references from the content that can be linked to their source. For a full set of references and notes please see the PDF or HTML where available.

1.SK Fridkin , Methicillin-resistant Staphylococcus aureus disease in three communities. New England Journal of Medicine 2005; 352: 14361444.

2.H Huang , Comparisons of community-associated methicillin-resistant Staphylococcus aureus (MRSA) and hospital-associated MRSA infections in Sacramento, California. Journal of Clinical Microbiology 2006; 44: 24232427.

3.SL Davis , Epidemiology and outcomes of community-associated methicillin-resistant Staphylococcus aureus infection. Journal of Clinical Microbiology 2007; 45: 17051711.

4.S Boyle-Vavra , RS Daum . Community-acquired methicillin-resistant Staphylococcus aureus: the role of Panton-Valentine leukocidin. Laboratory Investigation 2007; 87: 39.

5.IB Gosbell . Epidemiology, clinical features and management of infections due to community methicillin-resistant Staphylococcus aureus (cMRSA). Internal Medicine Journal 2005; 35: S120S135.

6.RS Daum . Skin and soft-tissue infections caused by methicillin-resistant Staphylococcus aureus. New England Journal of Medicine 2007; 357: 380390.

9.G Turabelidze , Personal hygiene and methicillin-resistant Staphylococcus aureus infection. Emerging Infectious Diseases 2006; 12: 422427.

10.K Como-Sabette , Methicillin-resistant Staphylococcus aureus at canoe camp. Emerging Infectious Diseases 2006; 12: 17591761.

11.A Borer , Community-acquired methicillin-resistant Staphylococcus aureus in institutionalized adults with developmental disabilities. Emerging Infectious Diseases 2002; 8: 966970.

13.CE Zinderman , Community-acquired methicillin-resistant Staphylococcus aureus among military recruits. Emerging Infectious Diseases 2004; 10: 941944.

14.KM Campbell , Risk Factors for community-associated methicillin-resistant Staphylococcus aureus infections in an outbreak of disease among military trainees in San Diego, California, in 2002. Journal of Clinical Microbiology 2004; 42: 40504053.

16.HC Baggett , Community-onset methicillin-resistant Staphylococcus aureus associated with antibiotic use and the cytotoxin Panton-Valentine leukocidin during a furunculosis outbreak in rural Alaska. Journal of Infectious Diseases 2004; 189: 15651573.

17.M Gilbert , Outbreak in Alberta of community-acquired (USA300) methicillin-resistant Staphylococcus aureus in people with a history of drug use, homelessness or incarceration. Canadian Medical Association Journal 2006; 175: 149154.

19.DM Nguyen , L Mascola , E Bancroft . Recurring methicillin-resistant Staphylococcus aureus infections in a football team. Emerging Infectious Diseases 2005; 11: 526532.

20.M Müller-Premru , New strains of community-acquired methicillin-resistant Staphylococcus aureus with Panton-Valentine leukocidin causing an outbreak of severe soft tissue infection in a football team. European Journal of Clinical Microbiology and Infectious Diseases 2005; 24: 848850.

21.JM Lindenmayer , Methicillin-resistant Staphylococcus aureus in a high school wrestling team and the surrounding community. Archives of Internal Medicine 1998; 158: 895899.

22.AR Stacey , An outbreak of methicillin-resistant Staphylococcus aureus in a rugby football team. British Journal of Sports Medicine 1998; 32: 153154.

23.EM Begier , A high-morbidity outbreak of methicillin resistant Staphylococcus aureus among players on a college football team, facilitated by cosmetic body shaving and turf burns. Clinical Infectious Diseases 2004; 39: 14461453.

25.JA Rihn , Community-acquired methicillin-resistant Staphylococcus aureus outbreak in a local high school football team unsuccessful interventions. The Pediatric Infectious Disease Journal 2005; 24: 841843.

26.SV Kazakova , A clone of methicillin-resistant Staphylococcus aureus among professional football players. New England Journal of Medicine 2005; 352: 468475.

28.DM Sosin , An outbreak of furunculosis among high school athletes. American Journal of Sports Medicine 1989; 17: 828832.

29.PC Bartlett , RJ Martin , BR Cahill . Furunculosis in a high school football team. American Journal of Sports Medicine 1982; 10: 371374.

31.LK McDougal , Pulsed-field gel electrophoresis typing of oxacillin-resistant Staphylococcus aureus isolates from the United States: establishing a national database. Journal of Clinical Microbiology 2003; 41: 51135120.

32.N Walker , R Gupta , J Cheesbrough . Blood pressure cuffs: friend or foe? Journal of Hospital Infection 2006; 63: 167169.

33.JOM Ormerod , Risk of MRSA transmission from tourniquets. Journal of Hospital Infection 2006; 64: 300301.

34.G French , Contamination of doctors' and nurses' pens with nosocomial pathogens. Lancet 1998; 351: 213.

35.EM Ndawula , L Brown . Mattresses as reservoirs of epidemic methicillin-resistant Staphylococcus aureus. Lancet 1991; 337: 488.

37.MA Beard-Peglar , E Stubbs , AM Vickery . Observations on the resistance to drying of staphylococcal strains. Journal of Medical Microbiology 1988; 26: 251255.

38.GJ Duckworth , JZ Jordens . Adherence and survival properties of an epidemic methicillin-resistant strain of Staphylococcus aureus compared with those of methicillin-sensitive strains. Journal of Medical Microbiology 1990; 32: 195200.

Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Epidemiology & Infection
  • ISSN: 0950-2688
  • EISSN: 1469-4409
  • URL: /core/journals/epidemiology-and-infection
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×