Methicillin-resistant Staphylococcus aureus skin infections among tattoo recipients--Ohio, Kentucky, and Vermont, 2004-2005.
Community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) infections have emerged as a major cause of skin disease in the United States. Outbreaks of CA-MRSA have occurred among athletes, inmates at correctional facilities, and military recruits. This report summarizes investigations of six unlinked clusters of skin and soft tissue infections caused by CA-MRSA among 44 recipients of tattoos from 13 unlicensed tattooists in three states (Ohio, Kentucky, and Vermont); use of nonsterile equipment and suboptimal infection-control practices were identified as potential causes of the infections. Clinicians should consider CA-MRSA in their differential diagnosis for staphylococcus diseases, including skin infections. Clinicians can contact their local health departments to determine the prevalence of CA-MRSA in their community and whether the disease is reportable. MRSA infections should be added to education and prevention campaigns highlighting the risks of unlicensed tattooing.
D000293:Adolescent; D000328:Adult; D006801:Humans; D007629:Kentucky / Q000453:epidemiology; D016106:Methicillin Resistance; D009820:Ohio / Q000453:epidemiology; D013207:Staphylococcal Skin Infections / Q000453:epidemiology* / Q000209:etiology / Q000382:microbiology; D013211:Staphylococcus aureus / Q000187:drug effects*; D013653:Tattooing / Q000009:adverse effects*; D014707:Vermont / Q000453:epidemiology