title: Methicillin-susceptible Staphylococcus aureus skin infections among military conscripts undergoing basic training in Bangkok, Thailand, in 2014.
abstract: BACKGROUND
  Skin and soft tissue infections are common among military conscripts undergoing close-contact training activities. On June 4, 2014, an outbreak of Staphylococcus aureus skin infection was reported among military conscripts undergoing basic training in Bangkok, Thailand. An investigation was performed to verify the outbreak and recommend future prevention and control strategies.
  
  
  METHODS
  The outbreak resulted in a rate of infection of 19.2% and a fatality rate of 2.5% (one death). All were Thai men aged 21.2 ± 1.0 years. Risk factors associated with infection were multiple erythematous papules and training in certain subunits. Randomly selected isolates were evaluated by pulsed field gel electrophoresis to confirm the clonal identity.
  
  
  CONCLUSIONS
  This report confirms that S. aureus skin infection can be fatal. Our study highlights the role of military personnel in the early detection, prompt treatment, and containment of outbreaks of skin infection, as well as other health issues among conscripts.
authors.affiliation: Department of Military and Community Medicine, Phramongkutklao College of Medicine, 315, Ratchawithi Road, Ratchathewi, Bangkok, 10400, Thailand.
authors.forename: Thirapa
authors.initials: T
authors.lastname: Nivesvivat
authors.affiliation: Department of Outpatients, Phramongkutklao Hospital, Bangkok, Thailand.
authors.forename: Dusit
authors.initials: D
authors.lastname: Janthayanont
authors.affiliation: Department of Parasitology, Phramongkutklao College of Medicine, 315, Ratchawithi Road, Ratchathewi, Bangkok, 10400, Thailand.
authors.forename: Mathirut
authors.initials: M
authors.lastname: Mungthin
authors.affiliation: Division of Dermatology, Department of Internal Medicine, Phramongkutklao Hospital, Bangkok, Thailand.
authors.forename: Julphat
authors.initials: J
authors.lastname: Intarasuphit
authors.affiliation: Department of Outpatients, Phramongkutklao Hospital, Bangkok, Thailand.
authors.forename: Siriwan
authors.initials: S
authors.lastname: Paojinda
authors.affiliation: Infection Control Unit of Phramongkutklao Hospital, Bangkok, Thailand.
authors.forename: Kanya
authors.initials: K
authors.lastname: Phanitorn
authors.affiliation: Infection Control Unit of Phramongkutklao Hospital, Bangkok, Thailand.
authors.forename: Paijit
authors.initials: P
authors.lastname: Permpool
authors.affiliation: Infection Control Unit of Phramongkutklao Hospital, Bangkok, Thailand.
authors.forename: Saowapap
authors.initials: S
authors.lastname: Kasinant
authors.affiliation: Infection Control Unit of Phramongkutklao Hospital, Bangkok, Thailand.
authors.forename: Onuma
authors.initials: O
authors.lastname: Pengpinij
authors.affiliation: Clinical Epidemiology Unit of Phramongkutklao Hospital, Bangkok, Thailand.
authors.forename: Parichart
authors.initials: P
authors.lastname: Yingprasert
authors.affiliation: Clinical Epidemiology Unit of Phramongkutklao Hospital, Bangkok, Thailand.
authors.forename: Wanida
authors.initials: W
authors.lastname: Thaochelee
authors.affiliation: Department of Military and Community Medicine, Phramongkutklao College of Medicine, 315, Ratchawithi Road, Ratchathewi, Bangkok, 10400, Thailand. rrangsin@pmk.ac.th.
authors.forename: Ram
authors.initials: R
authors.lastname: Rangsin
mesh_terms: D006801:Humans; D008297:Male; D008712:Methicillin / Q000494:pharmacology*; D008826:Microbial Sensitivity Tests; D008889:Military Personnel / Q000706:statistics & numerical data*; D015999:Multivariate Analysis; D012871:Skin Diseases / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology*; D012984:Software; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000453:epidemiology* / Q000382:microbiology*; D013211:Staphylococcus aureus / Q000187:drug effects*; D013785:Thailand / Q000453:epidemiology; D055815:Young Adult
chemical_list: D008712:Methicillin
keywords: Methicillin-susceptible Staphylococcus aureus; Military; Outbreak; Skin infection