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Journal of Clinical Microbiology, September 2004, p. 4050-4053, Vol. 42, No. 9
0095-1137/04/$08.00+0     DOI: 10.1128/JCM.42.9.4050-4053.2004

Risk Factors for Community-Associated Methicillin-Resistant Staphylococcus aureus Infections in an Outbreak of Disease among Military Trainees in San Diego, California, in 2002{dagger}

Katherine M. Campbell,1 Andrew F. Vaughn,2 Kevin L. Russell,1* Besa Smith,1 Dinice L. Jimenez,1 Christopher P. Barrozo,1 John R. Minarcik,3 Nancy F. Crum,3 and Margaret A. K. Ryan1

Department of Defense Center for Deployment Health Research,1 Navy Environmental and Preventive Medicine Unit 5,2 Naval Medical Center, San Diego, California3

Received 13 January 2004/ Returned for modification 3 March 2004/ Accepted 21 May 2004

An outbreak of community-associated methicillin-resistant Staphylococcus aureus (CA-MRSA) skin infections was observed in a population of U.S. military trainees in the summer of 2002. A questionnaire was developed and administered to 206 trainees, 22 of whom had MRSA infections. Factors associated with infection were described by multivariable logistic regression modeling and included having a roommate in training with a prior skin infection (odds ratio [OR] = 3.44) or having a family member or friend who worked in a health care setting (OR = 2.79). Previous antibiotic use, hospitalization, or health problems were not associated with MRSA infection. This outbreak of MRSA skin infections in an otherwise-healthy, well-defined, military population provided an opportunity to describe risk factors for CA-MRSA which may help focus prevention efforts in this and other communities.

* Corresponding author. Mailing address: Department of Defense Center for Deployment Health Research, P.O. Box 85122, Naval Health Research Center, San Diego, CA 92186-5122. Phone: (619) 553-7027. Fax: (619) 553-7601. E-mail: Russell{at}nhrc.navy.mil.

{dagger} Report 04-05, supported by the Department of Defense under work unit no. 6609.

Journal of Clinical Microbiology, September 2004, p. 4050-4053, Vol. 42, No. 9
0095-1137/04/$08.00+0     DOI: 10.1128/JCM.42.9.4050-4053.2004




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