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Cited by 298Antimicrobial Resistance in StaphylococcusDermatological diseases and infestationsInfection Control in Healthcare

Methicillin-Resistant Staphylococcus aureus in a High School Wrestling Team and the Surrounding Community

Lindenmayer, Joann M., Schoenfeld, Susan, O'Grady, Robert, Carney, Jan K.·1998·Archives of Internal Medicine
DOI 10.1001/archinte.158.8.895
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Abstract

OBJECTIVES: To describe a community outbreak of methicillin-resistant Staphylococcus aureus (MRSA) and to investigate risk factors for MRSA transmission and infection in a wrestling team. DESIGN: Case series and retrospective cohort study. SETTING: A high school wrestling team and the surrounding community in southern Vermont, 1993 to 1994. PATIENTS OR OTHER PARTICIPANTS: The case series included persons whose MRSA-positive infections were identified at a hospital laboratory from January 1, 1993, through February 28, 1994, and a health maintenance organization laboratory from July 1, 1993, through February 28, 1994. A wrestling team case-patient was a 1993-1994 team member with an MRSA-positive culture during the period from January 1, 1993, through February 28, 1994. INTERVENTIONS: Visual inspection of wrestlers before matches was instituted. Affected wrestlers were excluded from wrestling and advised to seek appropriate medical care. Heightened attention was given to personal and environmental hygiene. MAIN OUTCOME MEASURES: Colonization or infection with MRSA. RESULTS: Seven of 32 team members were MRSA positive (6 infected, 1 colonized). All lesion-positive wrestlers were tested by pulsed field gel electrophoresis and found to be infected with the same MRSA strain, as were 6 nonwrestlers. No risk factors for MRSA infection were identified. CONCLUSIONS: The MRSA was transmitted among members of a wrestling team. Infection with MRSA should be suspected in outbreaks of boils that are nonresponsive to standard antibiotic therapy among healthy participants of contact sports and their close contacts.

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Authors
Lindenmayer, J. M., Schoenfeld, S., O'Grady, R., & Carney, J. K.
Affiliations
Centers for Disease Control and Prevention (US)
ORCID
Venue
Archives of Internal Medicine
Publisher
American Medical Association (AMA)
Published
1998-04-27
Volume
158
Issue
8
Pages
895
ISSN
0003-9926 (ISSN-L)
DOI
10.1001/archinte.158.8.895
OpenAlex
W1975721155
Cited by
298
References
21
Citations by year
2026: 1 · 2025: 2 · 2024: 2 · 2023: 2 · 2022: 3 · 2021: 1 · 2020: 6 · 2019: 4 · 2018: 5 · 2017: 6 · 2016: 7 · 2015: 9 · 2014: 7 · 2013: 5 · 2012: 19
FWCI
5.89
Type
journal article
Language
en
Open access
closed
Locations
  • Archives of Internal Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Infectious Diseases › Antimicrobial Resistance in Staphylococcus
  • Health Sciences › Medicine › Infectious Diseases › Dermatological diseases and infestations
  • Health Sciences › Medicine › Infectious Diseases › Infection Control in Healthcare
Keywords
methicillin-resistant Staphylococcus aureus, MRSA outbreak, wrestling, contact sports, MRSA transmission, MRSA colonization, MRSA infection, pulsed-field gel electrophoresis, strain typing, high school athletes, community outbreak, furunculosis
MeSH terms
Adolescent, Disease Outbreaks, Humans, Male, Retrospective Studies, Staphylococcal Infections, Staphylococcus aureus, Vermont, Wrestling, Methicillin Resistance, Community-Acquired Infections

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