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Updated: Aug 8, 2026

Subcutaneous Infection of Methicillin Resistant Staphylococcus Aureus (MRSA)
Published on: February 9, 2011
Meticillin-resistant Staphylococcus aureus among US prisoners and military personnel: review and recommendations for
Allison E Aiello1, Franklin D Lowy, Lester N Wright
1Center for Social Epidemiology and Population Health, School of Public Health, University of Michigan, Ann Arbor, MI, USA. aielloa@umich.edu
Abstract:
We reviewed published work examining the prevalence and risk factors for meticillin-resistant Staphylococcus aureus (MRSA) infection in two high-risk groups: prisoners and military enlistees. Significant risk factors for infection included prison occupation, gender, comorbidities, prior skin infection, and previous antibiotic use. Although characteristics such as hygiene, physical contact, and crowding were postulated as risk factors for MRSA infection, there were few epidemiological studies supporting these factors. Most studies identified were retrospective in design and only one study used prospective surveillance for MRSA colonisation among all individuals residing within a single military setting. Our results suggest that there is a high incidence of MRSA infection among individuals in prisons and military settings, but surveys that quantify the prevalence of MRSA colonisation among individuals living within these specialised settings are needed. A thorough examination of MRSA acquisition and transmission patterns in prisons and military settings could help elucidate preventive strategies in other crowded and closed settings.
Insights
Meticillin-resistant Staphylococcus aureus (MRSA) is prevalent in prisons and military settings. Key risk factors include occupation and prior antibiotic use, highlighting a need for further research into transmission and prevention.
Area of Science:
- Infectious Diseases
- Epidemiology
- Public Health
Background:
- Meticillin-resistant Staphylococcus aureus (MRSA) poses a significant health concern in specific populations.
- Prisoners and military personnel represent high-risk groups for MRSA infection due to their living conditions.
Purpose of the Study:
- To review existing literature on the prevalence and risk factors of MRSA infection in prisoners and military enlistees.
- To identify epidemiological gaps in understanding MRSA transmission within these closed settings.
Main Methods:
- Systematic review of published studies on MRSA in prisoner and military populations.
- Analysis of identified risk factors, study designs, and surveillance methods.
Main Results:
- Significant risk factors for MRSA infection identified: prison occupation, gender, comorbidities, prior skin infection, and antibiotic use.
- Limited epidemiological data supports postulated risk factors like hygiene, physical contact, and crowding.
- Most studies were retrospective; only one prospective surveillance study was found.
Conclusions:
- High incidence of MRSA infection in prisons and military settings is suggested.
- Further surveys are needed to quantify MRSA colonization prevalence in these specialized environments.
- Understanding MRSA acquisition and transmission is crucial for developing preventive strategies in similar settings.
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