Differences in prevalence of community-associated MRSA and MSSA among U.S. and non-U.S. born populations in six New York Community Health Centers. - PubMed - NCBI

Differences in prevalence of community-associated MRSA and MSSA among U.S. and non-U.S. born populations in six New York Community Health Centers. - PubMed - NCBI

Travel Med Infect Dis. 2016 Nov - Dec;14(6):551-560. doi: 10.1016/j.tmaid.2016.10.003. Epub 2016 Oct 20.

Differences in prevalence of community-associated MRSA and MSSA among U.S. and non-U.S. born populations in six New York Community Health Centers.

Piper Jenks N1, Pardos de la Gandara M2, D'Orazio BM3, Correa da Rosa J4, Kost RG5, Khalida C6, Vasquez KS7, Coffran C8, Pastagia M9, Evering TH10, Parola C11, Urban T12, Salvato S13, Barsanti F14, Coller BS15, Tobin JN16.

Author information

Abstract

BACKGROUND:

Staphylococcus aureus is the most common cause of Skin and Soft Tissue Infections (SSTIs) in the community in the United States of America. Community Health Centers (CHC) serve as primary care providers for thousands of immigrants in New York.

METHODS:

As part of a research collaborative, 6 New York City-area CHCs recruited patients with SSTIs. Characterization was performed in all S. aureus isolates from wounds and nasal swabs collected from patients. Statistical analysis examined the differences in wound and nasal cultures among immigrant compared to native-born patients.

RESULTS:

Wound and nasal specimens were recovered from 129 patients and tested for antibiotic susceptibility. 40 patients were immigrants from 15 different countries. Although not statistically significant, immigrants had lower rates of MRSA infections (n = 15) than did native-born participants, and immigrants showed significantly higher rates of MSSA wound cultures (n = 11) (OR = 3.5, 95% CI: 1.3, 9.7).

CONCLUSIONS:

In our study, immigrants were more likely to present with SSTIs caused by MSSA than US-born patients. Immigants also reported lower frequencies of antibiotic prescription or consumption in the months prior to SSTI infection. This suggests that antibiotic resistance may vary regionally and that immigrants presenting with SSTIs may benefit from a broader range of antibiotics.

Copyright © 2016 Elsevier Ltd. All rights reserved.

KEYWORDS:

Antibiotic resistance; Foreign born; Practice-based Research Network (PBRN); Skin and soft tissue infection (SSTI); Staphylococcus aureus

PMID:

 

27773780

 

PMCID:

 

PMC5154877

 [Available on 2017-11-01]

 

DOI:

 

10.1016/j.tmaid.2016.10.003