Staphylococcus aureus in Iowa Child Care Facilities

Details

• Personal Author:
  Moritz ED ; Moritz ED
• Description:
  Staphylococcus aureus (S. aureus) is a ubiquitous bacterium that has the potential to cause severe disease in children and adults. Asymptomatic carriage of S. aureus is an important risk factor for developing infection, as well as a key contributor to transmission. Despite the fact that child care workers are at risk of infections, little research has focused on asymptomatic carriage of S. aureus in this occupational group. We collected samples from 110 employees, 81 children, and 214 surfaces at twelve child care facilities, as well as 111 age- and gender-matched adults not employed at child care centers. After adjusting for age, a household contact with a recent influenza-like illness, and a household contact with exposure to cattle, the odds ratio for S. aureus carriage in child care employees was 0.68 (95% CI 0.31-1.50, p-value 0.34). The odds of MRSA carriage was 3.09 times higher in child care employees than unexposed adults after adjusting for a history of cigarette smoking (95% CI 1.04-9.17, p-value 0.042). Colonization rates of all S. aureus and MRSA in children were 19.8% and 1.23%, respectively. S. aureus and MRSA were isolated from 9.80% and 0.90% of surfaces. Washing children's hands upon arrival had a protective effect among employees (adjusted OR 0.17, 95% CI 0.095-0.32, p < 0.0001). Molecular characterization suggested transmission of S. aureus among children, employees, and environmental surfaces. While the overall prevalence of MRSA is low at child care facilities, employees may be at increased risk of carrying this organism. [Description provided by NIOSH]
• Subjects:
  Coal Coal Mining Mining Mortality Occupational Exposure Occupational Health Occupational Injuries Risk Assessment Risk Factors Safety
• Keywords:
  Bacteria Children Disease Transmission Hand Washing Indoor Environments Methicillin Resistant Staphylococcus Aureus MRSA
• ISBN:
  9781267462336
• Publisher:
  ProQuest LLC.
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Thesis ; Thesis
• Place as Subject:
  Iowa ; OSHA Region 7
• CIO:
  National Institute for Occupational Safety and Health (NIOSH) ; National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health ; Workplace Safety & Health
• Location:
  North America ; North America
• NIOSHTIC Number:
  nn:20056695
• Citation:
  Ann Arbor, MI: ProQuest LLC., 2011 May; :3516662
• Federal Fiscal Year:
  2011
• Performing Organization:
  University of Iowa
• Peer Reviewed:
  False
• Start Date:
  20050701
• Source Full Name:
  Staphylococcus aureus in Iowa child care facilities
• End Date:
  20290630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:a9294e1276d3ab67ecfce82472b3ba39aaaf71a303726a1c7dbdc85cdde77f083bb4fd30b5d1332a99423b8144d518fe6b19b2c043a8ea49c4487fd5a7bc10be
• Download URL:
  https://stacks.cdc.gov/view/cdc/214248/cdc_214248_DS1.pdf
• File Type:
  [PDF - 1.16 MB ]