Increasing Hospitalizations and General Practice Prescriptions for Community-onset Staphylococcal Disease, England

Hayward, Andrew; Knott, Felicity; Petersen, Irene; Livermore, David M.; Duckworth, Georgia; Islam, Amir; Johnson, Anne M.

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Increasing Hospitalizations and General Practice Prescriptions for Community-onset Staphylococcal Disease, England

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May 2008
By Hayward, Andrew ; Knott, Felicity ; Petersen, Irene ; ...

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Alternative Title:

Emerg Infect Dis
Personal Author:

Hayward, Andrew ; Knott, Felicity ; Petersen, Irene ; Livermore, David M. ; Duckworth, Georgia ; Islam, Amir ; Johnson, Anne M.
Description:

Rates of hospital-acquired staphylococcal infection increased throughout the 1990s; however, information is limited on trends in community-onset staphylococcal disease in the United Kingdom. We used Hospital Episode Statistics to describe trends in hospital admissions for community-onset staphylococcal disease and national general practice data to describe trends in community prescribing for staphylococcal disease. Hospital admission rates for staphyloccocal septicemia, staphylococcal pneumonia, staphylococcal scalded-skin syndrome, and impetigo increased >5-fold. Admission rates increased 3-fold for abscesses and cellulitis and 1.5-fold for bone and joint infections. In primary care settings during 1991-2006, floxacillin prescriptions increased 1.8-fold and fusidic acidprescriptions 2.5-fold. The increases were not matched by increases in admission rates for control conditions. We identified a previously undescribed but major increase in pathogenic community-onset staphylococcal disease over the past 15 years. These trends are of concern given the international emergence of invasive community-onset staphylococcal infections.
Subjects:

Abscess Anti-Bacterial Agents Bacteremia Cellulitis Community Community-Acquired Infections England Epidemiology Family Practice Hospitalization Humans Impetigo Osteomyelitis Physician's Practice Patterns Pneumonia Pneumonia, Staphylococcal Research Sepsis Staphylococcal Infections Staphylococcal Skin Infections Trends
Source:

Emerg Infect Dis. 14(5):720-726.
Document Type:

Journal Article
Volume:

14
Issue:

5
Collection(s):

Emerging Infectious Diseases
Main Document Checksum:

urn:sha256:6c6ef85e46083d52ad01de1e563b99f16e990c00e00121b4c2129ede2c35b097
Download URL:

https://stacks.cdc.gov/view/cdc/16715/cdc_16715_DS1.pdf
File Type:

[PDF - 267.95 KB ]

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