Major articlePrevalence, risk factors, and molecular epidemiology of methicillin-resistant Staphylococcus aureus among newly arrested men in Baltimore, Maryland
Section snippets
Study setting
The study was conducted in the Central Booking Intake Facility in Baltimore, MD from August to December 2006. Central Booking, the main intake center for persons arrested in Baltimore City, processes on average 175 new arrestees per day. The researcher was given access between 1 pm and 11 pm 5 days a week.
Subject selection
Subjects were eligible for participation by meeting the following criteria: arrested less than 24 hours before enrollment, male, age 21 years and older, and processed at the Central Booking
Demographics
A total of 678 persons were approached for participation. The enrolled sample comprised 602 arrested males, each of whom provided a nasal swab and wound culture if applicable. Demographic data also were collected on 67 of 75 (89.3%) persons who declined to participate but agreed to collection of demographic information. The remaining 8 subjects refused any participation. Demographic characteristics of the 2 groups were compared to evaluate bias in sample selection. The 2 samples were equivalent
Discussion
This is the first surveillance study to investigate S aureus and MRSA colonization at the time of arrest to identify the prevalence and risk profiles of persons entering a large city jail system. The prevalences of both S aureus (40.4%) and MRSA (15.8%) among nasal isolates were substantially greater than those estimated from the largest and most representative community analysis of the prevalence of MRSA colonization conducted to date, which noted S aureus and MRSA colonization prevalences of
References (33)
- et al.
Clonal spread of SCCmec type IV methicillin-resistant Staphylococcus aureus between community and hospital
Clin Microbiol Infect
(2007) - et al.
Genome and virulence determinants of high-virulence community-acquired MRSA
Lancet
(2002) - et al.
Population-based community prevalence of methicillin-resistant Staphylococcus aureus in the urban poor of San Francisco
Clin Infect Dis
(2003) Outbreaks of community-associated MRSA skin infections—Los Angeles County, California, 2002–2003
MMWR Morb Mortal Wkly Rep
(2003)MRSA infections among competitive sports participants—Colorado, Indiana, Pennsylvania and Los Angeles, 2000–2003
MMWR Morb Mortal Wkly Rep
(2003)- et al.
Community-acquired methicillin-resistant Staphylococcus aureus in children with no identified predisposing risk
JAMA
(1998) - et al.
MRSA in two child-care centers
J Infect Dis
(1998) - et al.
CA-MRSA in a rural American Indian community
JAMA
(2001) - et al.
An outbreak of community-onset MRSA skin infections in southwestern Alaska
Infect Control Hosp Epidemiol
(2003) - et al.
CA-MRSA in institutionalized adults with developmental disabilities
Emerg Infect Dis
(2002)
Increasing rates of community-acquired methicillin-resistant Staphylococcus aureus infections among HIV-infected persons
Int J STD AIDS
A population-based study examining the emergence of community-associated methicillin-resistant Staphylococcus aureus UDA300 in New York City
Ann Clin Microbiol Antimicrob
Tracking the in vivo evolution of multidrug resistance in Staphylococcus aureus by whole-genome sequencing
Proc Natl Acad Sci U S A
Hospital transmission of community-acquired methicillin-resistant Staphylococcus aureus among postpartum women
Clin Infect Dis
Community-associated methicillin-resistant Staphylococcus aureus in hospital nursery and maternity units
Emerg Infec Dis
Methicillin-resistant Staphylococcus aureus infections in correctional facilities—Georgia, California, and Texas, 2001–2003
MMWR Morb Mortal Wkly Rep
Cited by (33)
The global and regional prevalence, burden, and risk factors for methicillin-resistant Staphylococcus aureus colonization in HIV-infected people: A systematic review and meta-analysis
2019, American Journal of Infection ControlCitation Excerpt :Of these, 33 articles were excluded based on the stated inclusion and exclusion criteria. Finally, 69 eligible articles including 30,050 individuals were included in the meta-analysis.4-6,13-79 The included studies covered all 6 WHO regions (34 from the region of the Americas [n = 14,370 participants], 12 from the African region [n = 2,562 participants], 9 from the European region [n = 10,678 participants], 7 from the Western Pacific region [n = 1,465 participants], 4 from the Southeast Asia region [n = 446 participants], and 3 from the Eastern Mediterranean region [n = 529 participants]), representing 21 countries.
Methodologic considerations of household-level methicillin-resistant Staphylococcus aureus decolonization among persons living with HIV
2017, American Journal of Infection ControlCitation Excerpt :The SUSTAIN study was approved by The Johns Hopkins Medicine Institutional Review Board. A baseline 48-item questionnaire that was used by the principal investigator in prior studies to assess a participant's risk for acquisition of MRSA was administered at enrollment.18,29,30 An abbreviated 39-item version of the questionnaire was completed at 3 months and 6 months after study enrollment.
Prevalence and risk factors for methicillin-resistant Staphylococcus aureus in an HIV-positive cohort
2015, American Journal of Infection ControlCitation Excerpt :The JHUAS is a hospital-based practice that provides specialty care at the Moore Clinic on the Johns Hopkins Hospital campus in downtown Baltimore, Maryland, and at Green Spring Station (GSS) in Baltimore County. Urban Baltimore has a high incidence of HIV infection and MRSA colonization within outpatient populations.13,14 Greater than 50% of our clients reside in East Baltimore and >75% are within the city limits.
Prevalence of community-acquired methicillin-resistant Staphylococcus aureus in Taif social correctional center, Saudi Arabia
2021, Journal of Infection in Developing Countries