Buss Bryan F, Mueller Shawn W, Theis Max, Keyser Alison, Safranek Thomas J
Centers for Disease Control and Prevention Epidemic Intelligence Service Officer assigned to the Nebraska Department of Health and Human Services, Lincoln, Nebraska, USA.
J Sch Nurs. 2009 Aug;25(4):282-91. doi: 10.1177/1059840509333454. Epub 2009 Apr 7.
Methicillin-resistant Staphylococcus aureus (MRSA) is an emerging cause of skin and soft-tissue infections among athletes. To determine statewide incidence among high school athletes, we surveyed all 312 Nebraska high schools regarding sport programs offered, program-specific participation numbers, number of athletes with physician-diagnosed MRSA infections, and athlete's sport at infection onset. Among 271 (86.9%) schools responding, MRSA infections were reported among one or more athletes by 4.4% (12/270) and 14.4% (39/271) during school years 2006-2007 and 2007-2008, respectively. From 2006-2007 to 2007-2008, MRSA incidence per 10,000 wrestlers increased from 19.6 to 60.1, and incidence per 10,000 football players increased from 5.0 to 25.1. We did not identify differences in distribution of MRSA infections on the basis of grade, school enrollment, location, or number of participants per team. Incidence of reported MRSA infections among football players and wrestlers was substantially higher during 2007-2008, compared with 2006-2007.
耐甲氧西林金黄色葡萄球菌(MRSA)是运动员皮肤和软组织感染的一个新出现的病因。为确定内布拉斯加州高中运动员中的全州发病率,我们就所提供的体育项目、特定项目的参与人数、有医生诊断的MRSA感染的运动员人数以及感染发生时运动员的运动项目,对该州全部312所高中进行了调查。在做出回应的271所(86.9%)学校中,在2006 - 2007学年和2007 - 2008学年,分别有4.4%(12/270)和14.4%(39/271)的学校报告有一名或多名运动员发生了MRSA感染。从2006 - 2007年到2007 - 2008年,每10000名摔跤运动员中的MRSA发病率从19.6增至60.1,每10000名橄榄球运动员中的发病率从5.0增至25.1。我们未发现基于年级、学校入学人数、地点或每个团队的参与者人数的MRSA感染分布差异。与2006 - 2007年相比,2007 - 2008年期间橄榄球运动员和摔跤运动员中报告的MRSA感染发病率大幅更高。