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Methicillin-Resistant Staphylococcus aureus in a High School Wrestling Team and the Surrounding Community
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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“Previous studies (mostly in US or European settings) have identified HIV infection and injection drug use (IDU) as risk factors, 7 as well as incarceration, 10 and participation in contact sports, such as wrestling. 11”
From Prevalence of and risk factors for methicillin-resistant Staphylococcus aureus skin and soft tissue infection in a Canadian emergency department (2009) · cites this paper as [11]
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Metadata
- Authors
- Lindenmayer, J. M., Schoenfeld, S., O'Grady, R., & Carney, J. K.
- Affiliations
- Centers for Disease Control and Prevention (US)
- 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)
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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