High Burden of Staphylococcus aureus Among Native American Individuals on the White Mountain Apache Tribal Lands.
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ABSTRACT: Background:This study was done to determine the burden of invasive Staphylococcus aureus on the White Mountain Apache Tribal lands. Methods:Active population and laboratory-based surveillance for invasive S aureus infections was conducted from May 2016 to April 2018. A case was defined as a Native American individual living on or around the White Mountain Apache Tribal lands with S aureus isolated from a normally sterile body site. Results:Fifty-three cases were identified. Most cases were adults (90.6%) and had??1 underlying medical condition (86.8%), the most common of which were diabetes (49.1%) and obesity (41.5%). A total of 26.4% cases were categorized as community acquired. Most infections were methicillin-resistant (75.5%). A total of 7.5% of cases required amputation, and 7.7% of cases died within 30 days of initial culture. The incidence of invasive S aureus was 156.3 per 100?000 persons. The age-adjusted incidence of invasive methicillin-resistant S aureus was 138.2 per 100?000 persons. Conclusions:This community has a disproportionately high burden of invasive methicillin-resistant S aureus compared with the general US population. Interventions are urgently needed to reduce the morbidity and mortality associated with these infections.
SUBMITTER: Sutcliffe CG
PROVIDER: S-EPMC7066796 | biostudies-literature |
REPOSITORIES: biostudies-literature
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