Increasing hospitalizations and general practice prescriptions for community-onset staphylococcal disease, England

Hayward, Andrew, Knott, Felicity, Petersen, Irene, Livermore, David M., Duckworth, Georgia, Islam, Amir and Johnson, Anne M. (2008) Increasing hospitalizations and general practice prescriptions for community-onset staphylococcal disease, England. Emerging Infectious Diseases, 14 (5). pp. 720-726. ISSN 1080-6059

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Abstract

Rates of hospital-acquired staphylococcal infection increased throughout the 1990s; however, information is limited on trends in community-onset staphylococcal disease in the United Kingdom. We used Hospital Episode Statistics to describe trends in hospital admissions for community-onset staphylococcal disease and national general practice data to describe trends in community prescribing for staphylococcal disease. Hospital admission rates for staphyloccocal septicemia, staphylococcal pneumonia, staphylococcal scalded-skin syndrome, and impetigo increased >5-fold. Admission rates increased 3-fold for abscesses and cellulitis and 1.5-fold for bone and joint infections. In primary care settings during 1991–2006, floxacillin prescriptions increased 1.8-fold and fusidic acid prescriptions 2.5-fold. The increases were not matched by increases in admission rates for control conditions. We identified a previously undescribed but major increase in pathogenic community-onset staphylococcal disease over the past 15 years. These trends are of concern given the international emergence of invasive community-onset staphylococcal infections.

Item Type:	Article
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User:	Rhiannon Harvey
Date Deposited:	07 Jul 2011 10:58
Last Modified:	11 Jan 2024 01:22
URI:	https://ueaeprints.uea.ac.uk/id/eprint/33437
DOI:	10.3201/eid1405.070153

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