Recurring methicillin-resistant Staphylococcus aureus infections in a football team

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 rat...

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Bibliographic Details
Published in:Emerging infectious diseases 2005-04, Vol.11 (4), p.526-532
Main Authors: Nguyen, Dao M, Mascola, Laurene, Brancoft, Elizabeth
Format: Article
Language:English
Subjects:
Adolescent
Adult
Anti-Infective Agents, Local - therapeutic use
Carrier State
Case-Control Studies
disease outbreaks
Diseases
Drug resistance
Football
Football players
Hexachlorophene
Hexachlorophene - therapeutic use
Humans
Male
Methicillin
Methicillin Resistance
Nasal Mucosa - microbiology
Recurrence
Staphylococcal Skin Infections - epidemiology
Staphylococcal Skin Infections - prevention & control
Staphylococcus
Staphylococcus aureus - drug effects
Staphylococcus aureus infections
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Summary: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.
ISSN:1080-6040
1080-6059
DOI:10.3201/eid1104.041094