Community-onset Staphylococcus aureus infections presenting to general practices in South-eastern Australia

Community-acquired Staphylococcus aureus infections are a public health concern, yet little is known about infections that do not present to hospital. We identified community-onset S. aureus infections via specimens submitted to a community-based pathology service. Referring doctors confirmed eligib...

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Main Authors: Bennett, C., Coombs, Geoffrey, Wood, G., Howden, B., Johnson, L., White, D., Johnson, P.
Format: Journal Article
Published: Cambridge University Press 2013
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/24001
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author Bennett, C.
Coombs, Geoffrey
Wood, G.
Howden, B.
Johnson, L.
White, D.
Johnson, P.
author_facet Bennett, C.
Coombs, Geoffrey
Wood, G.
Howden, B.
Johnson, L.
White, D.
Johnson, P.
author_sort Bennett, C.
building Curtin Institutional Repository
collection Online Access
description Community-acquired Staphylococcus aureus infections are a public health concern, yet little is known about infections that do not present to hospital. We identified community-onset S. aureus infections via specimens submitted to a community-based pathology service. Referring doctors confirmed eligibility and described infection site, severity and treatment. Isolates were characterized on antibiotic resistance, PFGE, MLST/SCCmec, and Panton–Valentine leukocidin (PVL), representing 106 community-onset infections; 34 non-multiresistant methicillin-resistant S. aureus (nmMRSA) (resistant to <3 non-β-lactam antibiotics), 15 multiply antibiotic-resistant MRSA (mMRSA) and 57 methicillin-sensitive S. aureus (MSSA). Most (93%) were skin and soft tissue infections. PVL genes were carried by 42% of nmMRSA isolates [95% confidence interval (CI) 26–61] and 15% of MSSA (95% CI 8–28). PVL was associated with infections of the trunk, head or neck (56•4% vs. 24•3%, P = 0•005) in younger patients (23 vs. 52 years, P < 0•001), and with boils or abscesses (OR 8•67, 95% CI 2•9–26•2), suggesting underlying differences in exposure and/or pathogenesis.
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spelling curtin-20.500.11937-240012017-09-13T13:55:44Z Community-onset Staphylococcus aureus infections presenting to general practices in South-eastern Australia Bennett, C. Coombs, Geoffrey Wood, G. Howden, B. Johnson, L. White, D. Johnson, P. public health emerging infections staphylococcal infections methicillin-resistant S. aureus (MRSA) Epidemiology Staphylococcus aureus Community-acquired Staphylococcus aureus infections are a public health concern, yet little is known about infections that do not present to hospital. We identified community-onset S. aureus infections via specimens submitted to a community-based pathology service. Referring doctors confirmed eligibility and described infection site, severity and treatment. Isolates were characterized on antibiotic resistance, PFGE, MLST/SCCmec, and Panton–Valentine leukocidin (PVL), representing 106 community-onset infections; 34 non-multiresistant methicillin-resistant S. aureus (nmMRSA) (resistant to <3 non-β-lactam antibiotics), 15 multiply antibiotic-resistant MRSA (mMRSA) and 57 methicillin-sensitive S. aureus (MSSA). Most (93%) were skin and soft tissue infections. PVL genes were carried by 42% of nmMRSA isolates [95% confidence interval (CI) 26–61] and 15% of MSSA (95% CI 8–28). PVL was associated with infections of the trunk, head or neck (56•4% vs. 24•3%, P = 0•005) in younger patients (23 vs. 52 years, P < 0•001), and with boils or abscesses (OR 8•67, 95% CI 2•9–26•2), suggesting underlying differences in exposure and/or pathogenesis. 2013 Journal Article http://hdl.handle.net/20.500.11937/24001 10.1017/S0950268813001581 Cambridge University Press fulltext
spellingShingle public health emerging infections
staphylococcal infections
methicillin-resistant S. aureus (MRSA)
Epidemiology
Staphylococcus aureus
Bennett, C.
Coombs, Geoffrey
Wood, G.
Howden, B.
Johnson, L.
White, D.
Johnson, P.
Community-onset Staphylococcus aureus infections presenting to general practices in South-eastern Australia
title Community-onset Staphylococcus aureus infections presenting to general practices in South-eastern Australia
title_full Community-onset Staphylococcus aureus infections presenting to general practices in South-eastern Australia
title_fullStr Community-onset Staphylococcus aureus infections presenting to general practices in South-eastern Australia
title_full_unstemmed Community-onset Staphylococcus aureus infections presenting to general practices in South-eastern Australia
title_short Community-onset Staphylococcus aureus infections presenting to general practices in South-eastern Australia
title_sort community-onset staphylococcus aureus infections presenting to general practices in south-eastern australia
topic public health emerging infections
staphylococcal infections
methicillin-resistant S. aureus (MRSA)
Epidemiology
Staphylococcus aureus
url http://hdl.handle.net/20.500.11937/24001