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

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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