Hospitalizations and deaths caused by methicillin-resistant Staphylococcus aureus, United States, 1999-2005

Eili Klein1, David L Smith, Ramanan Laxminarayan

  • 1Resources for the Future, Washington DC, USA.

Insights

Hospital-acquired Staphylococcus aureus (S. aureus) infections, including methicillin-resistant S. aureus (MRSA), significantly increased from 1999-2005. These rising trends highlight the urgent need for national disease control strategies.

Area of Science:

  • Infectious Diseases
  • Public Health
  • Epidemiology

Background:

  • Hospital-acquired infections caused by Staphylococcus aureus (S. aureus), particularly methicillin-resistant S. aureus (MRSA), represent a significant burden of illness, mortality, and economic cost.
  • Recent trends in the magnitude of S. aureus and MRSA hospitalizations have not been comprehensively reported.

Purpose of the Study:

  • To estimate the annual number of hospitalizations and deaths attributed to S. aureus and MRSA infections in the United States.
  • To analyze the trends of these infections from 1999 to 2005.

Main Methods:

  • Utilized national hospitalization data.
  • Incorporated national antimicrobial resistance data.
  • Employed statistical analysis to estimate infection counts and trends over a defined period.

Main Results:

  • S. aureus-related hospitalizations increased by 62% between 1999 and 2005, rising from 294,570 to 477,927.
  • MRSA-related hospitalizations more than doubled during the same period, increasing from 127,036 to 278,203.
  • These findings indicate a substantial rise in the burden of S. aureus and MRSA infections.

Conclusions:

  • Staphylococcus aureus and MRSA infections pose a growing public health challenge.
  • The escalating rates necessitate their consideration as a national priority for disease control efforts.
  • Effective interventions are crucial to mitigate the impact of these infections.

Related Concept Videos

Clinical Significance of Antibiotic Resistance01:25

Clinical Significance of Antibiotic Resistance

Methicillin-resistant Staphylococcus aureus (MRSA) presents a critical public health threat, arising from its capacity to resist β-lactam antibiotics due to acquisition of the mecA gene within the staphylococcal cassette chromosome mec (SCCmec). This gene encodes penicillin-binding protein 2a (PBP2a), which impairs binding efficacy of methicillin and other β-lactams. MRSA has evolved into distinct clonal lineages impacting humans and animals alike, reinforcing its significance within the One...
Mechanism of Antibiotic Resistance in MRSA01:25

Mechanism of Antibiotic Resistance in MRSA

Antibiotic resistance in bacteria arises when microorganisms evolve the ability to withstand drugs designed to kill them or inhibit their growth, rendering once-effective treatments useless. This phenomenon, driven by genetic change and selection under antibiotic exposure, poses a profound threat to modern medicine. Mechanisms include drug-inactivating enzymes (e.g., β-lactamases), efflux pumps that eject antibiotics, mutations altering antibiotic targets, decreased drug uptake, and acquisition...
Staphylococcal Skin Infections01:29

Staphylococcal Skin Infections

Staphylococcus aureus is a Gram-positive coccus that resides harmlessly on the skin and mucous membranes of healthy individuals. When the skin barrier is breached, it can shift from a commensal to an opportunistic pathogen. This transition is facilitated by surface adhesins, such as clumping factor B and S. aureus surface protein G (SasG), which bind to structural proteins, including loricrin and cytokeratin, in the damaged epidermis. Protein A, another key factor, binds the Fc region of...
Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Mismatch Repair01:36

Mismatch Repair

Overview
Combined Effects of Drugs: Synergism01:27

Combined Effects of Drugs: Synergism

Synergism is a useful mechanism where combining two or more drugs is more effective than each constituent used alone. Such combinations are also called supra-additive interactions. The drugs collectively enhance the final therapeutic effect by acting on different targets. Another advantage is that the low dose of each constituent drug is sufficient to achieve the desired effect. This helps reduce the duration of therapy and lower the adverse effects of these drugs.
Such synergistic combinations...