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Methicillin-Resistant Staphylococcus aureus in Canadian Aboriginal People

Published online by Cambridge University Press:  21 June 2016

Marianna Ofner-Agostini
Affiliation:
Centre for Infectious Disease Prevention and Control, Public Health Agency of Canada, Ottawa, Ontario Department of Public Health Sciences, University of Toronto, Toronto, Ontario
Andrew E. Simor*
Affiliation:
Department of Microbiology, Sunnybrook and Women's College Health Sciences Centre, and the Department of Laboratory Medicine and Pathobiology, University of Toronto, Ontario
Michael Mulvey
Affiliation:
Department of Nosocomial Infections, National Microbiology Laboratory, Public Health Agency of Canada, Winnipeg, Manitoba
Elizabeth Bryce
Affiliation:
Department of Pathology, Vancouver General Hospital, Vancouver, British Columbia
Mark Loeb
Affiliation:
Department of Pathology and Molecular Medicine and the Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ontario
Allison McGeer
Affiliation:
Department of Microbiology, Mount Sinai Hospital, Toronto, Ontario
Alex Kiss
Affiliation:
Department of Research Design and Biostatistics, Sunnybrook and Women's College Health Sciences Centre, Toronto, Ontario
Shirley Paton
Affiliation:
Centre for Infectious Disease Prevention and Control, Public Health Agency of Canada, Ottawa, Ontario
*
Department of Microbiology, Sunnybrook and Women's College Health Sciences Centre, B121-2075 Bayview Avenue, Toronto, Ontario M4N 3M5 ([email protected])

Abstract

We describe 279 hospitalized Canadian aboriginals in whom methicillin-resistant Staphylococcus aureus (MRSA) was detected. They were identified in 38 Canadian hospitals from 1995 through 2002. Compared with nonaboriginals, aboriginals were more likely to be younger than 18 years of age (OR, 1.8; P<.0001), to have had an MRSA infection (OR, 3.8; P<.0001), and to have had MRSA isolated from specimens of skin or soft tissue (OR, 4.1; P = .016). The clinical features of MRSA infection in aboriginals are distinct from those in the general patient population with MRSA infection in Canadian hospitals, and the genetic background of MRSA isolates from aboriginals also varies from that of strains from the non-aboriginal population.

Type
Concise Communications
Copyright
Copyright © The Society for Healthcare Epidemiology of America 2006

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