Methicillin-Resistant Staphylococcus aureus Colonization, Behavioral Risk Factors, and Skin and Soft-Tissue Infection at an Ambulatory Clinic Serving a Large Population of HIV-Infected Men Who Have Sex with Men

We conducted a prospective cohort study of 795 outpatients, many of whom were human immunodeficiency virus-infected men who have sex with men, to characterize risk of skin and soft-tissue infection (SSTI) associated with methicillin-resistant Staphylococcus aureus (MRSA) nares and perianal colonizat...

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Bibliographic Details
Published in:Clinical infectious diseases 2009-07, Vol.49 (1), p.118-121
Main Authors: Szumowski, John D., Wener, Kenneth M., Gold, Howard S., Wong, Michael, Venkataraman, Lata, Runde, Carrie A., Cohen, Daniel E., Mayer, Kenneth H., Wright, Sharon B.
Format: Article
Language:English
Subjects:
Adult
Ambulatory Care Facilities
Bacterial diseases
Biological and medical sciences
Brief Reports
Carrier State - epidemiology
Carrier State - microbiology
Cohort Studies
Community health
Crystals
Drug use
Gays & lesbians
HIV
HIV Infections - complications
Homosexuality, Male
Human bacterial diseases
Human immunodeficiency virus
Human viral diseases
Humans
Immunodeficiencies
Immunodeficiencies. Immunoglobulinopathies
Immunopathology
Infections
Infectious diseases
Male
Medical sciences
Men
Methamphetamine
Methicillin resistant staphylococcus aureus
Methicillin-Resistant Staphylococcus aureus - isolation & purification
Multivariate analysis
Nasal Cavity - microbiology
Operating rooms
Outpatients
Perineum - microbiology
Predisposing factors
Prospective Studies
Risk Factors
Risk-Taking
Sexual behavior
Skin
Soft Tissue Infections - epidemiology
Soft Tissue Infections - microbiology
Staphylococcal Infections - epidemiology
Staphylococcal Infections - microbiology
Staphylococcal infections, streptococcal infections, pneumococcal infections
Staphylococcal Skin Infections - epidemiology
Staphylococcal Skin Infections - microbiology
Staphylococcus aureus
Staphylococcus infections
Studies
Viral diseases
Viral diseases of the lymphoid tissue and the blood. Aids
Young Adult
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Description
Summary:We conducted a prospective cohort study of 795 outpatients, many of whom were human immunodeficiency virus-infected men who have sex with men, to characterize risk of skin and soft-tissue infection (SSTI) associated with methicillin-resistant Staphylococcus aureus (MRSA) nares and perianal colonization. Multivariate analysis revealed that perianal colonization, drug use, and prior SSTIs were strongly associated with development of an SSTI. Of the patients who were colonized with MRSA at study entry, 36.7% developed an SSTI during the ensuing 12 months, compared with 8.1% of persons who were not colonized with MRSA.
ISSN:1058-4838
1537-6591
DOI:10.1086/599608