title: Staphylococcus aureus and other skin and soft tissue infections among basic military trainees, Lackland Air Force Base, Texas, 2008-2012.
abstract: Military training environments have been identified as high-risk settings for acquisition of skin and soft tissue infections (SSTIs), including those caused by methicillin-resistant Staphylococcus aureus (MRSA). Among the 148,355 basic military trainees at Lackland Air Force Base, Texas, between 1 October 2008 and 30 September 2012, there were 289 SSTIs, including 48 cases of culture-confirmed MRSA and 48 cases of possible MRSA-defined as SSTIs treated with both incision and drainage and MRSA drug coverage (i.e., trimethoprim-sulfamethoxazole, clindamycin, a tetracycline, or linezolid). The period prevalence rates of all SSTIs and MRSA SSTIs increased annually since fiscal year 2010. Of the 87 SSTIs cultured during the surveillance period, 74 were positive: MRSA (n=48); methicillin-sensitive Staphylococcus aureus (n=24); Haemophilus parainfluenzae (n=1); and viridans Streptococcus (n=1). Among MRSA positive cultures, three were resistant to clindamycin, one to tetracycline, and one to both clindamycin and tetracycline; none was resistant to trimethoprim-sulfamethoxazole. An algorithmic clinical approach and heightened public health measures may reduce rates of future SSTIs among basic trainees at Lackland Air Force Base.
authors: Uniformed Services Universityof the Health Sciences, Departmentof Preventive Medicine and Biometrics.
authors: Bryant J
authors: BJ
authors: Webber
authors: Susan P
authors: SP
authors: Federinko
authors: Juste N
authors: JN
authors: Tchandja
authors: Thomas L
authors: TL
authors: Cropper
authors: Patrick L
authors: PL
authors: Keller
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004196:Disease Outbreaks / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D055624:Methicillin-Resistant Staphylococcus aureus; D008889:Military Personnel / Q000706:statistics & numerical data*; D018461:Soft Tissue Infections / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology; D013207:Staphylococcal Skin Infections / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology; D013781:Texas / Q000453:epidemiology; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents