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Emerg Infect Dis. 2013 Jan;19(1):10-20; quiz 185. doi: 10.3201/eid1901.111740.

Staphylococcal infections in children, California, USA, 1985-2009.

Author information

1
Stanford University School of Medicine-Pediatrics, Stanford, California 94305, USA. mdkat@stanford.edu

Abstract

We conducted a retrospective, observational, population-based study to investigate the effect of staphylococcal infections on the hospitalization of children in California during 1985-2009. Hospitalized children with staphylococcal infections were identified through the California Office of Statewide Health Planning and Development discharge database. Infections were categorized as community onset, community onset health care-associated, or hospital onset. Infection incidence was calculated relative to all children and to those hospitalized in acute-care facilities. A total of 140,265 records were analyzed. Overall incidence increased from 49/100,000 population in 1985 to a peak of 83/100,000 in 2006 and dropped to 73/100,000 in 2009. Staphylococcal infections were associated with longer hospital stays and higher risk for death relative to all-cause hospitalizations of children. The number of methicillin-resistant Staphylococcus aureus infections increased, and the number of methicillin-susceptible S. aureus infections remained unchanged. Children <3 years of age, Blacks, and those without private insurance were at higher risk for hospitalization.

PMID:
23260060
PMCID:
PMC3557972
DOI:
10.3201/eid1901.111740
[Indexed for MEDLINE]
Free PMC Article

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