title: Imported methicillin-resistant Staphylococcus aureus, Sweden.
abstract: Countries such as Sweden that have a low prevalence of methicillin-resistant Staphylococcus aureus (MRSA) offer the opportunity to discern and study transmission of imported cases of MRSA. We analyzed 444 imported cases of MRSA acquisition reported in Sweden during 2000-2003. Risk for MRSA in returning travelers ranged from 0.1 (95% confidence interval [CI] 0.01-0.4) per 1 million travelers to Nordic countries to 59.4 (95% CI 44.5-79.3) per 1 million travelers to North Africa and the Middle East. Most imported cases (246, 55%) were healthcare acquired, but regions with the highest risk for MRSA in travelers showed a correlation with community acquisition (r = 0.81, p = 0.001). Characteristic differences in MRSA strains acquired were dependent on the region from which they originated and whether they were community or healthcare acquired. Knowledge of differences in transmission of MRSA may improve control measures against imported cases.
authors.affiliation: Swedish Institute for Infectious Disease Control, Solna, Sweden.
authors.forename: Mikael
authors.initials: M
authors.lastname: Stenhem
authors.forename: Ake
authors.initials: A
authors.lastname: Ortqvist
authors.forename: Hakan
authors.initials: H
authors.lastname: Ringberg
authors.forename: Leif
authors.initials: L
authors.lastname: Larsson
authors.forename: Barbro
authors.initials: B
authors.lastname: Olsson Liljequist
authors.forename: Sara
authors.initials: S
authors.lastname: Haeggman
authors.forename: Mats
authors.initials: M
authors.lastname: Kalin
authors.forename: Karl
authors.initials: K
authors.lastname: Ekdahl
mesh_terms: D000293:Adolescent; D000300:Adoption; D000328:Adult; D000368:Aged; D002353:Carrier State / Q000453:epidemiology*; D002648:Child; D002675:Child, Preschool; D017714:Community-Acquired Infections / Q000453:epidemiology; D005260:Female; D005838:Genotype; D006801:Humans; D007223:Infant; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus / Q000235:genetics / Q000302:isolation & purification; D008875:Middle Aged; D016017:Odds Ratio; D015995:Prevalence; D013203:Staphylococcal Infections / Q000453:epidemiology*; D013548:Sweden / Q000453:epidemiology; D014195:Travel; D055815:Young Adult