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Methicillin-resistant Staphylococcus aureus-associated hospitalizations among the American Indian and Alaska native population

TitleMethicillin-resistant Staphylococcus aureus-associated hospitalizations among the American Indian and Alaska native population
Publication TypeJournal Article
Year of Publication2009
AuthorsByrd, KK, Holman, RC, Bruce, MG, Hennessy, TW, Wenger, JD, Bruden, DL, Haberling, DL, Steiner, C, Cheek, JE
JournalClin Infect DisClin Infect Dis
Date PublishedOct 1
ISBN Number1537-6591 (Electronic)<br/>1058-4838 (Linking)
Accession Number19725783
KeywordsAdolescent, Adult, Aged, Aged, 80 and Over, Child, Child, Preschool, Female, Hospitalization/ statistics & numerical data, Humans, Incidence, Indians, North American, Infant, Infant, Newborn, Male, Methicillin-Resistant Staphylococcus aureus/ isolation & purification, Middle Aged, Staphylococcal Infections/ epidemiology/ microbiology, United States/epidemiology, Young Adult
AbstractBACKGROUND: American Indians and Alaska Natives (AI/ANs) have had documented outbreaks of methicillin-resistant Staphylococcus aureus (MRSA) infection but, to our knowledge, no studies have examined MRSA infection among this population nationally. We describe MRSA-associated hospitalizations among the approximately 1.6 million AI/ANs who receive care at Indian Health Service health care facilities nationwide. METHODS: We used hospital discharge data from the Indian Health Service National Patient Information Reporting System to determine the rate of MRSA-associated hospitalizations among AI/ANs who used Indian Health Service health care in 1996-2005 and in the comparison periods 1996-1998 and 2003-2005. Hospitalization rates among AI/ANs were examined by year, age group, sex, and region. MRSA-associated diagnoses were also examined. Rate comparisons were performed using Poisson regression analysis. Comparison of rates to those of the general United States population was made for 2003-2005 by means of the Nationwide Inpatient Sample. RESULTS: Between comparison periods, the rate of MRSA-associated hospitalization increased from 4.6 to 50.6 hospitalizations per 100,000 AI/ANs (P<.01 with="" increases="" in="" both="" sexes="" all="" age="" groups="" and="" regions.="" by="" mrsa="" was="" the="" causative="" organism="" for="" majority="" of="" s.="" aureus-associated="" hospitalizations.="" most="" common="" associated="" diagnosis="" skin="" soft-tissue="" infection="" which="" accounted="" mrsa-associated="" diagnoses.="" age-adjusted="" rate="" among="" ai="" hospitalizations="" per="" persons="" compared="" general="" us="" population.="" conclusions:="" have="" increased="" significantly="" served="" indian="" health="" service="" care="" facilities.="" clinicians="" should="" a="" high="" index="" suspicion="" especially="" those="" infection.="">
Ethno Med: